Answer
Persistent severe abdominal pain may indicate acute pancreatitis, especially with vomiting, and needs urgent medical assessment.
Sources for this answer
- Sitagliptin/Metformin hydrochloride 50 mg/1000 mg Film-Coated Tablets — Current selected SmPCemc · Summary of Product Characteristics
- NHSNHS · NHS medicine guidance
General medicine information. Follow the instructions for your own medicine and speak to a pharmacist or clinician about your individual circumstances.