Brief Answer:
If the pain has not subsided with pan 40, you need to be examined in person by a surgeon urgently.

Detailed Answer:
Hello Mr,

Welcome to Ask a Doctor Service.

I have studied your case and understand your trouble.

I am sorry, but if the pain has not subsided even after taking pan 40 tablet, it could be something serious like appendicitis or kidney stones.

We have to examine you in person to come to some conclusion as to what might be going on.

For the time being, you may take 10 ml of Mucaine Gel syrup.

But you have to get examined by a surgeon urgently to find out the cause for such severe pain.

It could be pancreatitis as well, or twisted intestines.

It is not possible to ascertain the cause for the pain without complete physical examination urgently and an Ultrasound scan if required.

I urge you to visit your nearest hospital and consult a surgeon without delay.

I hope this information helps.

Best wishes.

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