Hi! My boyfriend started feeling really bad last night. He is 21 years old. We live in Charlotte, NC. And he is experiencing fatigue, fever, abdominal pain (more on left), and frequent and painful bowel movements. Yesterday we went hiking and swimming at Stone Mtn, NC. When we got home at 11
The symptoms and the description are typical of Tick fever. The symptoms also hint about an infective cause.  However, unless there is a sign of tick bite with a rash, the doctor won't be able to confirm it. He has to conduct the necessary tests to confirm this.  We also think your boyfriend had physical exhaustion due to intense physical activity along with fever and deny Chat Doctor.  We suggest taking him immediately to a Family Physician or a hospital nearby and get the appropriate care.