Abdominal Pain: When to Seek Medical Attention - Family Medicine

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When experiencing abdominal pain, especially after physical activity like doing sit-ups, it is essential to understand the potential causes and when to seek medical attention. Your symptoms of persistent abdominal pain, particularly when moving or changing positions, could indicate a variety of underlying issues.

Firstly, it is important to consider the nature of the pain. If the pain is sharp, localized, or accompanied by other symptoms such as fever, vomiting, changes in bowel habits, or urinary issues, it may warrant immediate medical evaluation. Given that your pain has persisted for four days and is affecting your daily activities, it is advisable to consult a healthcare professional.

There are several potential causes for your abdominal pain. One possibility is a muscle strain or injury, which can occur from overexertion during exercises like sit-ups. This type of pain typically improves with rest and may be accompanied by tenderness in the abdominal muscles. However, if the pain is severe or worsening, it may indicate a more serious condition.

Another consideration is the possibility of gastrointestinal issues. Conditions such as gastritis, peptic ulcers, or even appendicitis can present with abdominal pain. If the pain is located in the lower right quadrant, appendicitis should be ruled out, especially if it is accompanied by nausea or fever. Additionally, issues related to the bladder or urinary tract, such as a urinary tract infection (UTI) or bladder inflammation, could also cause referred pain to the abdomen.

Given your description of pain in the bladder area, it is crucial to consider urinary tract issues. Symptoms such as increased urgency, frequency of urination, or burning sensation during urination would suggest a UTI, which requires prompt treatment.
In terms of which specialist to see, starting with a primary care physician or a family doctor would be a good choice. They can perform a thorough evaluation, including a physical examination and possibly some initial tests, such as blood work or imaging studies, to determine the cause of your pain. Depending on their findings, they may refer you to a gastroenterologist for digestive issues or a urologist for urinary concerns.

In summary, while abdominal pain after exercise can often be benign and related to muscle strain, the persistence and nature of your symptoms suggest that a medical evaluation is warranted. It is essential to monitor for any additional symptoms that may develop and to seek medical attention if the pain worsens or if you experience any alarming signs. Early intervention can help prevent complications and ensure appropriate treatment.