Right Abdominal Discomfort: When to Seek Gastroenterology Care

Q: Right Abdominal Discomfort: When to Seek Gastroenterology Care

Hello： If you have seen a urologist and it does not appear to be a recurrence of urinary tract stones, it is recommended to consult a gastroenterologist to determine the cause, such as fecal impaction, bloating, or colitis, among other issues. <br>It is advised to maintain a norm

Dull pain in the right side of the abdomen (approximately 10 to 13 cm to the right of the navel)?

I previously reduced my water intake due to work, which led to changes in my body and resulted in kidney stones.
A year and a half ago, I experienced unbearable pain from a stone lodged in my ureter, which was eventually surgically removed.
Recently, I've been feeling a dull discomfort in my right abdomen, so I returned for follow-up examinations, including X-rays and abdominal ultrasound, focusing on the area behind my lower back.
The doctor said everything looked fine, noting a few small stones that shouldn't cause pain.
I was prescribed Buscopan 10 mg and Panadol 500 mg for three days, but I haven't felt any improvement.
The doctor advised me to see a gastroenterologist if my condition doesn't improve.
My bowel movements are normal, and there are no abnormalities in my urination.
I would like to ask if I need to see a specialist.
The dull sensation has persisted for two weeks, but there is no pain.
Thank you for your help in answering my questions!

de, 40~49 year old female. Ask Date: 2017/05/12

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If you have seen a urologist and it does not appear to be a recurrence of urinary tract stones, it is recommended to consult a gastroenterologist to determine the cause, such as fecal impaction, bloating, or colitis, among other issues.
It is advised to maintain a normal diet and avoid irritating foods.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/05/12

More Info

When experiencing discomfort in the right abdomen, especially after a history of kidney stones and recent medical evaluations, it is essential to consider several factors before deciding whether to seek further gastroenterology care. Your symptoms of a persistent dull sensation in the right abdomen, despite normal bowel and urinary function, warrant a careful assessment.

Firstly, it is important to understand the potential causes of right-sided abdominal discomfort. The right side of the abdomen houses several vital organs, including the liver, gallbladder, right kidney, and parts of the intestines. Discomfort in this area can arise from various conditions, including but not limited to:
1. Gallbladder Issues: Conditions such as gallstones or cholecystitis can cause pain or discomfort in the right upper quadrant. Symptoms may include nausea, vomiting, and pain after eating fatty meals.

2. Liver Problems: Hepatitis, fatty liver disease, or liver tumors can also manifest as discomfort in the right abdomen. Symptoms may include jaundice, fatigue, and changes in appetite.

3. Kidney Stones: Although you mentioned having small stones that are not causing pain, it is possible for kidney stones to cause discomfort intermittently, especially if they are moving or causing irritation in the urinary tract.

4. Intestinal Issues: Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even constipation can lead to discomfort in the abdominal area. Given your history of kidney stones and the recent gastrointestinal evaluations, it is worth considering if there might be a connection.

5. Musculoskeletal Pain: Sometimes, discomfort in the abdomen can be referred pain from the back or musculoskeletal issues, particularly if there is a history of strain or injury.

Given that your recent X-ray and ultrasound showed only minor findings and that you have been prescribed medications (Buscopan and Panadol) without significant relief, it is advisable to follow your doctor's recommendation to consult a gastroenterologist. They can perform a more comprehensive evaluation, which may include:
- Endoscopy or Colonoscopy: These procedures can help visualize the gastrointestinal tract and identify any underlying issues that may not be apparent on imaging studies.

- Further Imaging: If necessary, advanced imaging techniques like a CT scan or MRI can provide more detailed information about the abdominal organs.

- Laboratory Tests: Blood tests can help assess liver function, kidney function, and check for signs of infection or inflammation.

In summary, while your symptoms may not currently indicate a severe issue, the persistence of discomfort for two weeks, coupled with your medical history, suggests that further evaluation is warranted. Consulting a gastroenterologist will allow for a thorough investigation of your symptoms and help rule out any potential gastrointestinal conditions that may require treatment. It is always better to err on the side of caution, especially when it comes to abdominal discomfort, as early diagnosis can lead to more effective management of any underlying issues.

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