Question: My boyfriend,46 years old, was diagnosed with celiac in April. He also has a history of bilateral inguinal hernias (repaired as a child). He has periodic mid back pain, which radiates to his stomach area. He has fluttering in his right upper abdomen, with rigidity occasionally. He feels some relief after bowel movements or farting, but the fluttering is new. We are strict with diet. He still has occasional bouts of constipation, especially if glutened accidentally. He is now lethargic (could be a touch of the flu, but no flu symptoms), his stomach is a constant source of irritation for him. I think its retrocecal appendicitis (from reading), but what tests should we be asking for? He has no health insurance, so we are looking for the least invasive, inexpensive solution. He only weight 110 pounds. He has lost 6 pounds in the last two weeks. It is getting to be desparate. Suggestions? His doctor (whom we pay cash to) only treats his hypodthyrodism, he checked for hernias about two months ago, an said he was fine (manual exam). But, we feel there is something else going on. Help.

What about diagnostic blood work? Anything we should be asking for specifically? Would a stool sample be of any benefit? A 24 hour urine?