<s>[INST] I Have been having pain in my left side since the middle of july it sometimes is shooting pains and it hurts for clothes to touch it,it also burns like if it was sunburned.I take lantus,and noverlinR ,also amitiptylin 50mg,sertraline50mg and Trama-Dol-HCL50mg for pain.Could it be any of these medicines causing the pain? [/INST] Hi and thanks for the query,.This pain requires exclusion of an acute abdomen. An abdominal ultrasound and plain film of the abdomen deserve to be done accordingly. A complete blood count in search of raised white blood cells, A C reactive protein and erythrocyte sedimentation rates for acute phase reactants could be necessary to exclude an infectious process. Acute appendicitis, diverticultis and infectious acute abdominal syndromes must carefully be considered.I suggest you consult a gastroenterologist. Thanks and kind regards.Bain LE, MD. </s>