Hi,
Noted your history about severe spasmodic pains in upper abdomen, getting better in the morning but then
bloating and the pain starts again.
This is a classical history of
intestinal obstruction, spasmodic pain followed by bloating. Although there is no
nausea or
vomiting that you have mentioned the possibility of intestinal obstruction, particularly of large bowel must be watched for, as in such a case the nausea and vomiting may be absent.
Hence I would advise you the following:
Rush to ER or nearby hospital as the facility would be available.
X-ray of abdomen in standing position is the cheapest and simplest investigation that shows intestinal obstruction.
Additions tests of blood, urine, stool can help further for diagnosis and
proper management.
The initial treatment can be conservative by intravenous fluids, keeping you nil orally.
If this does not solve the problems then you may need surgery.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant, ENT & General Surgeon