I was in an altercation and was punched in the

Patient : I was in an altercation and was punched in the jaw and abdomen area. I am having severe pain in my abdomen/stomach area. When I went to see my doctor, all he told me was to go to the hospital if the pain gets any worse. Also I have severe anxiety so it's hard for me to tell if something is truly wrong or if I'm just feeling sore. What would be a major sign that it was time to go to the hospital?
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