Persistent Abdominal Pain: Which Specialist Should You See? - Gastroenterology and Hepatology

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Persistent abdominal pain, especially localized pain near the navel, can be concerning and warrants a thorough evaluation. Given that you have been experiencing this pain for over a month, it is essential to seek the appropriate medical attention to identify the underlying cause.

Based on your description, the pain is localized to the left side of your abdomen, which could be indicative of several potential issues. Common causes of left-sided abdominal pain include gastrointestinal conditions such as diverticulitis, which is an inflammation of the diverticula in the colon, or conditions related to the spleen, such as splenic infarction or splenomegaly. Other possibilities include issues with the left kidney, such as a kidney stone or infection, or even gynecological conditions if you are female, such as ovarian cysts or ectopic pregnancy.

Given the duration and persistence of your symptoms, I recommend that you first consult a gastroenterologist. This specialist focuses on the digestive system and can perform necessary evaluations, including physical examinations, blood tests, imaging studies like ultrasound or CT scans, and possibly endoscopic procedures if needed. They will be able to assess your symptoms in the context of your overall health and medical history.

If the gastroenterologist rules out gastrointestinal causes, or if your symptoms suggest a non-gastrointestinal issue, they may refer you to other specialists. For instance, if there is a suspicion of a kidney-related issue, a nephrologist would be the appropriate specialist. If gynecological issues are suspected, a visit to an obstetrician-gynecologist (OB-GYN) would be advisable.

In the meantime, it is crucial to monitor your symptoms closely. Take note of any changes in the pain, such as its intensity, duration, and any associated symptoms like fever, nausea, vomiting, changes in bowel habits, or urinary symptoms. This information will be valuable for your healthcare provider in making an accurate diagnosis.

Additionally, if the pain worsens or if you experience any alarming symptoms such as severe abdominal pain, persistent vomiting, fever, or signs of internal bleeding (such as black or bloody stools), you should seek immediate medical attention.

In summary, start with a consultation with a gastroenterologist to evaluate your persistent abdominal pain. They will guide you through the necessary diagnostic steps and refer you to other specialists if needed. Early intervention is key to managing abdominal pain effectively and ensuring that any underlying conditions are addressed promptly.