instruction: hello doctor my sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back she is suffering from this pain for the past one week please help
output: hello I can imagine you must be very upset about your sister and I really feel sorry that she is in pain for a week time well the pain you mention that is severe and radiating to back is suggestive of pancreatitis however the possibility of peptic ulcers cannot be completely ruled out ideally the pancreatitis that is inflammation of the pancreas a gland at the back of tummy should be managed in the hospital however the pain of ulcers peptic ulcers in the stomach and small bowel can be managed at home but before making a diagnosis it is required that you provide further history about her pain did she have this before and if yes how long it last did she frequently have heartburn or acidity issues is she on some medications right now you mentioned her age what is her marital status did she have fever or yellowish eyes or dark yellow eyes you mention she has yellowish vomiting but is she able to take orally or she is throwing up everything like water or food that you give to her you see all this information can help us to decide the most probable cause of the underlying pain and consider some treatment to see the response for time being you can give her capsule esomeprazole to my now and half hour before meals expect the reduction in pain if it is due to peptic ulcer disease the pain of pancreatitis will not settle with this capsule if she is unable to take orally then you can visit a nearby nursing clinic and get iv omeprazole 40 my pancreatitis peptic ulcer disease complete blood count serum amylase and lipase liver function tests urine detailed report ultrasound abdomen follow up to discuss after investigation or earlier before getting tested if you have more concerns