Abdominal Pain: When to Seek Gastroenterology Help - Gastroenterology and Hepatology

Q: Abdominal Pain: When to Seek Gastroenterology Help

Hello： You are experiencing generalized abdominal pain, pain in the right upper quadrant, back pain, and fever. <br>The presence of fever indicates a systemic issue, suggesting possible inflammation or infection in the body. <br>It is important to investigate the underlying cause

Abdominal pain all around the abdomen?

Hello, I occasionally experience abdominal pain, but it's not localized to one area; rather, it encompasses my entire abdomen, with the most intense pain located in the back right side.
The pain worsens when I lie flat on my bed, and regardless of which side I turn to, any movement increases the pain.
When I try to get up, the pain in both sides of my abdomen is so severe that I can hardly rise.
Walking also causes pain, particularly on the right side, and I have experienced a fever ranging from 38 to 39˚C.
I have taken antipyretics, so my temperature has not exceeded 39˚C.
Given that this situation often occurs outside of regular clinic hours, what steps should I take? Which specialty should I consult? Additionally, since I live alone, even if I need to see a doctor, the abdominal pain is not as severe as it is during an episode.
How can I effectively communicate my condition to the physician? Thank you very much for your assistance.

Xiao Yu, 40~49 year old female. Ask Date: 2021/03/06

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: You are experiencing generalized abdominal pain, pain in the right upper quadrant, back pain, and fever.
The presence of fever indicates a systemic issue, suggesting possible inflammation or infection in the body.
It is important to investigate the underlying cause in order to provide appropriate treatment.
You may consider consulting with internal medicine, gastroenterology, or family medicine for proper evaluation and management.
Wishing you safety and good health.
Sincerely, Dr.
Lin Ming-Hui, Attending Physician, Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2021/03/06

More Info

When experiencing abdominal pain, especially when it is widespread and accompanied by other symptoms such as fever, it is crucial to understand the potential underlying causes and when to seek medical help. Your description of pain that is not localized but rather encircles your abdomen, particularly with increased intensity on the right side, raises several important considerations.

Firstly, the nature of your pain is significant. The fact that it worsens with movement and is accompanied by fever suggests that there could be an underlying inflammatory process. Conditions such as appendicitis, cholecystitis (inflammation of the gallbladder), or even kidney stones can present with similar symptoms. The right side of the abdomen is particularly concerning for appendicitis, especially if the pain is severe and persistent.
Given your symptoms, it is advisable to seek help from a gastroenterologist or visit an emergency department, especially since you are experiencing fever. The fever indicates that your body is likely fighting an infection or inflammation, which could be serious. If your pain escalates or you experience additional symptoms such as vomiting, changes in bowel habits, or inability to keep food down, these are further reasons to seek immediate medical attention.

In terms of managing your situation, if you are unable to see a doctor during regular hours, consider visiting an urgent care facility or an emergency room. They can provide immediate evaluation and treatment. When you do see a healthcare provider, it is essential to communicate your symptoms clearly. Here are some tips on how to convey your condition effectively:
1. Document Your Symptoms: Keep a record of when the pain occurs, its intensity (on a scale of 1 to 10), and any accompanying symptoms such as fever, nausea, or changes in appetite. Note any patterns, such as whether the pain worsens after eating or with certain movements.

2. Be Honest About Your Pain: Describe the pain's location, quality (sharp, dull, cramping), and duration. Mention any previous episodes and how they compare to your current experience.

3. List Any Medications: Inform the doctor about any medications you have taken, including over-the-counter pain relievers or fever reducers, as this can affect your treatment plan.

4. Discuss Your Living Situation: Since you live alone, let your doctor know this, as it may influence their recommendations for follow-up care or the urgency of your situation.

5. Ask Questions: Don’t hesitate to ask your doctor about potential diagnoses, necessary tests, and treatment options. Understanding your condition can help you feel more in control and informed.

In conclusion, your symptoms warrant a thorough evaluation by a healthcare professional. Given the potential seriousness of abdominal pain, especially with fever, it is better to err on the side of caution. Seek medical help promptly, and ensure you communicate your symptoms clearly to facilitate an accurate diagnosis and appropriate treatment. Remember, your health is paramount, and timely intervention can make a significant difference in outcomes.

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