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

### input:
5 days gripey stomach painI have had gripey stomach pain for 5 days now. It is mostly situated RH side, but whole of stomach is puffy and tender. When I touch under my rib bone or on the middle of the breast bone it is especially sore. The pain is so bad sometimes that it makes me get breathless and feel nauseous. I have not been sick. It does not improve with anti-inflammatory such as ibruprofen. Lying down with hot water bottle gives some relief but it never goes away. The pain sometimes seems to die away slightly but then comes back in this building wave - which is when I feel breathless and sick - and stays there. I do have my period right now but I am 27 and never in about 14 years of menstruation have I had more than slight discomfort for one day. This is very different.

### output:

Hi. Thanks for your query. The history is suggestive of a problem which is involving the lower chest and upper abdomen. I would advise you to go for a clinical / physical examination as this can detect better than the investigations ; for example the breathing sounds, rebound tenderness are the clinical entities and to be elicited by a Doctor himself. After clinical examinations the relevant investigations can be advised ; which h in your case can be :::*X-ray chest to start with *Ultrasonography- it can detect the pleural fluid too as well as the gallbladder, liver and problems if the whole abdomen. * CT scan for confirmation * Routine blood tests including liver function tests, blood sugar* Urine and stool tests* Standing X-ray of the abdomen to see intestinal obstruction. * upper GI endoscopy if suspected to have acidity related problems. The treatment will depend upon the findings.