<s>[INST] hello, im an 18 yr old girl and lately for the last month i been getting very bad stomach pains sometimes on my upper abdominal and sometimes lower along with them are cold sweats. The pain makes me double over. My doctor said my spleen is slightly enlarged but dont think its the cause so hes sending me for a ct on wedsnday but i wont get the results for at least a week and really cant take the pain any longer. What should i do? [/INST] Hi. Thanks for your query. The pains in the upper and lower abdomen severe enough can not be caused by the just enlarged spleen, this is for sure. The causes can be related to the small intestinal inflammation like Typhoid or Enteritis of any cause, which in turn can give you pains and enlargement of the spleen too. I would advise you the following:Tests of Blood for CBC, Tidal and culture and sensitivity, Test of urine and stool. Ultrasonography till you get the CT scan done and await for the reports. Get started on a treatment of an antibiotic which will help Typhoid and such problems to be covered and with proper treatment the size of the spleen as well as the symptoms of pain will vanish away. </s>