Sir I had abdominal distension and fullness sincce5 days,intermitant episodes of indigestion and malaise since 1 mth, wt loss about 10 kgs in 4 mths,I was thinking it 2 be a indigestion entity,but, yesterday I had a bout of severe lower abdominal pain lasting for half a minute or so,after this I had a check ultrasound which showed, moderate ascitis ileal and omental thickening,lymp nodes with loss of hilum and caseation largest ms 4 cms. Now today - am getting intermitant bouts of crampy pain lasting for about 15 second,I had 3-4 such bouts in entite day 2 day,I have send blood for routine investigations ,pls advice me regarding any specific diagnostic tests to be done for adequte diagnosis before I consult u personally,whether a therapeutic tap is imediately indicated and what should !e my plan of action? Thanking u - mr.p.gharat