I am in the US, so financial calculations need to be factored in.

God I fucking hate what capitalism has done to what should be basic human rights.

You okay?

**tl;dr ** Probably severe acid reflux but hard to say, use your insurance to get checked out, cops are a non-issue for this kind of call. To the Europeans, yes we know our health system sucks.

First off, I am not a health professional. However, based on somewhat common knowledge, If you’re barfing blood or pooping what looks like coffee grinds, immediate 911 call you’ve got less than 24 hours left. If your chest pain continues, that’s highly likely a trip to at least urgent care, don’t ignore chest pains. If you woke up choking on your barf, but it settled down and able to catch your breath, and your chest pain is going away it’s highly likely acid reflux which can be caused by a lot of different things. Either way you need to get looked at by a doctor soon and not consult the Internet. Your copay is shown on your insurance card for a dr’s visit so you can do your financial calculations. 50 to 100 bucks now is better than 500 to 10,000 bucks later.

Don’t wait either since you have insurance. Urgent care’s usually covered at a more affordable rate. If you get admitted to an ER from the urgent care, MOST halfway decent insurances will cover you so you’re not out hundred’s of thousands of dollars for a Tylonal. Before the Europeans chime in, yes, health insurance in the US sucks. It’s not free. You can talk the hospital down on your bill and you can absolutely renegotiate your minimum payment. Sometimes, if you’re nice in talking to both the insurance and the hospital, a grant can be found and you owe nothing. It’s a lot of work and time so don’t panic when you see the first bill.

So everyone in the US knows, cops are never involved in a 911 call unless there’s a crime in progress or there is an immediate threat to the responding EMS team. Don’t call 911 with some kind of threat. Obviously you’ll be in a panic and the 911 operator will only send what is needed.

This was me when I had Norovirus, though the puking was preceded by firehose-level shits until I took an Imodium, after which it switched ends before deciding on some rather unpleasant alternating events

I had those issues before the doctor diagnosed GERD/Reflux, and prescribed medication. Now I take a Famotidine every day, twice if I’ve had something particularly spicy. I never have that problem anymore.

I finally did something about it when I aspirated in the middle of the night, like you did. It can actually give you pneumonia, which happened to me.

BTW, a banana can act as a pretty good acid treatment in a pinch., like in the middle of the night.

Also, which side you sleep on makes a difference, too. Your esophagus goes straight down the middle of your chest, until it reaches your stomach, which makes a left turn. So when you sleep on your left side, the opening to the esophagus is above the stomach, making it difficult for food to slip into it.

But if you sleep on your right side, your stomach is above the opening, and any undigested contents are up against that opening… if it’s weak, or opens, gravity draws that food into your esophagus, causing reflux.

So sleeping on your left side is preferred.

I’ve had something similar other than the heart rate stuff, and like top comment says it was acid reflux. But if an irregular heart rhythm persists more than you have felt before, then absolutely go!

Op, you alive?

Here’s some general life advice: if your body (especially your heart) starts doing things it shouldn’t be doing you should probably talk to a doctor. You have insurance, this is what it’s for. Hit up your nearest urgent care.

Edit: I’m gonna go ahead and add this because I’ve now had two people tell me how ignorant I am of the US healthcare system: I am a disabled American in my 50s who has been dealing with serious medical problems my entire life. I understand the ‘system’ far too well. But I’m gonna state what is apparently an unpopular opinion in this community: being dead sucks a lot worse than having medical debt.

You definitely want to get that checked out

Vomit, burning, heart pain etc… Are all in the “pretty alarming” category

Get checked immediately chest pain and vomiting are signs of a heart attack

Yes. I personally wouldn’t call a wee-woo wagon, but it’s def not normal.

Frame 1: “Hey USA, how’s it going?”

Frame 3: this post

Frame 4: “Jesus Christ…”

Could be a simple case of reflux - when some stomach valve doesn’t stay completely closed during sleep and lets gastric juices and food creep upwards.

But the best medical advice is not to seek medical advice from randos online. Go to urgent care and see what they say, or at the very least lookup if there is a nurse hotline where you live and call it.

Alright. Way too many socialists in this post who don’t know how 'Murica works, god dammit. Here’s real advice:

You woke up, so you aren’t dead yet. In most cases, that’s a good sign. Give it 30 minutes. If you feel better, great! This is where I preposterously tell you to follow up with your family doctor and we both have a good chuckle.

(Edit to explain: we have no idea who our family doctor is and we haven’t been there in so long we would be considered a new patient.)

If you don’t feel better, might well give it another hour. Most of the damage from a heart attack or stroke is done in the first 30 minutes, so you’re probably not going to get any worse.

If you’re still not dead after that, you’re probably clear to make it through the weekend.

Next question is do you have sick leave? If not, congratulations, you’re fine! If you do have sick leave, go ahead and make an appointment first thing Monday. They won’t do anything, just send you for labs, maybe or just leave that part to the specialist they will refer you to.

So now it’s 6 weeks later and the specialist is calling to confirm the appointment you’re forgotten about. Do you feel better or are you out of sick leave? Congratulations, you’re fine.

Next, is your deductible over 10% of your annual income? (5% if it’s after Nov.15. You’re gonna wind up paying that whole thing for diagnostic tests this year and the actual treatment will hit you after Jan 1 and you’re double fucked.) If it is, congratulations, you’re fine!

If you reach this point, you probably are in need of medical attention and can afford it. Congratulations on getting the help you need.

Bask in the superiority of the best healthcare in the world, you European nancies!

Obviously the tone is meant to be humorous, but this is basically the reality. The only thing I’ve omitted is that you can just go to the hospital and get the treatment you need and then avoid answering unknown numbers for 7 years. I have yet to see anyone sued over medical debt.

> Makes thread asking if you should go to the ER

> Literally everyone says to go to the ER

> Doesn’t go to the ER

ok