Conversation: The conversation between human and AI assistant.
[|Human|] Yes, my boyfriend is complaining of lower abdominal pain while he sits, lays, even just moves. It s hurts for him to pass gas and make a bowel movement, but still can. When he lays down, he can feel a pulse in the lower abdominal region. Please help. I m very nervous and I need to know if I need to take him to the ER or not!
[|AI|]  Hi. You should take him to ER urgently. Stop giving him anything orally as he may need to be nil orally. Thanks for your history. It is suggestive of an intra-abdominal collection of infection or pus, as he has the classical symptoms of pain even on movement. This occurs as the peritoneal covering of the abdomen get inflamed enough to get pain even on slight pressure or movement. This is most probably a case of peritonitis, And needs to be admitted, evaluated clinically, investigated for blood, urine, stool, ultrasonography, X-ray of the abdomen in standing position. After a diagnosis, Laparoscopy or Laparotomy needs to be performed to remove the diseased organ, have peritoneal lavage. Take him to the ER urgently.