Which Specialist to See for Lower Abdominal and Urinary Pain?

Q: Which Specialist to See for Lower Abdominal and Urinary Pain?

Dear Ms. Ling： 1. Your concerns may indeed involve issues related to urology or gynecology. However, it is still necessary to conduct some physical examinations and relevant tests to determine the next steps. 2. Based on individual recommendations, due

I'm not sure which specialty to see?

Hello, doctor.
For the past month, I have been experiencing frequent pain in my lower abdomen and left side, as well as discomfort in my lower back, primarily on the left side.
It feels like my bladder is hurting, but I'm not entirely sure.
I have a sensation of fullness, experience nocturia, and sometimes have increased urinary frequency (up to three times an hour).
I also feel a sense of incomplete bladder emptying and need to exert some pressure to fully empty my bladder.
When I push, the pain intensifies, and after urination, I feel a stinging sensation near the urethra, along with some abdominal pain.
Previously, I would occasionally experience a feeling of incomplete emptying, but this time it has persisted for a longer duration.
Additionally, I have noticed yellowish discharge, which does not have a particularly strong odor; I believe this may be related to being in my ovulation period, but it has been nearly two weeks, and ovulation typically does not last this long.
Should I consult a gynecologist or a urologist, or perhaps another specialist? Also, would using a diluted solution like Betadine to wash the area be helpful? Thank you.

Ling, 20~29 year old female. Ask Date: 2018/09/02

Dr. Xiao Yongxun reply Family Medicine

Dear Ms.
Ling:
1.
Your concerns may indeed involve issues related to urology or gynecology.
However, it is still necessary to conduct some physical examinations and relevant tests to determine the next steps.

2.
Based on individual recommendations, due to symptoms of bladder discomfort, nocturia, and frequency of urination, I suggest that you first seek assistance from a urology outpatient clinic.

3.
It is uncertain whether simple perineal cleansing can improve the symptoms.

Reply Date: 2018/09/02

More Info

When dealing with persistent lower abdominal and urinary pain, especially in the context of your symptoms, it is crucial to approach the situation methodically. Given your description of the pain localized primarily on the left side of the abdomen, along with urinary symptoms such as urgency, frequency, and a sensation of incomplete emptying, it is advisable to consult a specialist who can address both potential gynecological and urological issues.

Which Specialist to See?
1. Urologist: Since you are experiencing significant urinary symptoms, including frequent urination and a sensation of incomplete bladder emptying, a urologist should be your first point of contact. Urologists specialize in the urinary tract and male reproductive organs, and they can evaluate for conditions such as urinary tract infections (UTIs), bladder dysfunction, or other urological disorders. Given your symptoms, they may perform tests such as urinalysis, urine culture, or imaging studies to assess your bladder and kidneys.

2. Gynecologist: Concurrently, it would also be prudent to see a gynecologist, especially since you mentioned the presence of yellowish discharge and the possibility of it being related to your ovulation cycle. Gynecologists can evaluate for conditions such as ovarian cysts, pelvic inflammatory disease, or other gynecological issues that could be contributing to your abdominal pain. They may perform a pelvic exam and possibly an ultrasound to assess the reproductive organs.

Additional Considerations
- Diagnostic Tests: Both specialists may recommend diagnostic tests to rule out infections or other underlying conditions. A urinalysis can help identify any signs of infection, while a pelvic ultrasound can provide insights into any abnormalities in the reproductive organs.

- Symptom Management: While waiting for your appointments, managing your symptoms is essential. Over-the-counter pain relievers may help alleviate discomfort. However, avoid self-medicating with antibiotics or other medications without consulting a healthcare provider, as this could mask symptoms or worsen an underlying condition.

- Hygiene Practices: Regarding your question about using a diluted solution like "依必朗" (a feminine wash), while maintaining proper hygiene is important, be cautious with the use of any products that may irritate the area. It’s best to consult with your healthcare provider about appropriate hygiene practices, especially if you are experiencing irritation or unusual discharge.

Conclusion
In summary, given your symptoms of lower abdominal pain and urinary issues, starting with a urologist is advisable, followed by a consultation with a gynecologist. Both specialists can work together to determine the underlying cause of your symptoms and provide appropriate treatment. It’s essential to communicate all your symptoms clearly during your appointments to facilitate accurate diagnosis and management. If your symptoms worsen or you experience additional concerning symptoms, seek medical attention promptly.

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