Sharp upper abdominal pain with severe emisis what are these symtons leading up to?

Maybe an ulcer. Your symptoms suggest a number of conditions, but an ulcer of either the stomach or duodenum is of greatest concern. Ulcers can be caused by h.Pylori bacteria, but may also result from using too many nsaid's like aleve, (naproxen) advil, motrin, ibuprofen. Smoking and alcohol intake may hasten ulcer development and worsen symptoms. Untreated ulcers can bleed, obstruct, and perforate. Seek medical care.