[43M] With lower pelvic pain, diarrhea, and fatigue

Patient Description

A 43-year-old male presents with pain in the lower pelvic area, particularly when the bladder is full, ongoing for 5 days. The patient also reports experiencing diarrhea for the past two days and fatigue. There is no pain or burning during urination, no fever or chills, no nausea or vomiting, and no blood in the stool. The patient denies any recent travel, unusual foods, unintentional weight loss, changes in diet, new medications, or use of tobacco, alcohol, or recreational drugs. There is no family history of gastrointestinal issues or urinary tract problems. The patient is up to date with vaccinations and has not been exposed to anyone with similar symptoms recently. 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 have provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): UTIs can cause pelvic pain, especially when the bladder is full. However, they are often accompanied by pain or burning during urination, which you do not have. UTIs can also cause fatigue and sometimes diarrhea.

    • Treatment: UTIs are typically treated with antibiotics. A healthcare provider can confirm this diagnosis with a urine test.

  • Irritable Bowel Syndrome (IBS): IBS can cause a combination of symptoms including pelvic pain, diarrhea, and fatigue. The pain can sometimes be related to bowel movements or bladder fullness.

    • Treatment: Management of IBS often includes dietary changes, stress management, and sometimes medications to control symptoms.

  • Pelvic Inflammatory Disease (PID): Although more common in women, men can experience similar symptoms due to infections or inflammation in the pelvic area.

    • Treatment: PID is usually treated with antibiotics. A healthcare provider can diagnose this condition with a physical exam and possibly imaging tests.

  • Gastroenteritis: This is an infection of the stomach and intestines that can cause diarrhea, fatigue, and sometimes pelvic pain.

    • Treatment: Gastroenteritis often resolves on its own with rest, hydration, and a bland diet. Severe cases may require medical attention.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids, especially water, to stay hydrated, especially if you have diarrhea.
  2. Rest: Ensure you get plenty of rest to help your body recover.
  3. Diet: Eat a bland diet (such as bananas, rice, applesauce, and toast) to help manage diarrhea.
  4. Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pelvic pain.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If your pelvic pain becomes severe or unbearable.
  • Blood in Stool: If you notice blood in your stool.
  • High Fever: If you develop a fever over 100.4°F or experience chills.
  • Worsening Symptoms: If your symptoms worsen or do not improve with self-care measures.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 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 frequent urination, a strong urge to urinate, cloudy or strong-smelling urine, and sometimes pelvic pain. However, pain or burning during urination is a hallmark symptom, which may not always be present.

How can irritable bowel syndrome (IBS) be managed effectively?

IBS can be managed through dietary changes such as increasing fiber intake, avoiding trigger foods, stress management techniques like yoga or meditation, and sometimes medications prescribed by a healthcare provider to alleviate specific symptoms.

What are the typical causes of pelvic pain in men?

Pelvic pain in men can be caused by various conditions including urinary tract infections, prostatitis, irritable bowel syndrome, or even musculoskeletal issues. It's important to consult a healthcare provider for an accurate diagnosis.

How can you differentiate between gastroenteritis and other gastrointestinal issues?

Gastroenteritis typically presents with symptoms like diarrhea, vomiting, and abdominal cramps, often following exposure to contaminated food or water. It usually resolves on its own, whereas other gastrointestinal issues like IBS or inflammatory bowel disease may require ongoing management and have different symptom patterns.

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