Should I See a Gastroenterologist for My Abdominal Concerns?

Please ask your question?

Hello Dr.
Chen, I recently accompanied my girlfriend to see a doctor because she was diagnosed with an abdominal cyst and underwent surgery.
My girlfriend is quite slim, but her lower abdomen appears quite large.
Now, when I look at myself, I feel like my abdomen isn't completely flat either.
When standing, there is some bulging below the navel, and when sitting, it is quite noticeable, resembling love handles.
Although when I stand up straight or lie down, it doesn't show as much.
Should I go to the hospital for a gastroenterology consultation, or is it sufficient to wait for a follow-up appointment to discuss it with my family medicine doctor after some blood tests? My family and girlfriend suggest that I should go to the gym instead.
I’m not sure if my girlfriend's recent situation has made me a bit anxious.
I am approximately 170 cm tall and weigh 65-66 kg.
Here are two photos: https://i.imgur.com/6OOCODG.jpg https://i.imgur.com/gmDlueg.jpg.
Thank you for your response.

Chen, 10~19 year old female. Ask Date: 2020/07/27

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is recommended to monitor waist circumference and weight first.

Reply Date: 2020/07/27

More Info

Based on your concerns and the context provided, it seems you are experiencing some anxiety regarding your abdominal health, particularly in light of your girlfriend's recent medical issues. It's understandable to feel concerned, especially when someone close to you undergoes surgery for an abdominal issue. However, it's important to approach your situation with a clear understanding of your symptoms and the appropriate steps to take.

First and foremost, the presence of a "bulge" or protrusion in the abdominal area, especially if it is noticeable when standing or sitting, can be attributed to several factors. These may include subcutaneous fat, muscle tone, or even the presence of an abdominal hernia. A hernia occurs when an organ or tissue pushes through a weak spot in the abdominal muscles. If you are experiencing discomfort, pain, or any other unusual symptoms alongside this bulge, it would be prudent to consult a healthcare professional.

Given your current state of health, including your height (170 cm) and weight (65-66 kg), your body mass index (BMI) falls within a normal range. However, if you feel that your abdominal area is not as toned as you would like, it might be beneficial to incorporate regular exercise and a balanced diet into your routine. Engaging in physical activity can help improve muscle tone and reduce excess fat, which may alleviate some of your concerns about abdominal appearance.

Regarding whether you should see a gastroenterologist, it depends on the specific symptoms you are experiencing. If you have persistent abdominal pain, changes in bowel habits, unexplained weight loss, or any other gastrointestinal symptoms, it would be advisable to seek a consultation with a gastroenterologist. They can perform a thorough evaluation, which may include physical examinations, imaging studies, or endoscopic procedures if necessary.

If your primary concern is the appearance of your abdomen without any accompanying symptoms, it may not be necessary to see a gastroenterologist immediately. Instead, you could consider discussing your concerns with a family physician during your next visit. They can provide guidance on whether further evaluation is needed or if lifestyle changes might be more appropriate.

In summary, while it is always wise to be proactive about your health, especially in light of recent events affecting those close to you, it is essential to differentiate between genuine medical concerns and anxiety-driven worries. If you are experiencing any troubling symptoms, do not hesitate to seek medical advice. Otherwise, focusing on a healthy lifestyle and regular check-ups with your family doctor may be the best course of action. Remember, maintaining open communication with your healthcare providers will help you navigate any health concerns effectively.

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