<s>[INST] Hi I have severe pain from somewhere around the stomach, it feels like hard stabbing that will lasts for about 2minutes off and on, I had a scope put into the stomach the doctors could not find anything in the stomach, do you think I should inquire about the pancreas and if so what kinds of test would I need to have done? At times I am afraid and think I am having a heart attack...HELP!!! [/INST] HI. As you have a suspicion get EKG done. The cause of such severe stabbing pain in abdomen can be due to pancreatitis, intestinal obstruction ureteric colic. The best way is to get a CT scan of the abdomen as it will also show the reasons that the ultrasonography will miss. Also go for blood tests like lipase and amylase. Go to ER get admitted, go for standing x-ray of the abdomen to see for intestinal obstruction. Diagnosis done this way will lead to further proper management. </s>