Abdominal Discomfort: When to Seek Medical Advice - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello Doctor, in the past few months, I have occasionally felt a dull ache in my lower right abdomen when sitting, which is sometimes accompanied by a slight pain, but it doesn't happen frequently.
Sometimes, I also experience a dull pain in my lower left abdomen.
Additionally, I notice mucus near my anus during bowel movements, but I haven't experienced any weight loss, diarrhea, or constipation; my stools are just a bit harder than usual.
I'm wondering if the abdominal pain could be due to my shorter stature causing pressure on my intestines when sitting.
Should I get tested for occult blood in my stool? Thank you for patiently reading my question, and I wish you good health and safety.

Wade, 10~19 year old female. Ask Date: 2018/04/09

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Abdominal pain should not be significantly affected by a shorter body stature.
Instead, it is important to pay attention to whether there are issues with incomplete or difficult bowel movements.
If you have any concerns, you can consult a gastroenterologist for a stool test.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2018/04/09

More Info


When it comes to abdominal discomfort, especially in the context of your symptoms, it is crucial to approach the situation with a comprehensive understanding of potential underlying causes and the appropriate steps to take. Given your description of intermittent right and left lower abdominal pain, along with the presence of mucus during bowel movements, it is advisable to seek medical attention to rule out any serious conditions.

Firstly, the symptoms you are experiencing could be indicative of several gastrointestinal issues. The presence of mucus in your stool can suggest inflammation in the intestines, which may be associated with conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even infections. While the absence of significant weight loss, diarrhea, or constipation is somewhat reassuring, it does not eliminate the need for further evaluation.

The discomfort you feel when sitting could indeed be related to the compression of your intestines, especially if you have a shorter stature, which may lead to a more pronounced sensation of pressure in the abdominal area. However, it is essential to consider other factors that could contribute to your symptoms, such as dietary habits, stress levels, and overall digestive health.

Given your symptoms, it would be prudent to consult a gastroenterologist. This specialist can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies to visualize the intestines. A stool test to check for occult blood is also a reasonable step, as it can help identify any bleeding in the gastrointestinal tract that may not be visible to the naked eye.

In addition to seeking medical advice, there are several lifestyle modifications you can consider to help alleviate your symptoms. Increasing your fiber intake through fruits, vegetables, and whole grains can help regulate bowel movements and reduce the hardness of your stool. Staying hydrated is equally important, as adequate fluid intake can facilitate smoother digestion and prevent constipation. Regular physical activity can also promote healthy bowel function and reduce abdominal discomfort.

Moreover, managing stress through relaxation techniques, such as mindfulness, yoga, or meditation, may also contribute positively to your digestive health. Stress can exacerbate gastrointestinal symptoms, and finding effective coping strategies can be beneficial.

In summary, while your symptoms may not immediately suggest a severe condition, they warrant further investigation to ensure that any underlying issues are identified and addressed. Consulting a gastroenterologist is a critical step in this process, and they can guide you through the necessary evaluations and treatment options. Remember, early intervention can lead to better outcomes, so do not hesitate to seek medical advice. Your health is paramount, and taking proactive steps now can help you achieve a better quality of life.

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