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I'm having awful stomach pain and nausea and it's really worrying me and scaring me

OK, this might sound really dumb, but when you guys get intrusive thoughts, do they just come once and then go away? I’ve heard that repeatedly thinking about an intrusive thought is considered ‘checking,’ but it doesn’t feel like I have any control over how many times it comes up in my head. It’s not like I’m trying to check anything—it just keeps showing up, almost like it’s terrorizing me every time. I can’t seem to stop it from looping, stop remembering it, or prevent it from coming up. Every time it does, I feel horrified, and I already know it’s going to horrify me. I don’t think I’m actively trying to see if my feelings have changed, so is this still considered checking? How do other people get an intrusive thought and just move on? Doesn’t it pop up a million times for them too? I always thought that was normal, but now I’m hearing this could be a compulsion, and I feel really confused, scared, and lost. Is this why my OCD feels so extreme? Because I really don’t feel like I can control how many times the thought pops up.

Here is what I say to people: I wish I could make it stop. I really do. I also wish I could stop tinnitus. What is tinnitus, you may ask? Well, have you ever gone to a loud concert and after it had a ringing in your ears. Or, in movies when a loud explosion hears, first it is often muffled, and then there is a very loud ringing sound. Well, I have hear that sound for over 30 years. Turns out the medications I took as a kid for allergies and all the antibiotics I was on for Strep had a side effect for some people - tinnitus - that sound that I have heard every decade, year, month, day, hour, and second, for the past 30 years. I have learned to live with it. As I type this, it is REALLY loud, because I am paying attention to it. But, in a few minutes it will fade into the background, and, while I will hear it, I will not pay much attention to it, and therefore I will go on with my night. I will listen to music, practice my story for the MOTH radio hour, and work out. I will clean up the kitchen and load the dishwasher, and I will eventually get ready for bed. I will go to bed hearing that sound, and fall asleep for a few hours until tomorrow morning when I start the day all over again. I cannot make the sound stop. There is nothing to do for it - no surgery or medication. Just learning to live with it, and that is what I have done. It is the thing that I hate the most in my life, and, if granted three wishes, it would be the first thing to change. For now, as I have for 30 years, I will live with it, and I will ask you to live with your noises in your head - the thoughts, the images, and the urges, and we will practice together accepting that things are not always as we want them, but we can handle that. We got this.