Should I go to the ER?!?! DOCS, please help!?!

Should I go to the ER?!?! DOCS, please help!?

(little history, then new symptoms) I have had chronic left neck and shoulder pain for a few years now, it has gotten to the point of being excruciating now. I have also had for a little more than a year, a pain in the left abdomen (ovary?) with abdominal swelling, i go through nausea, night sweats, cold sweats, I have a hard lump on the left side of my neck that HURTS all the time. Right now the neck and shoulder and abdominal pain is REALLY bad but suddenly I have pain in what I guess is my back on the left side. Doesn't feel muscular, because I know that feeling. Feels like it is in my ribs or lung lining or something like that. Hurts worse in abdomen when I walk and worse in back/chest if I talk loudly or clear my throat or certain movements. Pain is worsening since the onset of it yesterday. I can't sleep, I don't have a doctor or insurance. I have 4 kids and no way to get to the hospital unless it's a true emergency. What is the likelyhood that my sudden 'back' pain is an Emerg?

3 weeks ago
I only need advice if you are in the medical profession please. I know I need to see a doctor and I have EXHAUSTED the internet myself and have many ideas of what it "could" be. At this point I need a professional opinion. thanks :(

3 weeks ago
I will reiterate...I have no insurance, no doctor, and going to the ER is a big ordeal in my current situation. I will go for sure if this is worse in the morning, but if there is any red flag here I want to know.

3 weeks ago
I started having this "back" pain yesterday, it has gotten progressively worse since then. It is only when I cough, or move certain ways or speak loudly that it hurts, it is definitely not muscular.....could this still mean that a heart problem could be the culprit? My neck and shoulder pain is something I have all the time, though it is QUITE severe right now. (obviously if I have 4 kids and I am up at 2am) I took 2 benadryl which normally help me doze off but right now the pain is too severe to lie down and close my eyes.

3 weeks ago
UPDATE - I didn't go to the ER yet. I got a few hours sleep though. The pain is all still there (as i said before, the newly developed "back" pain is only situational). Cold sweats are driving me nuts. I took my temp (with a digital ear thermometer) and it said 95.5 consistently. I think I may try to get to the ER today. I will have to wait until this evening though. As we all know, docs in the ER aren't going to exhaust themselves trying to figure out what is really wrong. Anyone know of any test it sounds like may need to be run here so that I can ask them to do so?

Only you can decide if this is an emergency. From what you say, I won't even venture a guess but, I'd say to get to an ER and make it soon. Worry about the bill later.
Find a baby sitter for the kids and a ride. I just helped a friend with a bad situation, she wouldn't go to an ER until I convinced her, she was in a coma when she arrived, one of her kidneys failed and the second one was going.

Don't mess around, you sound bad.