Are extreme abdominal pain and nausea a cause for concern?
Could be acute gastroenteritis, requires urgent medical attention.
Welcome to HCM.
Extreme abdominal pain, nausea, pain all over body and fatigue with fever are likely related to acute gastroenteritis (inflammation of stomach or intestine) but it needs to be evaluated further with complete clinical examination and some relevant tests which requires urgent medical attention.
Since there is fever and severe abdominal pain, there are likely chances of having some bacterial infection which must be ruled out by appropriate tests.
So, I would advise your boyfriend to see the ER and consult a physician there who can order some routine blood works, ESR, blood electrolytes (especially sodium, potassium) and ultrasound abdomen after doing clinical examination and will start appropriate treatment.
So, DO NOT take just symptomatic medications like pepto Bismol, instead he will require urgent medical attention but there is NO need to panic since it can be easily managed by intravenous fluids and appropriate treatment.
Hope this helps.
He is still intermittently experiencing stomach pains, however, and is heavily fatigued. He's sleeping again now -- should we still go to the ER if he has pain and fatigue but no fever?
He may wait for some time
Thanks for the reply,
It is good that your BF has improved considerably from all the symptoms.
Severe abdominal pain,nausea and fatigue with fever were the main indications to see a doctor.
However, since he has improved and there is no fever,no nausea and if the pain is NOT so troublesome,he may wait for some time.
Until then, give him plenty of water with fruit juices especially lemon water added salt,apple juice and coconut water which would help to maintain electrolyte balance.
Give over the counter pantoprazole 40 mg twice daily.
Continue with peptobismol if it is helpful.
Avoid oily,spicy foods for the next 2 to 3 days.Just give him only bland diet with fluids.
He may wait for some time to see further improvement with this symptommatic treatment and in case if symptoms persists or become troublesome then better to see doctor at earliest.
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- What could be the reason for having extreme abdominal pain
- Child with abdominal pain nausea and fatigue cause
- I havent pooped in 5 days extreme abdominal pain
- Can sciatica cause abdominal pain nausea and constipation
- Extreme abdominal pain after intercourse
- Extreme abdominal pain with bloody discharge
- Extreme abdominal pain after removing a tampon
- Extreme abdominal pain fever hot flashes rashes what is wrong
- What causes nausea and abdominal pain
- Constant abdominal pain with urge to urinate with nausea cause