I have severe lower abdominal pain with an urge to urinate and diarrhea. Why do I get this?

Hello,

Welcome to icliniq.com.

Well, I understand you have pain with diarrhea and pain that lasts a few hours before it goes away. Listening to your history, it seems a few possibilities. The pain of intestinal loops affecting the cecum a part of large bowel or terminal ileum which is small bowel. The causes are many but given your age, there are possibilities of Crohn's,(iinflammatory bowel disease), yersinia infection or Whipple, and lastly uncommon is intestinal tuberculosis.

The other possibility is renal stones. It is not necessary to have stones in urine in person with renal stones.

Thirdly, functional abdominal pain syndrome which is basically hypersensitivity of the intestine to food, stools, water, etc. This pain cannot cause weight loss however, the causes mentioned above can cause fever and weight loss.

The third often overlooked cause of pain is nerve entrapment pain. This is because of the compression of the nerve in between the muscles. You see the list of differentials can be shrunken after a good history. I want you to tell me more about your symptoms in context to the above-mentioned conditions as we then target the one or two and investigate specifically and then can suggest treatment for the underlying cause. Do not get afraid. It is completely possible that you may not have any of those, but this has to be excluded from close questioning particular to these conditions.

I hope this helps.