Which Specialist Should I See for My Lower Abdominal Pain? - Family Medicine

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I'm not sure which department to visit?


Hello, doctor.
I have a condition that I've had for a while.
Occasionally, I experience a slight pain in my lower left abdomen, but since the pain doesn't last long, I haven't paid much attention to it.
Should I see a urologist or which specialist should I consult?

Niming, 20~29 year old female. Ask Date: 2018/11/01

Dr. Cai Dongqi reply Family Medicine


Hello, it is recommended that you first consult a gastroenterologist, and then the physician may refer you to a urologist based on the situation.

Reply Date: 2018/11/01

More Info


When dealing with lower abdominal pain, it’s essential to consider a variety of potential causes and the appropriate specialists to consult. Given your description of occasional mild pain in the left lower abdomen, it’s wise to approach this systematically.

1. Understanding the Pain: The left lower abdomen can be associated with several organs, including the intestines (such as the sigmoid colon), the left ovary (in females), the left kidney, and even the ureter. Therefore, the nature of the pain—its intensity, duration, and any accompanying symptoms—can provide clues about its origin. For instance, if the pain is sharp and associated with changes in bowel habits, it may suggest a gastrointestinal issue. Conversely, if it’s more of a dull ache and associated with urinary symptoms, a urological issue might be at play.

2. Initial Specialist Consultation: Given the location of your pain, starting with a visit to a gastroenterologist could be beneficial. They specialize in digestive system disorders and can evaluate for conditions such as diverticulitis, irritable bowel syndrome, or even inflammatory bowel disease. If they rule out gastrointestinal issues, they may refer you to a urologist or gynecologist (if applicable) for further evaluation.

3. Urology Consideration: If you experience any urinary symptoms (such as burning during urination, increased frequency, or blood in urine), then it would be prudent to see a urologist. They can assess for urinary tract infections, kidney stones, or other urological conditions that could be causing your pain.

4. Gynecological Evaluation: For females, it’s also important to consider a visit to a gynecologist, especially if the pain is cyclical or associated with menstrual irregularities. Conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease can manifest as lower abdominal pain.

5. Diagnostic Tests: Depending on your symptoms, your doctor may recommend imaging studies such as an ultrasound or CT scan to visualize the organs in the lower abdomen. Blood tests may also be conducted to check for signs of infection or inflammation.

6. When to Seek Immediate Care: If your pain worsens, becomes severe, or is accompanied by other symptoms such as fever, vomiting, or changes in bowel habits, it’s crucial to seek immediate medical attention. These could be signs of a more serious condition that requires urgent care.

7. Managing Anxiety: Since you mentioned a history of anxiety, it’s also worth noting that stress and anxiety can sometimes manifest as physical symptoms, including abdominal pain. If you find that your anxiety is exacerbating your physical symptoms, discussing this with a mental health professional could be beneficial.

In summary, start with a gastroenterologist for a thorough evaluation of your lower abdominal pain. Depending on their findings, you may be referred to a urologist or gynecologist. Keep track of your symptoms, and don’t hesitate to seek immediate care if your condition changes. Remember, early intervention can often lead to better outcomes.

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