Conversation: The conversation between human and AI assistant.
[|Human|] my husband has had lower  abdomen pain (above groin-below navel) on left side since Friday night. It even hurts when he is laying down.  No fever, nausea,vomiting. Urine ok-- only feels he has urge to urinate frequency and dribbles afterwards. He is 46 yrs. old
[|AI|]  HI. Thanks for your query and an elucidated history. Only complaint of urge to urinate, frequency and Chat Doctor.  I would advise the following: Per rectal palpation of the prostate and see if it is enlarged, congested, tender to palpation, Confirm by ultrasonography of the abdomen and pelvis. Urine is ok- repeat urine tests along with blood tests. Start an appropriate antibiotic. True-cut biopsy if needed. Plenty of oral fluids to flush the urinary tract. Rest of the treatment as per the findings. Prostatic massage may help to relieve the congestion, and we get a sample of the prostate secretions for microscopy, culture and sensitivity/