What causes lower abdominal pain and chronic fatigue with nausea?
Patient: we were desperately trying to find out the cause of these symptoms, if you could help us please!  Symptoms are lower abdominal pain, achy pain, number 6 on pain chart, starts lower in stomach, some sparatic sharper pain here and there, constant headaches all day everyday, nausea, bloating/fullness, difficulty eating due to upset stomach but no weight loss, dizziness/faint, white outs and hot flashes, always not feeling well, always tired and run down, severe pain somtime so bad that uncapable of moving or standing more so falling over because of the pain.  Please help us! Doctor: Hi.Thanks for your query.You have symptoms of lower abdominal pain, sparatic pain here and there, headache -nausea, bloating, difficulty in eating - but no weight loss - dizziness, white-outs - hot flashes -sometimes not possible to stand or move. . Wants to know the reasons. Your mentioning of the bowel movements, your age and sex (gender) would have helped me much. With the complex history you have mentioned the possible causes are:- Subacute intestinal obstruction.- General disease like Typhoid causing all these symptoms.I would advise you the following to get a proper diagnosis:Blood: CBC, Widal, sugar, liver and kidney functions.Urine and stool.X-ray of the whole abdomen in a standing position.Ultrasonography and CT scan of the abdomen to get a more clear picture.- Clinical evaluation and physical examination by a General Surgeon may help a lot. Depending upon the investigations the treatment would be planned to get a permanent relief.