<s>[INST] hi. ive had these pains for a few years now. i get a sharp pain in my left side and lower stomach . i feel like my side and stomach are bloating up and going to burst. this makes me get really panicky and hot and i dont know what to do when it happens. ive noticed it happens more when im about to sleep or first thing in the morning. ive always had a very poor diet so dont know if that is now causing issues with my insides but the pain can be so bad, it makes me cry. i normaly get relieve once ive been to toilet but cant always go when i want to [/INST] You must do Ultrasonography first. </s>