The U.S. National Library of Medicine says the following symptoms require a trip to the emergency room:
- Very sharp, severe and sudden pain.
- Fever along with your stomach or abdominal pain.
- Vomiting blood, or having bloody diarrhea.
- Soreness or tenderness in the abdomen.
- An abdomen that is hard and rigid.
- Inability to have a bowel movement, particularly if you are also vomiting.
- Pain in the chest, neck or shoulder.
- Dizziness or lightheadedness.
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