Pain in r upper abdomen a few days ago now pain in r lower abdomen history of ovarian cysts endometriosis fibroids and adhesions. when do i go to er ?

See your doctor ASAP: Right lower abdominal pain that is severe or worsening could be a sign of a ruptured appendix which is an emergency. You should come to an urgent care center or emergency room immediately.

Pain tolerance?: Every person has a different pain tolerance before acting, however, if the pain prevents you from walking, talking, laughing or breathing then a E.R. Visit would be appropriate. It would be a good idea to see a md for those symptoms long before a E.R. Visit is necessary as diagnostic testing can be done more cheaply on an outpatient basis.