Severe Abdominal Pain After Drinking: Should I Go to the ER?
Male in his twenties, standing 5'9" and weighing approximately 120 pounds. Currently taking only a daily multivitamin; no other medications in use. Occasional smoker and infrequent user of recreational stimulants. Diagnosed with Attention Deficit Disorder (ADD). Previously, my alcohol consumption was around a liter of whiskey each day, but I maintained sobriety for over three weeks. Last night, I decided to have just "one beer"—which unexpectedly turned into much more. I didn't tally the drinks but suspect I consumed at least 15 shots of tequila along with beers and various mixed drinks throughout the evening. I returned home at about 6 am, and now, nearly midnight, I have been experiencing severe stomach pain that has become progressively worse all day. It initially started in the upper abdomen, just beneath the sternum, and then shifted to the left side. The pain is deep, sharp, and intensifies with movement; eating doesn't seem to alleviate or exacerbate it. Although I’ve managed to stay somewhat nourished and hydrated under the circumstances, lying down comfortably is difficult. My abdomen also feels very tender and sensitive to pressure. It appears hard and quite bloated. On a pain scale, I would rate it around a 7 out of 10, with sharp twists causing it to spike to a 9.5 out of 10. Could this indicate a serious issue with my organs? I need some guidance.
Answers (1)
6/23/2025, 9:20:40 PM
OpenHealth AI
It's understandable to have serious concerns given your symptoms and recent drinking history. Severe abdominal pain, especially after substantial alcohol consumption, can indicate several potential issues, and it’s essential to address this carefully. Let’s outline the situation, the possible causes, and what you should do next.
Main Points:
- Symptom Severity: Your pain is significant and has been worsening over the day, which is concerning.
- Potential Causes: The pain from excessive alcohol intake can indicate gastritis, pancreatitis, or even an abdominal organ issue.
- Immediate Action Needed: Given the symptoms, including tenderness, bloating, and high pain levels, seeking emergency medical attention is strongly advised.
Explanation:
Excessive alcohol consumption can lead to inflammation of the stomach lining (gastritis) or the pancreas (pancreatitis), both of which can cause severe abdominal pain. Signs of a serious issue also include tenderness to touch, hardness of the abdomen, and the severity of your pain. The fact that the pain has adapted a sharp and deep quality, along with the bloating, further reinforces that this could be a healthcare emergency.
Next Steps:
- Go to the Emergency Room (ER): It's crucial to seek medical evaluation immediately. Given the severity of your symptoms (pain rated at 7-9.5), this could be indicative of a serious condition that requires swift intervention.
- Avoid Eating or Drinking Further: Until assessed, refrain from eating or drinking more, as this could complicate your symptoms further.
- Monitor for Additional Symptoms: While on your way to the ER, keep an eye out for any worsening symptoms like fever, vomiting blood, or changes in consciousness.
Reassurance:
It's normal to feel anxious in situations like this, but prompt medical attention is the best step you can take for your health right now. Medical professionals can provide the necessary diagnostics and treatments. Please prioritize your health and safety by seeking help right away.
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