When I awake in the morning my stomach hurts real bad feels heavy as if organs have spilled out and cant hold them Only when first wake up trying to get of bed is painful.?

It's important to take your health seriously and seek appropriate medical attention for persistent abdominal pain. While I can provide some general information, it's crucial to consult a medical professional for an accurate diagnosis and personalized advice.

Morning abdominal pain can have several potential causes:

1. Acid Reflux: Acid reflux, or gastroesophageal reflux disease (GERD), occurs when stomach acid flows back into the esophagus. This can cause a burning sensation, discomfort, and even epigastric pain (pain in the upper abdomen).

2. Indigestion: Indigestion, also known as dyspepsia, refers to discomfort or pain in the upper abdomen. It can be caused by various factors, including certain foods, eating too quickly, stress, or underlying medical conditions.

3. Constipation: Difficulty passing stool can lead to abdominal pain and a feeling of heaviness or bloating. Constipation can be caused by dietary factors, certain medications, or medical conditions.

4. Irritable Bowel Syndrome (IBS): IBS is a chronic condition that affects the large intestine and can cause abdominal pain, diarrhea, constipation, or both.

5. Gallbladder Disease: Problems with the gallbladder, such as gallstones or inflammation, can cause upper abdominal pain, particularly after eating fatty or spicy foods.

If the pain is severe, persistent, or accompanied by other symptoms like fever, nausea, vomiting, or changes in bowel movements, it's essential to consult a doctor as soon as possible. The healthcare professional can perform a thorough evaluation, potentially including physical examination, blood tests, imaging studies, and other diagnostic tests to determine the underlying cause of your abdominal pain.

Here are some tips that might help alleviate morning abdominal discomfort:

- Adjust your diet: Avoid foods that trigger indigestion or acid reflux, and try to eat smaller, frequent meals.

- Avoid lying down immediately after eating: Allow some time for digestion before lying down to reduce the chances of acid reflux.

- Manage stress: Chronic stress can contribute to digestive problems. Incorporate relaxation techniques like meditation or deep breathing into your routine.

- Get regular exercise: Physical activity can help improve digestion and reduce stress.

- Stay hydrated: Drinking plenty of water supports healthy digestion.

Remember that these tips are not a substitute for professional medical advice. If your abdominal pain persists or worsens, it's important to seek evaluation and treatment from a healthcare provider to ensure proper diagnosis and management of the underlying cause.