Suggest treatment for lower abdominal pain
Patient: Hi my friend has contacted the nhs he has lower abdominal pain below the naval if he presses on it the pain eases he has a strong pain threshold and he says the pain is excrutiating he ate today out but his friend who also ate is fine he has also been sick twice any suggestions if he raises his legs the pain eases Doctor: Hi.Thanks for your query. If the pain is easing on local pressure or raises the legs and increases on eating indicates that the pain below the naval may be due to :Lymph node mass or diverticulitis.It is also possible that it may be of he sensory nervous system, the nerves in the back being pressed by the compressing inter-vertebral discs.I would advise your friend to do the following:First of all get a clinical evaluation and physical examination done by a general Surgeon as the history is not going with any of the settled diagnostic character, in fact is contradictoryIt is possible that he is malignaring , telling the lies for whatever the reasons may be. TO get the CT scan of the abdomen, colonoscopy and Endoscopy  and MRI of the spine to confirm or rule out any probable diagnosis. Symptomatic treatment may be required.