https://paulnystrom.com/tags/severe/Recent content in Severe on Paul NystromHugoen-usWed, 03 Jun 2026 00:00:00 +0000https://paulnystrom.com/posts/persistent-and-severe-pain/Wed, 03 Jun 2026 00:00:00 +0000https://paulnystrom.com/posts/persistent-and-severe-pain/<p>Pain is a frequent complaint that brings patients to the ER. Abdominal and chest pain are some of the most common. I often get asked by patients, usually at the end of a negative abdominal or chest pain workup, when they should come back.</p> <p>This is difficult to answer. The older the patient and the more chronic medical problems they have, the higher the chance that something significant is causing their symptoms. The younger and healthier they are, the lower the chance, but diseases and disasters don’t exclude anyone 100%. Everyone knows a story of someone, often young, dropping dead with no warning. Is it likely when you are young and healthy that you can ignore most symptoms? Yes, but there are no guarantees.</p>