Abdominal Pain: When to See a Family Medicine Specialist

Abdominal issues?

Hello, doctor.
In the past year, I've been preparing for exams and have noticed some health issues, but I'm unsure which specialist to see.
I've been experiencing intermittent pain near the lower right groin area, which is not constant but occurs occasionally during movement or when changing positions, such as bending or lifting my left leg while lying down or on my stomach.
I haven't felt any hard lumps or masses upon palpation, my menstrual cycle is normal, and I haven't experienced any weight loss.
I suspect it might be related to gastrointestinal issues (I was previously told I have slow gastrointestinal motility during a visit for diarrhea) or muscular problems (I have a history of a ligament strain on the inner side of my right leg and sit for long periods daily).
The frequency of the pain has increased recently.
What could this issue possibly be, doctor? Thank you.

E, 20~29 year old female. Ask Date: 2017/08/22

Dr. Chen Taicheng reply Family Medicine

● All your considerations are possible, but the focus should remain on musculoskeletal issues, and medication can be used to assist.
However, women should also consider problems related to the urinary and reproductive systems, such as cystitis, stones, pelvic diseases, or conditions like fibroids and ovarian tumors.
● Please consult with a gynecologist or urologist for further diagnosis and treatment.
Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital, Family Medicine Department, cares about you~

Reply Date: 2017/08/22

More Info

When dealing with abdominal pain, especially in the context of your symptoms, it is essential to approach the situation with a comprehensive understanding of potential causes and the appropriate medical specialists to consult. Given your description of intermittent pain in the right lower groin area, particularly during certain movements or positions, there are several possibilities to consider.

Firstly, the pain you are experiencing could be related to musculoskeletal issues. Given your history of a ligament strain in your right leg and the fact that you spend long hours sitting, it is plausible that the pain could stem from muscle strain or tension in the hip or groin area. Conditions such as hip flexor strain, iliopsoas syndrome, or even referred pain from the lumbar spine could manifest as discomfort in the groin region. A physical examination by a family medicine specialist or an orthopedic doctor could help assess your range of motion, strength, and any tenderness in the area.

On the other hand, since you mentioned previous gastrointestinal issues, it is also important to consider potential gastrointestinal causes. The right lower quadrant of the abdomen houses several important structures, including parts of the intestines, the appendix, and in females, the ovaries. Conditions such as appendicitis, ovarian cysts, or even irritable bowel syndrome (IBS) could lead to pain in this area. If your pain is accompanied by changes in bowel habits, nausea, or other gastrointestinal symptoms, it would be prudent to consult a gastroenterologist for further evaluation.

Additionally, given that you mentioned a history of slow gastrointestinal motility, this could be a contributing factor to your discomfort. Slow motility can lead to symptoms such as bloating, cramping, and pain, particularly after eating or during periods of stress. Stress, as you noted, can exacerbate gastrointestinal symptoms, so addressing any underlying anxiety or stress management techniques may also be beneficial.

In your case, since the pain is not constant and seems to be triggered by specific movements, it would be advisable to start with a family medicine specialist. They can perform a thorough assessment, including a physical examination and possibly some initial imaging studies if deemed necessary. They can also refer you to the appropriate specialists, such as an orthopedic surgeon for musculoskeletal issues or a gastroenterologist for gastrointestinal concerns.

In summary, the pain you are experiencing could be due to a variety of factors, including musculoskeletal strain, gastrointestinal issues, or even stress-related symptoms. A family medicine specialist would be the best starting point for a comprehensive evaluation. They can help determine the underlying cause of your pain and guide you toward the appropriate treatment or specialist referrals. It is essential to communicate all your symptoms clearly, including any changes in your daily activities, stress levels, and any other health concerns, to ensure a thorough evaluation and effective management of your condition.

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