<s>[INST] I frequently randomly feel extreme stomach pain and nausea along with feeling an urgent need to pee that does not go away even though I do not have to pee. I also get cold and feel altogether horrible. It seems I am either constipated also or have diarrhea. I usually just have to wait it out until it is gone in a few hours or sometimes a whole day. [/INST] Hi. Thanks for your query and an elucidated history. Your history looks to be a symptom complex of Gastrointestinal as well as urinary problems. Extreme stomach pain, nausea and alternating constipation and diarrhea are suggestive of either a gastrointestinal infection or IBS, irritable bowel Syn Chat Doctor. You're feeling of urgent need to pee may be suggestive of urinary tract infection or may be related to the stress. I would advise you the following :investigations of blood, urine and stool CT scan of the abdomen. If the reports are normal this all may be related to the stress induced IBS and urinary symptoms and a mere treatment of the stress and anxiety would solve you problems. If the reports show anything positive, its came be treated accordingly </s>