Conversation: The conversation between human and AI assistant.
[|Human|] My husband is an organic farmer that lifts HEAVY 100# coolers to the truck for market and as of this morning he had pain below is sternum and did not eat or feel well all day. Thought it was a muscle strain or tear. By 6PM the pain was in the lower right side with some nausea and he is weak I do not think he has a fever. I pushed down on the right lower abdomen and then release fast and he said it was tender pushing down but not on the release. We live 35 miles from a hospital and hate to take him in if not necessary. Thank you
[|AI|]  HI. Thanks for your query and an elucidated history. You have posted the history as if you have read from the book : viz: The pain which starts in the upper abdomen and then shifts to the right lower side of the abdomen with or without fever or associated symptoms and now with rebound tenderness is to be taken as an attack of appendicitis unless proved otherwise. I would advise you to take him to the ER / Hospital Undertake blood, urine and ultrasonography. If proved to be appendicitis, go for surgery ASAP.