Hi! Good evening. I am Dr Shareef answering your query. If I were your doctor, considering no relief by the pain killers, I would refer you to the ER of the nearby hospital so that apart from a clinical surgical assessment, investigations like CBC, serum amylase, serum lipase, along with an ultrasound of whole abdomen could be performed to arrive at a diagnosis. A plain x ray of abdomen in upright posture could also be done if need be after a clinical assessment of the abdomen. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.