<s>[INST] I have experienced severe pain after I have sneezed just feels like inside my lower right side of abdomen and upper center abdomen inside is just being twisted inside out.What would cause this and is this something to address? I have had this at least 4 times not back to back only when I sneeze very hard.Thank you! [/INST] Hello, Thanks for your query.The sharp pain that you experienced while sneezing today is probably a pulled ligament in the pelvis or a little strain.I do not think it is appendix related. If it were this, you would have continued pain that would actually make you reach the ER at the earliest. So, please relax; rest a while. Drink plenty of fluids. Take simple pain relief medicine like Acetaminophen (Panadol). I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>