<s>[INST] my husband has moderate varying to severe pain in lower right abdomen that moves to his back and then back to front. His guts have made gurgling noises a few times, but still has the pain. The pain also seem to make him nauseated. I took blood pressure 3 times: 2.75hrs ago 170/85 p=78 2hrs ago 173/112 p=66 then 1.25hrs ago 170/119 p=67 [/INST] The pain that moves from right lower abdomen to back to abdomen again is suggestive of an:::Impacted stone in the ureter or a kidney Retro-cecal AppendicitisThe nausea and gurgling can be a reflex mechanism.Blood pressure can be increased due to pain alone and not to worry about if there is no past history of Hypertension. Ultrasonography with the clinical examination can give a diagnosis and a plan for further management . </s>