I feel like I have been over posting but I have a lot of things on my mind currently and I haven't heard back from my GI doctor today. I'm pretty positive I am having a flare. I have had a consistent headache for the past 4 days. I'm extremely nauseous and fatigued. The nausea and headache go hand in hand. I'm experiencing sharp and dull pains. I don't want to go to the emergency room and am unsure of what to do. My pain doctor thinks it may be a reaction to tramadol but I haven't taken it in 2 days now and am still feeling this way.I don't know if this is serious enough to go to the ER for. I'm having trouble eating and keeping food down most of the time and have noticed a little weight loss. If you were in my position what would you do?