For Nearly Two Weeks Now His Lower Abdomen Has Been Sore

Posted on Fri, 27 Nov 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 27 Nov 2020 Answered on

Tue, 15 Apr 2025 Last reviewed on

Question : My husband is 65. For nearly two weeks now his lower abdomen has been sore, and his upper right stomach area is quite tender to touch. He has has pains in lower abdomen and frequent urgent bm. Consistency of bm has drastically changed.
No fever
No chills
Some headache
Lethargic (Some)

Answered by Dr. T Chandrakant (5 hours later)

Brief Answer:
Needs proper clinical evaluation and investigations as mentioned

Detailed Answer:
Hi,
Thanks for your query.
Noted the history of your 65 years old husband and understood the concerns.

With the history you have provided I can think about the following common causes related to the symptoms you have mentioned:

Colitis
Tenderness in right upper abdomen suggests:
Leaked but sealed duodenal or stomach perforation or an old gallbladder attack.
The fluid in the pelvis can cause pain in the lower abdomen and this, in turn, can cause frequent motions.

- This can be diagnosed by the following:
Clinical examination by a General Surgeon (preferably).
X-ray of abdomen and chest in the standing position to see for any free gas.
Ultrasound of the abdomen - CT scan to confirm if required.
Relevant tests of blood, urine, and stool.

Once a proper diagnosis is done the treatment can be specific as per the cause found.
- I hope this answer helps you to get an early and specific diagnosis.
Please give feedback once the above-mentioned things are done asap.

With Regards.
Dr. T Chandrakant.
General and Gastro Surgeon

Above answer was peer-reviewed by : Dr. Arnab Banerjee