[45F] Experiencing severe abdominal and chest pain with nausea

What might be happening

Based on the information you provided, possible causes of your symptoms include:

• Gastritis or Peptic Ulcer Disease: These conditions are caused by inflammation or erosion of the stomach lining, often due to a bacterial infection (H. pylori) or long-term use of certain medications (like NSAIDs). They can cause severe upper abdominal pain, nausea, and tenderness.

  • Treatment usually involves medications to reduce stomach acid and, if applicable, antibiotics to treat H. pylori infection.

• Gallstones or Cholecystitis: Gallstones can block the bile ducts, causing sharp pain in the upper abdomen. If the gallbladder becomes inflamed (cholecystitis), the pain can be severe and may be associated with nausea and fever.

  • Treatment can range from dietary changes and pain management to surgical removal of the gallbladder.

• Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain that often radiates to the back, along with nausea and tenderness. It can be caused by gallstones, alcohol use, certain medications, and other factors.

  • Treatment usually involves hospitalization for pain management, fluid therapy, and sometimes surgery.

• Heart conditions: Although less likely given your symptoms and history, severe chest pain should always be evaluated promptly to rule out conditions like heart disease or a heart attack.

  • Treatment depends on the specific heart condition but may involve medications, lifestyle changes, or surgical procedures.

What you can do

Given the severity and duration of your symptoms, you should seek immediate medical attention. If you are unable to reach your doctor, consider going to an urgent care clinic or emergency room.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Pain that becomes more severe or spreads to your back
• Vomiting blood or material that looks like coffee grounds
• Stools that are black, tarry, or bloody
• Difficulty breathing or shortness of breath
• Chest pain that spreads to your jaw, left arm, or back
• Sudden, sharp pain in your abdomen
• High fever or shaking chills

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.