[25M] Experiencing abdominal discomfort and urinary frequency

Patient Description

A 25-year-old male presents with a week-long history of constant abdominal pain, primarily on both sides of and below the belly button, rated as 3/10 in severity. The pain is described as atypical and is exacerbated by certain movements or coughing. The patient also reports a feeling of bloating, constipation, and a constant urge to urinate, particularly when inactive. The patient has experienced on-off diarrhea with watery stools once in the past two days, with no specific food triggers identified. Additionally, the patient mentions a dull ache in the lower back, which has been present for approximately 4-5 days and occasionally improves with passing gas. There is no reported fever, chills, nausea, vomiting, or recent injuries. The patient also notes cold extremities when inactive and variations in urine concentration and odor, suggesting possible dehydration. The patient had unprotected sexual activity three days before symptom onset but denies any other related symptoms like discharge, sores, or itching. No changes in appetite or weight have been noted.

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Arora's Assessment

What might be happening

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

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause abdominal pain, bloating, gas, diarrhea, and constipation.

    • Treatment typically involves long-term management of diet, lifestyle and stress. More-serious symptoms can be managed with medication and counseling.
  • Urinary Tract Infection (UTI): This occurs when bacteria enter the urinary tract, often through the urethra and begin to multiply in the bladder. Although the urinary system is designed to keep out such microscopic invaders, these defenses sometimes fail. UTIs typically occur more frequently in women, but men can get them too.

    • Treatment usually involves antibiotics to kill the bacteria causing the infection.
  • Sexually Transmitted Infection (STI): Given the recent unprotected sexual activity, it's possible that some of your symptoms could be related to an STI. Common STIs include chlamydia and gonorrhea, which can cause symptoms like a frequent urge to urinate.

    • Treatment for STIs usually involves either an antibiotic, antiviral, or antiparasitic medication, depending on the specific infection.

Please note that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive diagnoses. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider: They can provide a formal assessment and order relevant tests if necessary.

  2. Monitor your symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.

  3. Stay hydrated: This can help with both constipation and the symptoms of a potential UTI.

  4. Try a low FODMAP diet: This is a type of diet that's often recommended for people with IBS. It involves avoiding certain types of carbohydrates that are found in foods like wheat, onions, legumes and lactose.

  5. Get tested for STIs: Given the recent unprotected sexual activity, it would be a good idea to get tested for STIs.

What you should look out for

Reasons to seek urgent medical attention:

  • If your symptoms worsen or don't improve
  • If you notice blood in your stool or urine
  • If you develop a fever or chills
  • If you start to experience severe pain

Remember, while I strive to provide accurate and helpful health information, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include abdominal pain, bloating, gas, diarrhea, and constipation. These symptoms can vary in intensity and may be triggered by certain foods or stress.


How can a Urinary Tract Infection (UTI) be diagnosed and treated?

A UTI is typically diagnosed through a urine test that checks for bacteria and white blood cells. Treatment usually involves a course of antibiotics to eliminate the infection.


What are the risks of unprotected sexual activity in terms of STIs?

Unprotected sexual activity increases the risk of contracting sexually transmitted infections (STIs) such as chlamydia, gonorrhea, and others. These infections can cause symptoms like a frequent urge to urinate, discharge, or pain during urination.


What dietary changes can help manage symptoms of IBS?

A low FODMAP diet is often recommended for managing IBS symptoms. This involves avoiding foods high in certain carbohydrates, such as wheat, onions, legumes, and lactose, which can trigger symptoms in some individuals.


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