Passed out with abdominal pain, taken to hospital via ambulance
37F, no significant medical history, no alcohol use, no recent NSAID use.
Yesterday while sitting on a boat I experienced sudden, severe central abdominal pain radiating to my back and ribs. Onset was immediate with no trigger I can identify. Pain escalated rapidly. I began sweating and became lightheaded, then lost consciousness for approximately 30 seconds. Pain continued after I regained consciousness and escalated to a 11/10. Easily the worst pain of my life and I have generally high tolerance.
Taken by ambulance to the ER. Received two doses of morphine (4mg each time), which dulled but did not eliminate the pain.
Discharged after 5 hours.
Testing done at the ER: CAT scan of the abdomen, bloodwork including liver enzymes, lipase, and amylase, and an EKG. All came back normal. An incidental ovarian cyst was noted on the CT (have had for some time with no complications). No gallbladder ultrasound was ordered.
Follow up today with a PCP covering for my regular doctor. He reviewed the discharge paperwork, suggested an ulcer, and told me to take Pepcid AC and avoid spicy food.
I have not eaten in 24 hours. Pain is currently a 4/10, still present in upper abdomen radiating to my back.
I have a virtual GI appointment Monday.
No alcohol. No spicy or acidic food prior to the episode. Pain was sharp and stabbing, not burning or aching.
What am I missing here?