Gastrointestinal Symptoms: When to Seek Medical Help - Gastroenterology and Hepatology

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Hello, I would like to ask about a recent issue I've been experiencing.
After eating, I immediately need to use the restroom, and I've noticed some bleeding.
Additionally, there is a small protrusion on the left side of my abdomen that is painful when pressed.
What could this problem be? Which specialist should I see? Thank you.

bb, 20~29 year old female. Ask Date: 2003/03/17

Dr. Yang Peizhen reply Gastroenterology and Hepatology


Hello! This indicates a problem with the intestines, usually the colon, especially if there is bleeding (red?).
This suggests a lesion closer to the lower end of the colon or the rectum.
Additionally, there is a protrusion in the left abdomen that is painful when pressed, which is likely related to the intestines.
The abdomen contains many organs, and their locations vary, with some differences between genders.
Therefore, you need to provide the exact location of your pain, as well as your gender and age, to make a more accurate assessment.
I recommend consulting a gastroenterologist.
Best wishes for your health, Dr.
Yang Pei-Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/03/17

More Info


Hello! Based on your symptoms, it sounds like you are experiencing a combination of gastrointestinal issues that warrant further investigation. The fact that you have noticed blood in your stool, along with pain and a palpable mass in your left abdomen, is concerning and should not be taken lightly.
First and foremost, the presence of blood in your stool can indicate several potential issues, ranging from benign to more serious conditions. It could be related to hemorrhoids, anal fissures, or diverticular disease, but it could also suggest more serious conditions such as inflammatory bowel disease (IBD), colorectal polyps, or even colorectal cancer. The pain associated with the mass you described could be related to a number of factors, including an inflamed organ, a hernia, or even a tumor.

Given these symptoms, it is crucial that you seek medical attention promptly. You should consider visiting a gastroenterologist, a specialist who focuses on the digestive system and its disorders. They will be able to perform a thorough evaluation, which may include a physical examination, blood tests, imaging studies (like an ultrasound or CT scan), and possibly a colonoscopy to visualize the inside of your colon and rectum.

In the meantime, here are a few things to keep in mind:
1. Monitor Your Symptoms: Keep track of any additional symptoms that may arise, such as changes in your bowel habits, weight loss, fever, or worsening pain. This information will be helpful for your doctor.

2. Dietary Considerations: While waiting to see a doctor, try to maintain a bland diet that is easy on your digestive system. Avoid spicy, fatty, or highly processed foods, as these can exacerbate gastrointestinal symptoms.

3. Hydration: Ensure you are staying hydrated, especially if you are experiencing diarrhea. Dehydration can lead to further complications.

4. Avoid Self-Medication: While it may be tempting to take over-the-counter medications for diarrhea or pain relief, it is best to avoid these until you have consulted with a healthcare professional. Some medications can mask symptoms or worsen certain conditions.

5. Emergency Care: If you experience severe abdominal pain, persistent vomiting, or if the bleeding becomes significant, do not hesitate to seek emergency medical care.

In summary, your symptoms are concerning and require a thorough evaluation by a healthcare professional, specifically a gastroenterologist. Early diagnosis and treatment are key to managing any potential underlying conditions effectively. Please prioritize your health and seek medical attention as soon as possible.

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