Abdominal Issues: When to Worry and When to Relax

Q: Abdominal Issues: When to Worry and When to Relax

Hello： Fecal occult blood is generally first considered in relation to colorectal diseases or gastric and duodenal disorders, with less association to small intestine issues. <br>Since you have already undergone a CT scan with no problems, you may consider undergoing a colonoscop

Abdominal issues?

Hello Dr.
Wu, this is 163016 following up.
The previous CT scan of the small intestine was due to a positive fecal occult blood test.
After undergoing a gastroscopy, no obvious bleeding points were found, so my attending physician recommended a CT scan of the small intestine.
The subsequent report has been concluded, and there are no other issues.
Therefore, since the abdominal CT scan has been completed and everything is normal, if I have any short-term concerns about my abdomen, such as feeling uncertain symptoms (like when I previously felt the abdominal aorta and was confused because it was my first time, and I only found out after seeing a doctor that it was the abdominal aorta), as long as I don't feel uncomfortable, I shouldn't worry too much since the abdominal CT scan has been done, right? Of course, if I do feel unwell, I will still see a doctor.
Thank you.

Xiao Wu, 40~49 year old female. Ask Date: 2020/11/25

Dr. Wu Zongying reply Family Medicine

Hello: Fecal occult blood is generally first considered in relation to colorectal diseases or gastric and duodenal disorders, with less association to small intestine issues.
Since you have already undergone a CT scan with no problems, you may consider undergoing a colonoscopy and gastroscopy.
The abdominal aorta is not easily palpable.

Reply Date: 2020/11/25

More Info

Hello! It's great to hear from you again, and I'm glad to see that you've been proactive about your health concerns. Based on your previous tests, including the CT scan of the small intestine and the gastrointestinal endoscopy, it seems that your doctors have ruled out any significant issues. This is a positive sign, as it indicates that there are no alarming conditions currently affecting your abdominal health.

When it comes to abdominal issues, it’s essential to understand the difference between concerning symptoms and those that may be benign or related to anxiety or stress. Given that you have undergone thorough examinations and received clear results, it’s reasonable to feel more at ease about your abdominal health. However, it’s also important to remain vigilant about any changes in your body.

Here are some key points to consider regarding abdominal issues:
1. Understanding Symptoms: Abdominal pain can arise from various causes, including gastrointestinal issues, muscular problems, or even stress-related conditions. Since your tests have come back normal, it’s less likely that your symptoms are due to a serious underlying condition. However, if you experience new symptoms or a change in the nature of your pain, it’s wise to consult your doctor.

2. When to Worry: You should be concerned if you experience any of the following:
- Severe or persistent abdominal pain that does not improve.

- Changes in bowel habits, such as prolonged diarrhea or constipation.

- Blood in your stool or persistent vomiting.

- Unexplained weight loss or loss of appetite.

- Fever or chills accompanying abdominal pain.

3. When to Relax: If you notice mild discomfort that is not accompanied by any alarming symptoms, it may be related to non-serious issues such as gas, bloating, or even anxiety. Stress and anxiety can manifest physically, leading to symptoms like abdominal discomfort. Since you mentioned that you have previously felt anxious about your health, it’s possible that some of your abdominal sensations could be stress-related.

4. Managing Anxiety: Since anxiety can exacerbate physical symptoms, consider incorporating relaxation techniques into your routine. Practices such as deep breathing exercises, mindfulness meditation, or gentle yoga can help alleviate stress and may reduce the frequency or intensity of your abdominal discomfort.

5. Follow-Up: It’s excellent that you plan to see a doctor if you experience discomfort. Regular check-ups and open communication with your healthcare provider are crucial for maintaining your health. If you have any doubts or new symptoms arise, don’t hesitate to seek medical advice.

In conclusion, while it’s understandable to feel anxious about your health, especially after experiencing symptoms like positive fecal occult blood tests, the thorough evaluations you’ve undergone provide reassurance. If you remain symptom-free and your previous tests were normal, it’s reasonable to relax a bit. However, always listen to your body and consult a healthcare professional if anything feels off. Your health is paramount, and staying informed and proactive is the best approach. Take care!

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