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The symptoms you mentioned are not clear enough to give a specific advise.We would like more details from you. Lets assume with these symptoms put together , if he had any trauma to back he might be having disc problem.If he has any swelling over his lower abdomen which increase on cough
, he might be having a hernia
.These symptoms can be due to vitamin deficiency
also.Please arrange your insurance and visit a General surgeon
for further evaluation.