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

### input:
I have pain in the center of my stomach . It sort of feels like gas pains. I get them very often almost everyday, at the same time. It makes me go insane. The pain is almost unbearable. Sometimes it worse then others. I also get cold sweats. I m only 16. I don t each much vegetables. I eat fruit everyday. And a lot of pasta. What s wrong?

### output:

Dear Concerned., Thanks for writing to us., The location of the pain, is it center of abdomen?? Peri umbilical area? And the type of pain (???) colicky type indicates that the origin could be probably Gastrointestinal System. Are you also febrile as you are getting cold sweats? Are you suffering from recurrent Constipation and any h/o difficulty in passing urine? Pls check your temperature and pulse. In addition, get the undermentioned common baseline investigations done at the earliest., (1)Stools for routine and Microscopy(2) Urinalysis-complete(3) Blood Counts including HBO, TC,DC, ESR. (4)USG Abdomen(to rule out cholelithiasis as well if pain is in epigastric) and Pelvis. As you have not been clinically examined., only Differential Diagnosis can be given at this stage., A) Dyspepsia;-Due to consumption of Non Fiber containing sticky and soft diet, enzymatic digestion getting delayed with distension and gas formation. The distension leads to stimulation of stretch receptors leading to pain in and around umbilicus. B) Worm Colic;-Stool Tests will confirm whether it is due to Worms in intestines. Usually passage of small worms/eggs confirm the diagnosis. C)Urolithiasis;-Demonstration of Oxalaturia /RBC's in Urine/ USG confirmation will ascertain the Diagnosis. D)Spasmodic Dysmenorhoea;-During menses in unmarried girls Uterine congestion leads to Spasmodic Dismenorrhoea. USG Pelvis will reveal the exact reason. E)Intense Pain around umbilicus with Omitting and tenderness in MC Burners Point in lower right qua Chat Doctor.  As a first Aid measure you may take Plasmolytic Medication such as DiCyclomine/Hosting Butyl Bromide tablet with lots of oral fluids and antacid.  In addition, please consult your MD at the ER for confirmatory diagnostic tests and treatment. Wishing you a speedy recovery., Best Regards.,