Conversation: The conversation between human and AI assistant.
[|Human|] Hello...Here are my symptoms:Episodic pain in Lower Right Quadrant of Abdomen.  Around the area of the inguinal canal / appendixHappens for about 3 hours every day but with no obvious trigger.Pain goes into the tubes running into the testicles as well.The pain is not sharp and agonising but dull, aching, dragging / heavy.Often rises slightly higher into the abdomen.Has been accompanied with nausea after eating (episodic), fatigue, and once I woke up in the night and the lower right quadrant pain had become a sharp throbbing more painful episode.  This went in about 15 minutes.The pain goes into my lower back and down my thigh (again dragging, heavy), and into my right testicle / scrotum.My bloods are fine, I have had an abdomen ultrasound on liver, kidneys etc and they are all fine and I am going to have a soft tissue hernia scan.I dont have an STI, but the Sexual Health clinic treated me for epididimitis and put me on a two week antibiotic course.  This has actually helped a fair bit, especially the pain into and above the right testicle, but not completely and the symptoms are definitely still there (esp lower right quadrant episodic pain and nausea after eating ).  It doesnt hurt to cough and there is no visible hernia bump.  Also it often hurts while resting / lying down.I have bilateral plantar fasciitis and am trying to get rid of this problem, so I can continue with my rehabilitation.Also I have had a great deal of anxiety and stress recently, due to my own foot condition and my family problems.Any ideas?!What confuses me is the hospital said it could be epididimitis, but my GP said it doesnt fit in with the symptoms (there is no obvious swelling, and it is episodic and not agonising). My urine and stool tests have been normal. Many thanks.
[|AI|]  Thanks for an elucidated and understanding history. The pain you described, its radiation all suggest me that you may be suffering from more than 1 problem simultaneously. This is definitely a pain of nerve origin, wherein the nerve supplying this area is either entrapped or involved into an inflammatory process. We have to scan from the spinal level by MRI of the thoracolumbar region the back of abdomen, the Iliad area by clinical examination as you have rightly mentioned for hernia scan and ultrasonography or CT scan of abdomen to see for the sons muscle problem, appendicitis in the course of the nerves. Once a proper diagnosis is make, a proper treatment is an easy thing to do. As for the planter fasciitis, the best way is to have hot fomentation with super-saturated salt solution (the feet are dipped into a tub with warm salt water.)