Query: What else can I do to make clearer the truth to others which I am already presented to?

Doctor: A CT scan of abdomen and pelvis is mandatory, most sensitive to diagnose the condition among the given radiology methods.  Ultrasound of legs and scrotum may provide some evidence. It is quite possible that you get a small tear for some time which heals spontaneously. In such a case we may watch for complications (and not the tear itself) such as an abscess or a bowel obstruction. Even these complications can be visualized on a CT scan.

Query: How to make my doctor believe what I have?

Doctor: I usually like to believe the patient’s symptoms and signs so that I do not miss a diagnosis. However it should be confirmed with investigations.

Query: What other questions do you have for me, if you were to personally investigate more deeply these phenomena and experienced symptoms in order to assess for reliability of the suspicion of assumption that we are truly dealing with intestinal perforation?

Doctor: I would ask details about your symptoms including the length of time, prior episodes, recent procedures such as colonoscopy or episodes of infections. Of course drug abuse can cause diverticulosis, so a new doctor maybe made aware about it.