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Myself Dr Josh and I’m happy to help with your question today
Yes,you need to go to ER.
The symptoms you have described of having severe pain in lower back,right abdomen and right groin is suggestive of kidney stone.
Less likely this can be bowel obstruction.
Whenever there is a disharmony or breakdown between the two functions of the kidney(to conserve water and to eliminate the body's waste substances) it leads to the formation of stones.
As you have already taken tramadol & still the pain is not relieved,you need to go to ER now.Shots of pain killersare required to relieve this pain.
Treatment of stone will be done depending upon the size & location of kidney stone.Continue to drink plenty of water.
Hope this helped
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