### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Because of my nerves I get a bad stomach ache every time I try to do something. I cant keep a job because of this because every morning when i get up and get ready to go to work Im fine until its just about time to leave then it happens. When it happens its always just instantly happens then I have run to the bathroom because using the restroom for about 30 minutes then putting a heating pad of my stomach for an hour or so is the only way to make it go away. Last year when I still had insurance (Im 19 now) I went to the doctor and he said that its just my nerves and constipation that are causing it so he told me to buy miralax and take it daily and he perscribed 25mg of Atarax to be taken 4 times a day. The two combined helped but i never took the 4 atarax a day because when i took just one id be asleep just 10 minutes after taking it so i only took them when i got the stomach ache. All different situations cause the stomach ache going to work/school the idea of going to hang out with friends going on vaction and even things as simple as watching an exciting movie cause this to happen. But now I ran out of the Atarax and dont have any insurance so I cant afford to go to the Doctor or get a refill of the Atarax but I dont really want to keep taking the pills because the make me fall asleep. So for the most part I have stopped this from happening because I havent had a job in the last 8 months, havent gone out to hangout with my friends. I just usually stay home and do nothing but watch tv but now watching exciting shows are causeing it to happen. The stomach ache that Im getting is pretty bad because if i dont make it to the bathroom within a minute after it starts it is painful enough to bring tears to my eyes and ive cracked bones while riding dirtbikes and I believe that this stomach ache is more painful. I dont know for sure maybe it feels like it because of how often it happens.. People say it just in your head and that I should keep doing what I was going to do and that id forget about it and itd go away but every second I wait not going o the bathroom it gets worse and worse. Ive tried to just bare with it and that doesnt work. Im tired of this and want to get my life back on track so if anyone can help itd be much appreciated. I really want to get back out there.

### output:

Your problem seems to be very complex, the exact cause in you has not been emulated I suppose, you should get an endoscopy, colonoscopy or barium x-ray studies, it may just not be nerves, it could be irritable bowel syn Chat Doctor.  Get checked by a gastroenterologist with multiple tests, this will help you to come to a diagnosis and once the diagnosis is there, it will be easy to go for the treatment.