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

### input:
I went to an er last night for Mid to lower abdominal cramping, with burning around my bellybutton area.  I have cramping in my back on both sides, along with between my shoulder blades.  I have a constant headache.  The cramping is my back is constant, but the abdominal pain comes in waves on both sides.  They gave me a pelvic exam and an internal ultra sound of my ovaries and did blook work.  Everything showed nagitive results.  My urine was negative also.  I feel bloaded and whenever I eat or drink the cramps flare up.  My neck is stiff and achy as well.  Im wondering what else I can consider to looking in too?  I am cold all day today and weak.Hi, may I answer your health queries right now ?  Please ty

### output:

Hi. Thanks for your query. The causes of the bloating of the abdomen alone can be as follows :Gaseous distention of the small and / or large intestines due to a variety of causes, most common being the sub-acute intestinal infection. Another cause can be ascites. Whatever the cause that we will have to find, this distension causes the stomach to be pressed causing other symptoms of Cramping the back, stomach, neck pains and all the symptoms you have. This can be the reason for acidity, pains, pain in waves as you have explained. I would advise you the following:First get the following simple tests:X-ray of the abdomen in the standing position to see whether this is due to the gases or something else. Ultrasonography will help for other causes, organomegaly meaning enlargement of the vital organs as liver and so. Tests of the blood, urine and stool-Take a course of an antibiotics and, metronidazole, probiotic and all symptomatic treatment. You have to keep the stress and anxiety to be free from by any means like, yoga, meditation and proper treatment