Complaint: Tonight, I passed a stool that smelled like a hint of ammonia (like a bad day at the land fill, septic tank, old urine kinda smell). Event: Last week, I had a terrible pain in the ureter/bladder/pectineous area (felt like being hit in the testicles!!), afterwhich I have felt a tightnes in the bladder/intestine area and generally not feeling 100%, (sometimes nauseous and suffer dyspepsia, thank the world for Gaviscon). History: I am a 43 yr old mail (overwieght by 56lbs) and go very reguarly (in fact, I pass a stool on average 4 times a day and up to 8 times when working nights). I work very long shifts in front of a computer so am lacking in exercise but taking measures to correct this. I eat very reguarly and lots of fruit and consume around 100CL of wine a week which has not changed in the last 2 - 3 years. For the last 15yrs, I have suffered from Spondyloarthritis which has worsened recently. Under normal circumstances, I would go to see a doctor , but do not speak the local language here and am over 1500 miles from home with no immediate plans to return. Any ideas as to what the prognosis might be is most appreciated.