<s>[INST] Hello, I have issues with my stomach right now. Last night after I came home from work I ate a hamburger that one of my family members made. Right after I started having these severe abdominal pains. It hurts to sit down. Hurts to stretch . Hurts to even breath. Then right after I feel like I have to throw up. It feels good when I hold breath for a few seconds. And now I m at work, and its just making the pain even worse. I took tums thinking it would help. It didn t even touch the pain. Please help me. I don t know what else to do to get rid of the pain. : ( [/INST] Such severe intensity stomach pain is not very usual in isolated stomach infection. In stomach infection the pain is colicky in nature, it is not a constant one. Was there any such episodes of pain abdomen and vomiting in the past as well? Suggestions: Oral anti-spasmodic analgesic tablets to relieve the pain as required. Oral proton pump inhibitors like pantoprazole- risperidone combination: once before breakfast, to relieve heartburn and gastritis. I would suggest oral antibiotics only in case of stomach infection after clinical examination In case This does not help, get a couple of investigations done :1. Complete blood count2. Serum amylase, serum lipase3. Liver function test4. Ultrasound abdomen These investigations would help to rule out any underlying intra-abdominal pathology such as acute pancreatitis or cholecystitis. </s>