<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have a really bad middle back pain that hurts when I move. And very sharp pains when I take deep breaths. I m able to walk but very slowly as the pain is sharp and hurts a lot. I ve also had a head ache since thurs and since then too I ve also not been able to hold food down. If I eat a meal it feels stuck on my chest and I cough and vomit it up. I was told last year that I had copd and just wondering of any of this is related. I ve been in bed since thurs. Attempted to work today but couldn t stand it. I m also freezing and shivering but my partner says my skin is burning Should I go to hospital  <response>: you must visit hospital as pain in the middle, vomit and other problems need attention of doctors with few X-rays of chest and back. An upper gastro-endoscopy for food pipe and stomach and upper bowels may be required, chest x-ray for COPD issues, and spine X-ray?MRI for disc related lesions. You will be given anti-emetic to control omitting, antacidsPPI inhibitors or acidity controllers and some pain medicines. Complete assessment is the necessity as of now. Endoscopy rules out food pipe lesions, stomach lining issues, ulcers etc Best wishes, 