Seeking Dr. Wang's Insights on Abdominal Pain and Hair Loss Issues - Surgery

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I would like to inquire about the causes of two medical conditions. I would greatly appreciate Dr. Wang's insights?


I have two questions for Dr.
Wang: 1.
In the middle of the night, I suddenly experienced severe pain in my lower left abdomen that lasted for over three hours.
It gradually subsided, and since then, I have not had similar pain.
I have a history of gastrointestinal pain and am unsure if this is related.
Should I go to the hospital for an examination? 2.
I am experiencing frequent hair loss.
I am currently married and have one child.
What should I do about this?

Xiao Zhu, 20~29 year old female. Ask Date: 2000/11/14

Dr. Wang Qichao reply Surgery


Abdominal pain can be approached from two perspectives: 1) Consult a reliable obstetrician-gynecologist to check for the possibility of pelvic inflammatory disease or even pelvic tumors.
2) Seek assistance from a gastroenterologist or colorectal surgeon to examine for any organic lesions in the colon or rectum (endoscopic examination or colonography can be performed).
After ruling out organic lesions, the condition can be classified as a functional gastrointestinal disorder, at which point continuous monitoring is advisable.
As for the hair loss issue, it is recommended to consult a dermatologist.

Reply Date: 2000/11/14

More Info


When addressing the concerns regarding abdominal pain and hair loss, it is essential to approach each issue systematically and with a thorough understanding of potential underlying causes.


Abdominal Pain
1. Nature of the Pain: The sudden onset of severe left lower abdominal pain that lasted for over three hours can be indicative of several conditions. Given that you have a history of gastrointestinal discomfort, it is crucial to consider both gastrointestinal and gynecological causes. The pain could be related to issues such as diverticulitis, ovarian cysts, or even appendicitis, depending on your gender and medical history.

2. Associated Symptoms: Since the pain subsided and you have not experienced similar symptoms since, it may not be an immediate cause for alarm. However, the recurrence of gastrointestinal symptoms warrants a thorough evaluation. It is advisable to consult with a healthcare professional, particularly a gastroenterologist or an obstetrician/gynecologist, to rule out any serious conditions. Diagnostic tests such as an abdominal ultrasound or CT scan may be recommended to visualize any potential abnormalities.

3. When to Seek Immediate Care: If you experience any additional symptoms such as fever, persistent vomiting, changes in bowel habits, or if the pain returns, it is crucial to seek medical attention promptly. These could be signs of a more serious condition that requires immediate intervention.


Hair Loss
1. Understanding Hair Loss: Hair loss can be attributed to various factors, including hormonal changes, nutritional deficiencies, stress, and underlying medical conditions. Given that you are a parent and may be experiencing stress related to parenting, this could be a contributing factor. Additionally, conditions such as androgenetic alopecia (common hereditary hair loss), telogen effluvium (temporary hair loss due to stress or trauma), or alopecia areata (an autoimmune condition) should be considered.

2. Consultation with Specialists: It is advisable to consult with a dermatologist who specializes in hair and scalp disorders. They can perform a thorough examination of your scalp and hair, and may recommend blood tests to check for deficiencies in iron, vitamin D, and thyroid function, which are common contributors to hair loss.

3. Treatment Options: Depending on the diagnosis, treatment options may include topical minoxidil, oral medications like finasteride (for men), or lifestyle changes such as improving diet and managing stress. In some cases, dermatologists may suggest procedures like PRP (platelet-rich plasma) therapy or hair transplant surgery for more severe cases.

4. Emotional and Psychological Support: Hair loss can have significant emotional and psychological impacts. It may be beneficial to seek support from counseling or support groups, especially if the hair loss is affecting your self-esteem or mental health.


Conclusion
In summary, both abdominal pain and hair loss are complex issues that require careful evaluation and management. For the abdominal pain, a thorough assessment by a healthcare professional is essential to rule out serious conditions. For hair loss, consulting a dermatologist will provide you with tailored treatment options based on the underlying cause. Remember, early intervention can lead to better outcomes, so do not hesitate to seek medical advice.

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