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Suggest Treatment For Upper Abdominal Hernia, Lower Back Pain, Mild Fever And Chills
Question: My husband is a 47 year old former smoker. Recently, he has been having a myriad of symptoms and we are not sure which area of healthcare providers to pursue. He has an upper abdominal hernia which is new. He also has lower back pain, new onset brown colored urine and low grade fever and chills. He said that the texture of his scrotal skin has changed and that area is sore and itchy. He is saying that his urine stream has many start/stops and sometimes is difficult to urinate despite having a strong urge to go. Do these symptoms all go together and if so, what could it be and which specialty should we see? Thank you.
Brief Answer:
Go to emergency or urgent care
Detailed Answer:
Hi, XXXXXXX thank you for using Healthcare Magic. Because of the urinary symptoms, back pain, brown urine, and low-grade fevers, I am concerned about something going on in his kidneys. There could be an infection or stone, or possibly a partial blockage along the urinary tract somewhere. Brown urine can also be seen with rare conditions like rhabdomyolysis (an acute breakdown of muscle tissue), or paroxysmal hemoglobinuria. There may also be some process going on in his prostate.
For many urinary and scrotal problems and , a urologist is often recommended. I can't fit the upper abdominal hernia in with the other symptoms, and am not really clear on what you mean by that. Do you mean hiatal hernia or something else? For first evaluation in general, if not urgent, an internal medicine specialist could handle these problems, and make the appropriate referrals as needed, such as to a urologist.
However, some of these symptoms are concerning and deserve a prompt evaluation. If there is something acute going on in his kidneys, that is not something you want to wait on. It could quickly progress into kidney damage.
So get him to emergency or urgent care where they can diagnose it and institute treatment right away if necessary.
Hope this answers your query. If you have further questions, I would be happy to answer them.
Go to emergency or urgent care
Detailed Answer:
Hi, XXXXXXX thank you for using Healthcare Magic. Because of the urinary symptoms, back pain, brown urine, and low-grade fevers, I am concerned about something going on in his kidneys. There could be an infection or stone, or possibly a partial blockage along the urinary tract somewhere. Brown urine can also be seen with rare conditions like rhabdomyolysis (an acute breakdown of muscle tissue), or paroxysmal hemoglobinuria. There may also be some process going on in his prostate.
For many urinary and scrotal problems and , a urologist is often recommended. I can't fit the upper abdominal hernia in with the other symptoms, and am not really clear on what you mean by that. Do you mean hiatal hernia or something else? For first evaluation in general, if not urgent, an internal medicine specialist could handle these problems, and make the appropriate referrals as needed, such as to a urologist.
However, some of these symptoms are concerning and deserve a prompt evaluation. If there is something acute going on in his kidneys, that is not something you want to wait on. It could quickly progress into kidney damage.
So get him to emergency or urgent care where they can diagnose it and institute treatment right away if necessary.
Hope this answers your query. If you have further questions, I would be happy to answer them.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you! I will get him prompt attention. Oh and the hernia was called an epigastric hernia....thanks again!
Brief Answer:
Good
Detailed Answer:
Glad you're getting prompt attention. Let me know what happens. Best wishes.
Good
Detailed Answer:
Glad you're getting prompt attention. Let me know what happens. Best wishes.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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