Conversation: The conversation between human and AI assistant.
[|Human|] I had gastric bypass done on nov 5th I was told I had a ulcer a few months out and have been getting treatment for it I just woke up and had what I call a attack cant move only cry becasue it feels like someone is going to rip out you belly I did get sick and there was what look like a small amount of blood in it I feel ok now but not sure if I should call my doc when I get up or go to a ER
[|AI|]  Hi. Thanks for your query. You should go to ER immediately as you need an immediate investigation called :X-ray of the standing position to see gas under the diaphragm; this is to diagnose or rule out the gastric perforation, needs urgent care. This is possible in spite of your previous surgery. Also get an ultrasound of abdomen / CT scan and an ECG to see there is no heart attack. The treatment will depend upon the diagnosis. Keep yourself will orally.