Conversation: The conversation between human and AI assistant.
[|Human|] have a friend who had a very painful attack inher stomach and brought up turquoise bile and had a hard time to breath she said she is as white as a sheet the pain is something else she is waiting to go for tests but its a long wait, now she is scared to wait. the pain lasts for about an hr.
[|AI|]  Hi. Thanks for your query and concern for your female friend. Read the history and understood the problem. The most probable cause of such a severe attack can be due to one of the following reasons:-The bile coming in vomiting indicates that there can be an intestinal obstruction-Such a paleness occurs only in few things like-Torsion of the ovarian cyst. Rupture of the tubal pregnancy. Rupture of the ovarian follicle with more bleeding or cyst. I would advise her and you are the following:Take her urgently to the ER or the nearest hospital, get her admitted. Keep her nil orally as she may need an urgent surgery. Urgent Standing X-ray of the abdomen and ultrasonography of the abdomen. Surgical exploration may be needed, be ready for this and inform her relatives.