<human>: Im having abdominal pain my the middle of my stomach near my belly button. Im also really nauseas. The pain is crampy but sharp at times and hurts more when i lean forward while sitting up. wondering if this is an emergency type pain or if i can probably wait till the morning to be seen.
<bot>: Hi, Noted the history and understood the concerns. Such a severe pain in middle of abdomen near belly button that it causes cramps but sharp at times, increasing on leaning forward while sitting can be due to the following reasons: Pancreatitis, Colitis affecting transverse colon, Gastritis and or duodenitis with or without ulcer formation, Obstructed epigastric or umbilical hernia. This can be well diagnosed by the following ways: Consult your doctor, preferably a General Surgeon or a Gastroenterologist for clinical evaluation, examination and relevant investigations. Ultrasound of abdomen, CT scan of abdomen to confirm any positive findings as discussed above. Tests of stool, urine and blood. These will give a probable diagnosis so that a definitive further investigation and proper management can be done. Till then take a PPI, Risperidone and an antispasmodic to relieve pain. Take only fluids orally. You may better rush to ER, earlier the better.  Hope I have answered your query. Let me know if I can assist you further.