Which Medical Specialty to Visit for Digestive Issues and Bloating? - Gastroenterology and Hepatology

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I want to go to the hospital for an examination, but I'm not sure which department to visit?


Hello, my girlfriend has a standard body shape (not overweight or underweight), but after eating, her abdomen below the navel protrudes significantly, much lower than where most people experience abdominal distension after a meal.
She also frequently experiences gastrointestinal discomfort and constipation, which has raised concerns about her health, prompting me to want to take her to the hospital for an examination.
Which department should we register for to get checked for these symptoms, and what preparations should be made before the appointment (such as whether to eat or fast)?

Mr. Wu, 20~29 year old female. Ask Date: 2018/07/30

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, you can first visit the gastroenterology outpatient clinic, and there is no need to fast for the appointment.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2018/07/30

More Info


When dealing with digestive issues and symptoms such as bloating, especially when accompanied by discomfort and constipation, it is advisable to consult a gastroenterologist. Gastroenterology is the medical specialty focused on the diagnosis and treatment of disorders of the gastrointestinal tract, which includes the esophagus, stomach, intestines, liver, gallbladder, and pancreas. Given your girlfriend's symptoms, a gastroenterologist would be well-equipped to evaluate her condition and recommend appropriate tests or treatments.

Before the appointment, it is important to prepare adequately to ensure that the doctor can make an informed diagnosis. Here are some steps you can take to prepare for the visit:
1. Symptom Diary: Encourage your girlfriend to keep a diary of her symptoms for at least a week prior to the appointment. This should include details such as when the symptoms occur, their duration, any associated factors (like specific foods consumed), and the severity of the symptoms. This information can help the doctor understand the pattern and potential triggers of her digestive issues.

2. Medical History: Gather information about her medical history, including any previous gastrointestinal issues, surgeries, or chronic conditions. It’s also important to note any medications she is currently taking, including over-the-counter drugs and supplements, as these can affect digestive health.

3. Dietary Habits: Document her typical diet, including any recent changes. Certain foods can contribute to bloating and gastrointestinal discomfort, so understanding her eating habits can provide valuable insights.

4. Fasting Requirements: Depending on the tests the gastroenterologist may order, there might be specific fasting requirements. For example, if blood tests or imaging studies (like an abdominal ultrasound) are needed, she may be instructed to fast for a certain period before the appointment. It’s best to check with the clinic beforehand to clarify any preparation needed.

5. Questions and Concerns: Prepare a list of questions or concerns she may want to address during the visit. This could include inquiries about potential diagnoses, treatment options, dietary recommendations, or lifestyle changes that could alleviate her symptoms.

During the appointment, the gastroenterologist will likely conduct a thorough evaluation, which may include a physical examination and possibly ordering diagnostic tests such as blood tests, imaging studies, or endoscopy, depending on the findings. Common conditions that could be associated with her symptoms include irritable bowel syndrome (IBS), food intolerances, or gastrointestinal disorders like Crohn's disease or celiac disease.

In addition to medical evaluation, lifestyle modifications can play a significant role in managing digestive issues. These may include:
- Dietary Adjustments: Identifying and avoiding trigger foods, increasing fiber intake, and ensuring adequate hydration can help alleviate symptoms.

- Regular Exercise: Physical activity can promote healthy digestion and reduce bloating.

- Stress Management: Stress can exacerbate gastrointestinal symptoms, so incorporating relaxation techniques such as yoga, meditation, or deep breathing exercises may be beneficial.

In summary, for your girlfriend's digestive issues and bloating, visiting a gastroenterologist is the appropriate course of action. Proper preparation for the appointment can enhance the effectiveness of the consultation and lead to a more accurate diagnosis and treatment plan. Encourage her to be open about her symptoms and concerns, as this will facilitate a comprehensive evaluation and tailored care.

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