instruction: hi doctor for the past one year or more I have been suffering from occasional severe abdominal bloating but for the last few months it has been all day I have been tested for celiac disease and the result was negative my stomach becomes so big and I cannot walk or when sit I cannot see or cloth my legs it feels like it is just going to burst I have a poor appetite and anything I have eaten just comes back up I have vomited blood on two occasions and I always feel nausea I cannot use the toilet sometimes for days otherwise I cannot stop going sometimes at the end of urination the pain can be so sore the pain is constant under my right rib and runs down the right side and into the middle of my front please help with my condition
output: hello celiac disease if not ruled out by a biopsy of the colon crohn disease pud peptic ulcer disease helicobacter pyloric infection gastritis abc complete blood count end esophagogastroduodenoscopy and colonoscopy it would depend upon the endoscopy and biopsy results for further information consult an internal medicine physician online