Conversation: The conversation between human and AI assistant.
[|Human|] I am 32 yr old. 350lb, 6.1ft tall.. I am vomiting constantly with pains in my stomach...i have been to the GI, ER and no diagnosis besides GERD...my head is hurts and my bp rising high then falls back to normal. It feels like something is in my throat, please help
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be related to anxiety. HERD could also mimic this clinical situation. I would recommend performing some further tests to determine the possible cause: - a fibrogastroscopy to examine your digestive tract-some blood lab tests (complete blood count, thyroid hormone levels, cortisol and aldosterone plasma levels for a Chat Doctor.  - urinary metanephrines to exclude possible pheochromocytomaA head CT scan may be necessary if abnormal physical examination. If all the above tests result normal, you should consider anxiety as the main cause of your problems. In such case, you should consult with a specialist of the field and discuss the best treatment options. Hope to have been helpful! Best wishes,