Tuberculosis is one of the cause of right sided abdominal pain
,Right sided kidney/ureteric stone has to be excluded .
Ask him to go for Ultrasound abdomen and confirm the diagnosis.
On what basis,abdominal TB is diagnosed?
If TB is causing intestinal obstruction
,then surgery is indicated.
Abdominal TB will not spread to others.
Even after surgery,complications may arise.Recurrence is common.
Sexual life is not affected.
First confirm the diagnosis of TB.Then ,give Anti tuberculosis treatment
If there are signs of intestinal obstruction,then go for surgery
Wish him good health