Lower Abdominal Pain: When to See a Specialist - Gastroenterology and Hepatology

Q: Lower Abdominal Pain: When to See a Specialist

Hello： If the issue is related to urination, it is advisable to consult a urologist to see if there are any solutions to the problem. <br>If the issue persists, you may then seek treatment from a gastroenterologist. <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai

Lower abdominal pain?

In the lower abdomen, around the bladder and uterus, I sometimes experience frequent urination and occasional discomfort, but it is within tolerable limits.
Even after urinating, I still feel like my bladder is not completely empty.
I underwent urodynamic testing, which came back normal, and a gynecological ultrasound also showed no issues.
The only thing is that I haven't consulted a gastroenterologist.
Could this be related to gastrointestinal issues? Sometimes, when I feel unwell, I have tested positive for hematuria, but no cause has ever been found.
This has been ongoing for several years, and at times I have contemplated suicide, wondering why this is happening to me.
Given my lack of confidence in seeking medical help, which specialty should I consider consulting, or how can I resolve this? I look forward to the doctor's response.

Ms. Lin, 30~39 year old female. Ask Date: 2016/04/11

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If the issue is related to urination, it is advisable to consult a urologist to see if there are any solutions to the problem.
If the issue persists, you may then seek treatment from a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/04/11

More Info

Lower abdominal pain can be a complex issue, especially when accompanied by urinary symptoms like frequency and a sensation of incomplete bladder emptying. Given your symptoms and the tests you've already undergone, it is understandable that you feel frustrated and uncertain about your condition.
From a medical perspective, lower abdominal pain can stem from various sources, including gastrointestinal, urological, and gynecological issues. Since you've already had a urodynamic study and gynecological ultrasound that returned normal results, it might be beneficial to consider the gastrointestinal tract as a potential source of your symptoms.

Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even functional gastrointestinal disorders can manifest as abdominal pain and discomfort, sometimes mimicking urinary symptoms. IBS, for instance, can lead to bloating and changes in bowel habits, which might contribute to the sensation of urgency or incomplete bladder emptying.
Additionally, anxiety and stress can exacerbate physical symptoms, leading to a cycle of discomfort and emotional distress. Chronic pain, especially when it is unexplained, can significantly impact mental health, leading to feelings of hopelessness or even suicidal thoughts. It is crucial to address both the physical and emotional aspects of your health.
Given your situation, I recommend the following steps:
1. Consult a Gastroenterologist: Since you have not yet seen a gastroenterologist, this would be a logical next step. They can evaluate your gastrointestinal health more thoroughly, potentially ordering tests like a colonoscopy or additional imaging studies to rule out any underlying conditions.

2. Consider Psychological Support: Given the emotional toll this condition has taken on you, seeking support from a mental health professional could be beneficial. They can help you develop coping strategies for managing anxiety and depression related to chronic pain.

3. Keep a Symptom Diary: Documenting your symptoms, dietary habits, and any potential triggers can provide valuable information for your healthcare providers. This can help identify patterns that may correlate with your abdominal pain and urinary symptoms.

4. Explore Pain Management Options: If your pain persists, discussing pain management strategies with your healthcare provider may be helpful. This could include physical therapy, medication adjustments, or alternative therapies.

5. Follow Up Regularly: Continue to advocate for your health by following up with your healthcare providers. If you feel that your concerns are not being addressed, don’t hesitate to seek a second opinion.

In conclusion, while your symptoms may feel overwhelming, there are pathways to finding relief and understanding your condition better. It’s essential to approach this holistically, addressing both physical and mental health aspects. Remember, you are not alone in this journey, and there are healthcare professionals who can help guide you toward a resolution.

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