Hi ! Good afternoon.I am Dr Shareef answering your query. If I were his doctor, after a proper general examination and a clinical examination of his abdomen, I would advise him for a routine/microscopic and culture sensitivity of his urine, a routine stool test for ova and cyst, routine blood tests like a CBC, Blood sugar, blood urea, serum creatinine, serum lipid profile, serum amylase and lipase, serum PSA and an ultrasound abdomen to rule out any intra abdominal pathology and a possible enlargemet of prostate. Doing a routine ECG would be worthwhile. Further course of action would depend on the result of the clinical findings and related investigation reports. Yes, with the kind of history you have narrated about your husband s problems, he would need an immediate medical care possibly an inpatient care, and so I would advise you to take him to the ER of the nearest hospital in the town. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.