<s>[INST] My partner has had lower left abdominal pain which is constant and nagging and has been present for four days. He is 43 and has maturity onset diabetes. His temp is 37 and pulse is 100. he saw a doctor yesterday but he said to come back if it continues. He did have elevated blood pressure which he prescribed Cilazapril 2.5mg - half tab. His other meds are Metformin 500mg 2X daily, Atorvastin 40mg daily and Allopurinol 300mg daily.Would appreciate any advice please. Thank you Heather [/INST] Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  Your husband is diabetic, hypertensive, and he is using medicines, for them. Now he is having pain in the left lower abdomen, it is constant and nagging, for 4 days.  The pain in lower left side of abdomen suggest, urinary tract infection, stones in the urinary tract, or infection of descending colon, or rectum. Previous medical history have no relation with the pain.  I advise you to consult a surgeon for diagnosis and treatment. You may need to have an M.R.I. besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards. </s>