<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am having abdominal pain from four days .its on and off it always starts from the middle of tummy and travels to the right side of stomach . It s getting worse day by day n Amy tummy is swollen . Tell me what shall I do what is this I booked an app with the doctor but it s next week and the pain is unbearable  <response>: Hi. Thanks for your query. I can understand the plight you must be going through. Pan in abdomen for 4 days, starting in the middle area along with bloating can be due to the following reasons:Intestinal obstructionInflammatory process like enlarged lymph nodes or so on. I would advise you the following:Attend at the Emergency Room. Get the following investigations:-Tests of blood, urine and stool.-Ultrasonography of the abdomen-X-ray of the abdomen in standing position. This will give an idea whether you need to take medical treatment or need surgical intervention. 