<s>[INST] My finace was seen at the ER about a month and half ago for throwing up blood and having it come out the other end also, He was also having serious chest pains. They did a number of tests, including blood work, EKG, and Xray s and the only thing they came up with was a possible mild stroke and told him to take baby asprin. As of today he is still experincing the chest pains and he has been brusing from the inside out everytime the chest pains are serious. Can anybody give me an idea of what might bw wrong? Please. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of gastritis due to gastric ulcer is more in your fiancé s case. Acute gastritis, gastric ulcer can cause chest pain and hematemesis (blood in vomiting). So better to consult gastroenterologist and get done upper GI copy for the diagnosis of this. He should avoid stress and tension. Ask him to avoid hot and spicy food, large meals. Ask him to take proton pump inhibitors and prokinetic Chat Doctor.  Don't give aspirin, this will worsen chest pain and hematemesis. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your fiancé. Thanks. </s>