How serious could it be? should i see a doctor soon? i been having episodes onan of for a year increasing since christmas. some episodes just sharp 25 min pain behind the sternum others stomach pain, bloating, gas diareha, vomiting. yeasterday evening i

Pain : Pain in this area is very tricky since there are many organ systems in the epigastric area (above the belly button) of the abdomen. - stomach - problems such as gastroesophageal reflux, gastritis, and stomach ulcers can cause pain in these areas - usually worse with eating and worse while laying down - pancreas - pancreatitis, pancreatic stones/blockages can cause epigastric pain, sometimes radiating to the back - liver/gallbladder - hepatitis, gall stones or gall bladder disease can cause pain in the right upper quadrant or epigastric area - intestinal - duodenal ulcers, diverticulitis, infections, inflammatory bowel disease, irritable bowel disease and constipation can cause pain there because the colon loops up into that area - kidney - kidney stones or infections can cause pain in the right or left upper quadrant, though many people feel it in their backs. - gyne (if you're female) - ovarian pain from a cyst or even an infection from a sexually transmitted disease can cause pain in the right or left upper quadrant and back. And all those are just a few of the things that could be going on. So, your best option is to be seen by a doctor and examined to determine the cause of your pain. Reasons to go to the er are: - high fever - bloody stool - bright green or bloody vomit - severe or worsening pain - difficulty breathing.

The : The symptoms you describe could be a sign of cardiac disease. You need to see a doctor right away for a complete work up to include history, physical, ekg, blood tests, and likely a stress test. These are serious symptoms that need immediate attention. Take care.