<s>[INST] Hi I have a swollen abdomen... waist has gone from 30" to 43" in 3 days.  Docs reckon its an ovarian cyst.  i have been getting sharp needle like pains down both sides,  im still trying to get the a+e to do a scan as i look 6mths pregnant!  does this sound like a typical ovarian cyst problem? [/INST] Hi. Ovarian cyst can not grow so fast just within 3 days to increase waist from 30 to 43 unless there is bleeding inside. Another possible explanation is insidious intestinal obstruction of the large bowel causing enlargement of this size. This can give you pains as you described. The simple test of X-ray of the abdomen in standing position is sufficient to get the proper diagnosis. Get admitted, you may need enema and treatment accordingly. </s>