Conversation: The conversation between human and AI assistant.
[|Human|] Hi. I ve been having severe abdominal pain for over 5 hours starting after I ate lunch. It is in the top center of my abdomen and is a sharp cramping feeling. It is not muscular and I am extremely bloated. I vomited a small amount about an hour after it started. The pain comes in waves of varying degrees. I took a couple antacid tablets that did not seem to have an effect. Do you have any advice on what I should do or any medication I can take to relieve the pain?
[|AI|]  Hi. The type of pain you are describing gives me an insight about the possibility of a perforated gastric ulcer. You need to get admitted. Get an X-ray of the abdomen in standing position to see for gas under diaphragm. Intravenous fluids and antibiotics. Nil orally. Do not take anything orally till ordered by a Doctor. Ultrasonography and other blood and urine tests. IF this is a perforation you need urgent surgery. If not the treatment already you will be under will be sufficient, and we will have to find for another causes like Pancreatitis, severe gastroenteritis and so on.