<s>[INST] I am having abdominal pain from four days .its on and off it always starts from the middle of tummy and travels to the right side of stomach . It s getting worse day by day n Amy tummy is swollen . Tell me what shall I do what is this I booked an app with the doctor but it s next week and the pain is unbearable [/INST] Hi.Thanks for your query. I can understand the plight you must be going through. Pan in abdomen for 4 days, starting in the middle area along with bloating can be due to the following reasons:Intestinal obstructionInflammatory process like enlarged lymph nodes or so on. I would advise you the following:Attend at the Emergency Room.Get the following investigations:-Tests of blood, urine and stool.-Ultrasonography of the abdomen-X-ray of the abdomen in standing position. This will give an idea whether you need to take medical treatment or need surgical intervention. </s>