Question: 37 yr old Caucasian Female, has Rheumatoid Arthritis and Lupus. History of Ovarian Cysts, IBS. 12 months ago, Ovarian Cysts were gone after switching Birth Control Medication. Currently Off Birth Control (since April.) Abdominal discomfort for 3 days, no appetite, but not "painful." Approximately 48 hours after onset, began suffering from severe diarrhea. Approximately 30 BM's in 5 hour period, with abdominal muscles contracting hard. Stool was very green, and very liquid. Two doses Pepto Bismol - no effect. 1 full dose of Immodium AD plus one half-dose 1 hour later, and she was able to sleep last night. Before going to sleep, drank approximately 16 oz of Gatorade and water over 2 hour period. Temperature was 97.3. Pulse Oxidation was 99%, pulse was 85 BPM. This morning, 2 BM's within 1 hour of waking, remains green and liquid, but does not have the severe muscular contractions like yesterday. When lying down, there is a palpable "air pocket" located a few inches above the left pelvic bone. It is squishy, not particularly hard, and she states that touching it is "uncomfortable," but not particularly "painful." My concern is a perforated bowel, or something serious. Do we need to go to the ER, or is my current over-the-counter care sufficient? Any opinions would be very welcome. Thank you.

Thank you for your help. She seems to be doing better.