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

### input:
I have been having right side pain for 2 months now along with nausea, fatigue and appetite loss. The pains range from sharp and stabbing, tearing, burning and stinging, mild to severe, My temperature has gone all the way down to 94 degrees and up to a fever. Some days the pains are not so bad but constant and other days the pain is so severe and I cant stand up straight and can hardly move. The pain gets worse with deep breathing, a lot of movement, being hungry, eating, some days I do nothing unusual and the pain gets super severe. I have had an upper abdominal Ultra Sound, An upper UGI with barium and they botChatDoctore out normal. The doctor said those were to test my gallbladder but they did not find gallstones. They have not mentioned appendicitis. I am wondering what is causing the pain. Thanks

### output:

Hello, Thanks for the query to Chat Doctor. Forum. This is a very peculiar history. Nausea , fatigue, loss of appetite are due to PAIN. Now the nature of pain. Pain threshold is different in different persons so at present keep it a side. As temperature goes down i.e. 94 F i.e. HYPOTHERMIA. Hypothermia obscures most of the symptoms and signs of INFECTION, notably fever and leukocytosis. Excessive, extensive cultures and repeated physical examinations are essential. As I mentioned above Infection may obscure, so we have to consider for abscess in Liver in initial phase, tuberculosis of intestine, Kidney functions (MAIN EMPHASIS over this). Once again get in U/S whole of abdomen at least from 3 (three) different centers and then consult a doctor who will match these reports and adjudge what is the disease. Once again I would advise you please get in Blood for E S R (C B C). Good luck 