Could you tell me where the pain is located, how long it has been occurring, and whether you have any other symptoms?

consult for proper evaluation and treatment

Consult a general physician, particularly because of the severe pain and possible dehydration. Your doctor may recommend CBC, electrolytes, kidney function tests, and H. pylori testing, depending on clinical findings. Since symptoms have persisted for months, a gastroenterology consultation is advisable. Upper GI endoscopy may be considered if clinically indicated. Maintain adequate hydration with frequent small sips of water or ORS if fluid losses are present. Eat smaller meals and avoid foods that trigger burning, excessive caffeine, alcohol, and unnecessary painkillers. Continue appropriate treatment for anxiety, including counselling or cognitive behavioural therapy (CBT).

Avoid prolonged fasting, overeating, and lying down immediately after meals. Stress management, regular sleep, and relaxation exercises may help reduce anxiety-related digestive symptoms. Seek medical attention if you experience severe or persistent abdominal pain, repeated vomiting, inability to tolerate fluids, fainting, very little urine, vomiting blood, or black stools. My recommendation: Anxiety may be contributing to your symptoms, but it should not be considered the only explanation. Given the duration of pain and possible dehydration, an in-person medical evaluation is important. With the correct diagnosis and treatment, significant improvement is often possible. Wishing you a speedy recovery!

Keep track of when the pain comes up against your anxiety episodes, stay hydrated through the day, and eat smaller regular meals instead of skipping them. Please see a physician to rule out gastritis or acid reflux, and a psychiatrist or counsellor for the anxiety itself.

Get checked urgently if you vomit blood, pass black stools, or lose weight without trying, since those need a different workup.