<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have very pale skin, no appetite, small twisting pains in the left side of my abdomen reguarly, sleep for 14 hrs a day and still feel fatigued, and occasionally wake up with small bruises on my stomach that usually fade throughout the day. I am not sure whether there is cause for concern and to visit a GP but thought I should check online first. Thanks in Advance  <response>: Hi. Thanks for your query and an elucidated history. Pale skin indicated that you have severe anemia and be due to a serious problem in the abdomen. Loss of appetite with abdominal pain and excessive sleep yet feeling fatigues indicates that you need a proper clinical examination and investigations. I would suggest in such a patient the following:A detailed history, proper clinical physical examination and investigations: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity before start of antibioticUltrasonography of abdomen. CT scan and enterocolitis if required. Diagnostic Laparoscopy has a big role to play in undiagnosed cases and can help to diagnose diseases like tuberculosis and so on. 