[25M] Experiencing abdominal discomfort and urinary changes

Patient Description

A 25-year-old male presents with abdominal pain described as a pulled muscle sensation, primarily on the right side near the belly button, and occasional pain on the lower left side that passes with gas. The patient reports bloating, watery bowel movements, increased urinary frequency with clear urine, and an irritated penile head potentially due to frequent urination. The patient also experiences chills in the feet and dry skin but no fever, vomiting, or severe localized pain. There is no blood in stool or urine, and no sudden worsening of symptoms. The patient has an allergy to Morphine and is not currently on any medications. No pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is also known as stomach flu. Your symptoms of abdominal pain, bloating, increased frequency of urination, and watery stools are consistent with this condition.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics are not usually necessary unless it is severe or bacterial in nature.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

    • Treatment of IBS typically involves long-term strategies to manage symptoms, including dietary adjustments, medication, and stress management.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. Increased frequency of urination and discomfort in the penis can be symptoms of a UTI.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush bacteria out of your system.

Please note that these are only possible diagnoses and you should consult with a healthcare professional for a formal diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids like water, broth or over-the-counter rehydration solutions.
  2. Rest: Give your body a chance to recover.
  3. Over-the-counter remedies: Over-the-counter medication can help manage symptoms like diarrhea and abdominal pain.
  4. Monitor your symptoms: If your symptoms worsen or persist for more than a week, seek medical attention.

What you should look out for

Reasons to seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool or urine
  • Persistent vomiting
  • High fever (temperature over 100.4°F)
  • Symptoms persisting for more than a week

Please remember that while I strive to provide accurate and helpful medical information, this advice is intended to be general in nature, and specific causes may not be covered. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include diarrhea, abdominal pain, cramping, nausea, vomiting, and sometimes fever. It often leads to dehydration, so staying hydrated is important.


How can I manage symptoms of Irritable Bowel Syndrome (IBS) at home?

Managing IBS at home can involve dietary changes such as increasing fiber intake, avoiding trigger foods, managing stress through relaxation techniques, and sometimes using over-the-counter medications to relieve symptoms.


What are the signs that a urinary tract infection (UTI) might be present?

Signs of a UTI can include a strong, persistent urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain. Increased frequency of urination and discomfort in the genital area can also be symptoms.


When should I seek medical attention for abdominal pain and related symptoms?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or urine, persistent vomiting, a high fever, or if your symptoms persist for more than a week.


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