<s>[INST] I had really bad pain in my stomach, kind of in the middle in between where the rib cage starts.  It woke me up at 4am, i couldnt stand straight.  On our way to the ER, as my wife was backing up i felt something, cant really explain it, maybe when something unglues itself, and it went away.  The day went by and it was pretty painless, but now if i press on it its pretty sore, not sure if its still there or its just sore from whatever it was.Ill be glad to provide any other needed info,Thanks in advance [/INST] Hi. Thanks for your query. Noted your history of bad pain in the stomach, in between the rib cage, which woke you up at 4 am, and went away suddenly. There is still soreness on pressure. I would advise you the following in such a case:X-ray in the standing position. Barium meal for stomach in head low position. This is so as there is a possibility of gastric volumes or intestinal obstruction or internal herniation and so on. You really need a proper clinical evaluation, examination and investigations to get a correct diagnosis as there is always a chance of recurrence. </s>