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

### input:
I have been having abdominal pain that have lasted for several days now. Yesterday, I sip water around 2 am and I get this sharp intense pain. Thou the pain eventually faded, it keep me awake the entire night. I called my gastroentrologist, and they recommended acid meds. I am already taking meds for acid reflux. Anyway, I bought some today maalox and I still get the abdominal pain. When I called my doctor I wanted to be seen but they are probably so busy they wont see me and just told me about the acid meds.  Should I be alarm? should I go to the ER?

### output:

HI. Thanks for your query. Since you are not getting a relief with the current medicines, you should go to ER. Sharp intense pain even on sipping water needs investigations. I would suggest you to undergoUpper GI Endoscopy ASAPUltrasonography to start with and confirmatory CT scan abdomen. I would advise the following in such a patient:Continue Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully.