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What Causes Abdominal Pain, Fever, Chills, Constipation, Diarrhea And Bloating?

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Posted on Mon, 27 Jun 2016
Question: Hi! I have a question about stomach tenderness and pain. It started yesterday day time. I have a lot of pain lower abdomen and near buttocks occasionally - that's more like pressure. I also feel occasional tenderness and pain upper abdomen. Also little tender when pressureing on stomach. Pain varies throughout day - gets better, then worse but is not so sever that I cant do things. Yesterday night time I had chills and had fever 100.5 but it came down and hasn't gone up again. I seem to be constipated and bloated. I had diarrhea only once .. fever is gone just weird taste in mouth. What can it be? Is it possible peritonitis? or something else?
Thank you
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Enteritis most probably.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/36 - lot of pain lower abdomen - started yesterday - occasionally near buttock - more like pressure - occasional in upper abdomen - mild tenderness - varied pain but not severe enough - fever with chills yesterday - once - constipation and bloating - diarrhea once only - weird taste in mouth -

Read and understood the concerns which are:
What can it be?
As per the history your have provided this looks to enteritis, inflammation/infection of the small intestines.

Is it possible peritonitis?
No this may not be peritonitis as the pain would have been severe enough not allowing you to move even a bit without severe excruciating pain....

something else?
Fever with chills can indicate an infection somewhere. And goes in favor of enteritis that is infection of the intestines.

I would advise you the following:
Consult your Doctor and send the sample of stool, urine and blood for routine tests and get started with proper medicines.
If no relief within a few days, then go for further investigations and management.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (3 hours later)
Thank you doctor!

My fever was only once and since then has not repeated it self but I do feel weak and little more sweaty - no major nausea or vomiting.

I understand that you don't think it can be peritonitis? Can it hide itself for awhile?

Weird is that after sitting down it is little painful in very low abdomen when I get up. Also it is slightly painful in lower abdomen when trying to pass gas. I do have some belching.. is there a reason for these symptoms? Also I have had hard time today to go and pass stool.. it feels like constipation.

What about aortic aneurysm in stomach? Is it possible ?
doctor
Answered by Dr. T Chandrakant (5 hours later)
Brief Answer:
Get the tests done, get the proper diagnosis

Detailed Answer:
Thanks for your appreciation.
Noted your additional history and queries.
Localized peritonitis is known to occur but the symptoms are still severe.
Another possibility can be PID that is pelvic inflammatory disease.
I would advise you the following:
As advised above- clinical evaluation, investigations and proper diagnosis and treatment.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Abdominal Pain, Fever, Chills, Constipation, Diarrhea And Bloating?

Brief Answer: Enteritis most probably. Detailed Answer: Hi. Thanks for your query. To recapitulate: Female/36 - lot of pain lower abdomen - started yesterday - occasionally near buttock - more like pressure - occasional in upper abdomen - mild tenderness - varied pain but not severe enough - fever with chills yesterday - once - constipation and bloating - diarrhea once only - weird taste in mouth - Read and understood the concerns which are: What can it be? As per the history your have provided this looks to enteritis, inflammation/infection of the small intestines. Is it possible peritonitis? No this may not be peritonitis as the pain would have been severe enough not allowing you to move even a bit without severe excruciating pain.... something else? Fever with chills can indicate an infection somewhere. And goes in favor of enteritis that is infection of the intestines. I would advise you the following: Consult your Doctor and send the sample of stool, urine and blood for routine tests and get started with proper medicines. If no relief within a few days, then go for further investigations and management.