Conversation: The conversation between human and AI assistant.
[|Human|] I have been having moderate to severe upper and mid-section abdominal pain, bloating, nausea and vomiting for 3 days. The pain worsens when I eat or drink anything. No diarrhea but I do feel lighty feverish. I get light sharp pains in the upper right quadrant every once in a while and my chest feels tight and a light burning sensation. Does this warrant a trip to the ER?
[|AI|]  Hi dear, It will be better to discuss with a gastroenterologist. Abdominal pain have different etiology. You have to give us some more details to differentiate them. Your pain is from upper mid-section means it is related to lower esophagus, stomach,parts of small intestine, pancreas,transverse colon, abdominal aorta. Burning sensation indicates it has some relation to stomach and esophagus. Nausea and vomiting ; projectile vomiting from obstruction or toxicity. Others may be appendicitis, pancreatitis, hepatitis. If you are vomiting soon after food intake it may be from gastric ulcer or upper gastrointestinal obstruction. You had just mentioned that you have no diarrhea, but is there a satisfactory bowel? If not indicates chances of obstruction. Fever suggests infection. These all are the possibilities. Hence, there are several factors to consider before final diagnosis I suggest discussing with a gastroenterologist if symptoms persist. In my opinion your symptoms may be from gastric ulcer or appendicitis as it is epigastric, increase with eating or Chat Doctor. With thanks, take care