[25M] Experiencing right-sided abdominal soreness and altered bowel habits

Patient Description

A 25-year-old male presents with a 3-day history of right-sided abdominal soreness near the belly button, exacerbated by certain movements and pressure. The patient reports constipation, reduced appetite, and less frequent but watery stools. Additionally, he experiences a sensation of incomplete bladder emptying and increased urinary frequency, with no noted blood in stool or urine. The patient also describes intermittent chills in the feet when inactive, more frequent heartburn, and occasional sore throat similar to an ear infection. No fever, severe abdominal pain, or vomiting is reported. The patient has a history of an infected cyst operation in 2016, is allergic to morphine, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically presents with pain in the lower right abdomen, loss of appetite, nausea, and sometimes fever. However, your symptoms are not entirely typical of appendicitis, as the pain is usually severe and gets worse over time.

    • If you have appendicitis, you may need surgery to remove your appendix. This is usually done as an emergency procedure.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause diarrhea, stomach pain, and sometimes fever. Your symptoms of watery stools, abdominal discomfort, and foul-smelling gas could be consistent with this.

    • Treatment typically involves rest, hydration, and over-the-counter medications to help with symptoms.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. Your symptoms of abdominal discomfort, changes in bowel habits, and gas could be consistent with this.

    • Treatment typically involves lifestyle changes, such as changes in diet and regular exercise, as well as medications to help control symptoms.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are among the most frequent clinical bacterial infections in women, accounting for nearly 25 percent of all infections. Your symptoms of feeling like you have to urinate more than usual and constantly feeling like your penis has urine in it could be consistent with this.

    • Treatment typically involves antibiotics to clear the infection.

What you can do

You should seek medical attention as soon as possible. Some of these conditions, such as appendicitis and UTIs, can worsen if not treated promptly. In the meantime:

  1. Stay hydrated: Drink plenty of fluids to avoid dehydration, especially if you're having diarrhea.
  2. Rest: If you're feeling unwell, make sure to get plenty of rest.
  3. Over-the-counter medications: Over-the-counter medications can help with symptoms such as heartburn and gas.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Persistent vomiting
  • Blood in your stool or urine
  • High fever (temperature over 100.4°F)

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include severe pain in the lower right abdomen, loss of appetite, nausea, vomiting, and sometimes fever. The pain often starts near the belly button and then moves to the lower right side.


How can I differentiate between gastroenteritis and irritable bowel syndrome (IBS)?

Gastroenteritis typically presents with sudden onset of diarrhea, stomach pain, nausea, and sometimes fever, often following exposure to contaminated food or water. IBS, on the other hand, is a chronic condition characterized by recurrent abdominal pain, bloating, and changes in bowel habits, such as diarrhea or constipation, without a clear infectious cause.


What are the typical signs of a urinary tract infection (UTI) in men?

In men, typical signs of a urinary tract infection include a frequent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and sometimes pelvic pain. Blood in the urine can also occur, though it is less common.


What lifestyle changes can help manage irritable bowel syndrome (IBS)?

Lifestyle changes that can help manage IBS include eating a balanced diet high in fiber, avoiding trigger foods (such as caffeine, alcohol, and fatty foods), staying hydrated, exercising regularly, and managing stress through techniques like yoga or meditation.


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