It is impossible to give an answer,without knowing the age, the sex, the history of the symptoms,the past medical and surgical history, also a physical exam have to be done.
so you have to see your doctor.
i'll give you some causes( Appendicitis, Diverticulitis, Fecal impaction (hardened stool that can't be eliminated), Gastritis (inflammation of the stomach lining), Hepatitis (liver inflammation), Intestinal obstruction, inflammatory disease Kidney infection, Kidney stones, Liver hemangioma, Peptic ulcer, all the gynecologic problems,abdominal hernias ................)
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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