<human>: hi, yesterday i was hit extremely hard in the stomach to the point i could feel everything inside shake and ache. I fell down the stairs on concrete  floor today and right after i got up i had severe nauseous, dehydration, and dizziness. i have no broken bones just a bruised back and jamed fingers, im curious to know if this could be something severe or just something that will go away over time?
<bot>: Hi. The blunt trauma over the abdomen can have many consequences. You have already developed a few symptoms suggestive of some internal problems. This can be a contusion to any internal organ, perforation of the bowel and so on. The best way to get a proper diagnosis is to have a clinical / physical examination by a Surgeon to see the abdomen and vitals like temperature, pulse, BP etc. You have to go for the tests of the blood, urine and stool as well as ultrasonography and X-ray of the abdomen in a standing position. CT scan to confirm any positive findings. I would advise such a patient to get admitted to the hospital for observation and management.