
What Causes Severe Low Abdominal Pain And Pressure?

As explained.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history about your husband.
To recapitulate: Male/50 - severe low abdominal pain/pressure - can not pass gas in spite he wishes so - no rebound - no fever - you are suspecting appendicitis - wants to know more...
The appendicitis pain is usually in the right lower abdomen, there may be associated nausea and vomiting and the feeling of passing gas is not the usual presentation.
Since the pain is in the lower abdomen and the feeling of passing of gas is there it is possible that he has some form of enteritis (small intestine).
Give him some antispasmodic medicine like dicyclomin, and see the effects.
It is possible that he could possibly pass gas and may get relieved.
If no results, take him to ER for clinical evaluation, examination, and few important investigations like X-ray of the abdomen in standing position, ultrasonography and relevant blood and urine investigations. By this time further symptoms may develop to give better idea about the possible diagnosis or he gets the relief.
I hope this answer helps you and your husband to have an early diagnosis and to have timely and proper treatment.

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