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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Nausea, Fever, Stomach Noises, Bowel Movement Problem. Advise?

Hi there -

My boyfriend has been feeling under the weather since Thursday night with a tummy ache with deep lower left hand side abdominal pain (achey). There was nausea yesterday (no vomiting or diarrhea) and a reported fever last night. Super sleepy yesterday with a headache and a lot of today (although he is up and about WAY more: cleaned the car!) Jis tummy is making lots of loud burble-y noises and although he has made bowel movements, they aren't "the usual" (inthink this means that the amount was less than usual)

I can't tell if it's just a bout of a random weird man-flu stomach bug with gas and perhaps constipation OR a massive life-threateninf hernia and/or blocked intestine. 

Any help?
Tue, 30 Apr 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Lower left abdominal pain can be caused by diverticulitis, inguinal hernia, urinary tract infection, urinary tract stones. Bowels obstruction is also possible.
Diverticulitis is caused by chronic constipation. It can give irregular bowel movements, fever, nausea, etc. In some cases it can even result with intestine perforation.
Hernia usually causes the lump in the groin, pain gets more intense while standing and lifting or coughing.
Urinary tract infection or stones can give also back pain, frequent urination, burning while urinating, the pain can radiate to the groin.
Bowels obstruction should be suspected in case of gas and stool blockage, nausea, bloated abdomen.

I suggest your boyfriend to visit hist doctor and have some diagnostics. Abdominal X-ray, abdominal ultrasound, blood work, urine analysis should be done at first.

Hope this will help.
Regards.
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Abdominal Pain, Nausea, Fever, Stomach Noises, Bowel Movement Problem. Advise?

Hello! Thank you for the query. Lower left abdominal pain can be caused by diverticulitis, inguinal hernia, urinary tract infection, urinary tract stones. Bowels obstruction is also possible. Diverticulitis is caused by chronic constipation. It can give irregular bowel movements, fever, nausea, etc. In some cases it can even result with intestine perforation. Hernia usually causes the lump in the groin, pain gets more intense while standing and lifting or coughing. Urinary tract infection or stones can give also back pain, frequent urination, burning while urinating, the pain can radiate to the groin. Bowels obstruction should be suspected in case of gas and stool blockage, nausea, bloated abdomen. I suggest your boyfriend to visit hist doctor and have some diagnostics. Abdominal X-ray, abdominal ultrasound, blood work, urine analysis should be done at first. Hope this will help. Regards.