My stomach feels like it's on fire

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I think it's psychogenic, though.

if it were me, i'd try some antacids. you might feel better quickly. might be gastritis or an ulcer. if it continues, please see a doc.

It no longer feels that way. Now everything around me feels foggy and it feels like I'm behind a barrier protecting me from the world. I can hear the noise cancellation system and it feels like I'm behind inside a waterfall.

I feel OK now. I feel misunderstood by my mental health professionals. I feel like they don't ask enough questions, though my psychologist is better at that than my psychiatrist.

Sometimes it's hard to tell when your physical symptoms are just the result of exhaustion and stress, but if they resolve themselves with rest, then that's the conclusion I draw. Stress isn't just mental; it's physical, too. In the long term, it has measurable effects on the body. It's no wonder that we would feel physical distress when we are mentally exhausted. Yet another reason to take good care of oneself.

Maybe you simply ate too much, last night my stomach was on fire beacuse of that.

What I found helped the fire feeling go away was to invalidate myself. I would think to myself, they refer to you as 'he', as your coworker just did. Your therapist refers to you as 'he'. In no way are you assimilated as a woman. Also, you are not fit for surgery; surgery is not medically necessary, and you wouldn't qualify for it either, having a history of psychotic disorder and being irresponsible to the point where you probably wouldn't dilate correctly. As I think that, I feel more at peace, and I feel like I have better grounding. To maintain it, however, I have to continue to concentrate, to think these invalidating things.

Are you sure that's good for you in the long run? To tell yourself deliberately that your feelings are invalid, that your femininity isn't real... I don't know. That doesn't sound like something you want to be telling yourself.

Maybe the issue here is that you are dealing with the difference between how others see you and how you see yourself. If you try to force yourself into agreeing with others, the difference disappears. But... at what cost?

I don't know that much about transgender issues. I do know that in the long run it would be very painful to deny being the person you are. There are people who are transgender who don't have surgery, but still present as their mental gender instead of their assigned-at-birth one--there are options in the middle, like just taking hormones without surgery.