### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My lower Right and left quadrents feel like they are tearing. It started with the lower right now has progressed to both sides. I get naseous more at nights, and usually after eating. I feel every once in a while the urge to have a bowel movement, but nothing. I am a 21 year old Female. It is getting to the point where it is waking me up, and hurts to walk. Is it time to see a doctor, or is it something not serious at all?

### output:

Hello! I read carefully your query and understand your concerns. There are many possible causes of this pain in your lower right abdomen that has progressed to both sides .1)It might be related to a problem in digestive tract: it might be appendicitis, diverticulitis, irritable bowel syn Chat Doctor. 2)It might be due to a condition of urinary tract : urinary tract infection, kidney infection, kidney stones, cystitis etc.3) Or it might due to a condition of your reproductive tract :Problems with the cervix, such as a cervical infection, pain associated with ovulation, ovarian cysts, endometriosis, pelvic inflammatory disease etc. Since there is this large number of possible causes, associated symptoms, specific characteristic of the pain (the moment of the initiation, the severity, radiation of the pain, the relation with the periods etc.) provide very important information to get to the right diagnosis. Since there has been some days with this pain, and it is getting stronger, I think it is time to consult a physician. A detailed medical history and detailed physical examination are needed. You should run some tests including:-Complete blood count (to evaluate WBC count for a possible infection)-Urinalysis (to exclude urinary infection)-Abdominal ultrasound. I suggest consulting a physician and get examined. Hope my answer has helped. Take care.