[25M] Experiencing abdominal pain and urinary symptoms

Patient Description

A 25-year-old male presents with a 2-day history of constant, dull abdominal pain localized to the lower right side near the belly button. The patient describes feeling constipated and bloated, with the passage of foul-smelling gas and intermittent chills, mainly in the feet. Urinary symptoms include a frequent urge to urinate with minimal output and a sensation of fullness in the penis without actual moisture. The patient's last bowel movement was 5 hours ago, described as normal but slightly watery. There is no history of nausea, vomiting, blood in urine or stool, fever, or sudden pain escalation. The patient reports that resting provides some relief from the abdominal pain. The patient has a known allergy to morphine, which causes hives, and is not currently on any medications. No other symptoms or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Urinary Tract Infection (UTI): UTIs can cause frequent urination, discomfort during urination, and lower abdominal pain. However, UTIs are less common in men and usually involve cloudy or strong-smelling urine, which you did not report.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Irritable Bowel Syndrome (IBS): This condition can cause abdominal pain, bloating, gas, and changes in bowel habits. It's a chronic condition that you'll need to manage long term.

    • Treatment usually involves lifestyle modifications, such as changes in diet and regular physical activity.
  • Gastroenteritis: This is an inflammation of the gastrointestinal tract that can cause abdominal pain, diarrhea, and vomiting. It's usually caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.
  • Appendicitis: This is an inflammation of the appendix, a small organ on the lower right side of the abdomen. It can cause severe abdominal pain, fever, and nausea. However, your symptoms are not typical of this condition.

    • Treatment usually involves surgery to remove the appendix.

Please note that this is not an exhaustive list and other conditions could also be possible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Stay hydrated: Drink plenty of fluids, especially water, to help prevent dehydration, especially if you're having diarrhea.
  2. Eat a balanced diet: Try to eat a variety of fruits, vegetables, whole grains, and lean protein. Avoid foods that seem to trigger your symptoms.
  3. Over-the-counter remedies: You might find relief from over-the-counter medications designed to alleviate gas, constipation, or diarrhea. However, it's important to follow the instructions on the packaging and not to overuse these medications.
  4. Rest: Try to get plenty of sleep and avoid strenuous activities until you're feeling better.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or urine
  • High fever (temperature over 100.4°F)
  • Persistent vomiting or inability to keep down fluids
  • Symptoms that persist for more than a week or that worsen over time

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI) in men?

Common symptoms of a UTI in men include a frequent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and lower abdominal pain. It's important to see a doctor for a proper diagnosis and treatment.


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, staying hydrated, and engaging in regular physical activity. Stress management techniques like yoga or meditation can also be beneficial.


What are the signs that abdominal pain might be due to appendicitis?

Signs of appendicitis include sudden and severe abdominal pain that starts near the belly button and moves to the lower right side, fever, nausea, vomiting, and loss of appetite. If you suspect appendicitis, seek medical attention immediately.


What dietary changes can help alleviate bloating and gas?

To alleviate bloating and gas, consider eating smaller meals, avoiding carbonated drinks, reducing intake of gas-producing foods like beans and broccoli, and eating slowly to reduce swallowed air. Probiotics and peppermint tea may also help.


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