question: I am 49 years old and am waking up in the morning with severe abdominal cramps and lower back pain.  Approximately 30 minutes after I get out of bed, all the pain goes away for the rest of the day.  I have been to the gynecologist and my pap smear and urinalysis were normal.  Also, I had a sonogram to check my ovaries for any signs of cancer and that was normal.  The pain has been getting increasingly worse and wakes me up about 5:00 in the morning.