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My episodes always start as acute abdominal pain that continually intensifies radiating into my chest and back, ultimately leading to the blood pressure drop and associated symptome except that I always know what is about to happen and prefer to be seated with my back against something. I feel nauseous but never actually vomit. My vision tunnels, I get cold sweats and light headedness but never actually pass out. I have had approx. 5 in the past 7 months. One woke me in the middle of the night. Several were accompanied by gas. Two started while walking, the others while already in a sitting position. There does not seem to be any one thing that is consistent in so far as the initiation. Once the pain starts though, it ultimately proceeds in the exact same way. After 10-20 minutes, the pain begins to ease and shortly thereafter I return to normal. I may also be important to note that I have had multiple abdominal surgeries as a result of trauma (auto accident). That occured in 1999. The VV's only began this past summer (2005). I went to see my doctor. She did not think it was anything to be concerned about and said only to come back if they became more regular. They are very frightening and with my history of extensive abdominal trama and surgeries, I feel none too easy about just letting it ride. At what point do I become concerned?