Brief Answer:
Please give additional information - needs clinical evaluation and tests.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your friend and understood the concerns.
Since appendectomy was done 2 years ago and pain has developed recently, this needs a proper clinical evaluation by a General Surgeon and investigations as needed to get a proper cause so that a proper management can be done.
Please give some additional information for me to assist better:
- Since when is the pain present?
- Which area of the abdomen the pain is present?
- Any nausea, vomiting, bloating, loose motions or hard stools?
- Any relationship between smoking and pain in abdomen like increase in pain?
- ANy other history please.
Awaiting.

---

Brief Answer:
Clinical evaluation and investigations

Detailed Answer:
Thanks for your feedback.
Sine the pain is present for 2 days and is in upper portion of abdomen this may most probably be related to gastritis or pancreatitis or colitis.
Hence it is necessary to get the following things done:
Get started on a PPI like Omeprazole and antacid.
Clinical evaluation and examination preferably by a General Surgeon.
Medications as prescribed.
Investigations as needed like Upper GI Endoscopy, ultrasonography, tests of blood, stool and urine. Any other tests as would be needed and advised.
Getting a correct diagnosis should be the motto so that an appropriate management can be done.

I hope this answer helps your friend.
Please give feedback about the progress.

---