<s>[INST] Im having pretty sharp lower left abdomen pain, on a scale from one to ten its about a 7. I had a pretty severe kidney infection several years ago, and it doesnt feel like that location-wise. It started late Thursday/early Friday, and its progressively gotten worse. It now is very painful to move and almost painful to talk. Should I wait until a QuickCare unit opens or go to the ER? [/INST] Hi. Thanks for your query. With the severe pain in the left lower abdomen, which does not allow you to move and almost painful to talk. This indicates peritonitis, and you need to rush to ER for clinical examination by a Doctor and investigations :Test of blood, urine and stool, X-ray of the abdomen in standing position, Ultrasonography. If the clinical examination gives a rebound tenderness, this is a certain sign of peritonitis and most probably you may need surgery. </s>