Abdominal Pain: When to See a Doctor and What Tests to Consider

Abdominal pain

Symptoms on the right side, near the navel, with intermittent sharp pain.
When the sharp pain occurs, it feels painful in that area, but then it subsides.
There was a history of blood in the stool before the pain, with a sensation of needing to defecate but being unable to, resulting in blood.
Sometimes there is blood during bowel movements, and sometimes there isn't, but it is accompanied by abdominal pain.
Should I see a doctor? Which specialty should I consult? What tests should be done? Thank you.

Jie, 40~49 year old female. Ask Date: 2021/05/31

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please consult a gastroenterologist; a colonoscopy can be performed, but it depends on the situation at each hospital during the pandemic.

Reply Date: 2021/05/31

More Info

When experiencing abdominal pain, especially with symptoms such as intermittent sharp pain near the belly button, changes in bowel habits, and the presence of blood in the stool, it is crucial to seek medical attention promptly. These symptoms can indicate a range of potential issues, some of which may require urgent care.

When to See a Doctor
Given your description of symptoms, it is advisable to see a healthcare provider as soon as possible. The presence of blood in your stool, along with abdominal pain and difficulty with bowel movements, raises concerns about possible gastrointestinal conditions that need to be evaluated. Conditions such as hemorrhoids, diverticulitis, inflammatory bowel disease (IBD), or even more serious issues like colorectal cancer could be at play.

Which Specialist to Consult
For your symptoms, the most appropriate specialist to consult would be a gastroenterologist. This type of doctor specializes in the diagnosis and treatment of disorders related to the gastrointestinal tract. They can provide a thorough evaluation of your symptoms and medical history, and they will be able to recommend appropriate diagnostic tests.

Recommended Tests
1. Physical Examination: The doctor will likely start with a physical examination to assess your abdominal pain and any other symptoms you may have.

2. Blood Tests: These can help identify signs of infection, inflammation, or other underlying conditions.

3. Stool Tests: Given your history of blood in the stool, stool tests can help identify infections, parasites, or blood.

4. Imaging Studies: Depending on the initial findings, the doctor may recommend imaging studies such as:
- Ultrasound: This can help visualize organs in the abdomen and identify any abnormalities.

- CT Scan: A more detailed imaging study that can provide a clearer picture of the abdominal organs and help identify issues like appendicitis, diverticulitis, or tumors.

5. Endoscopy: If necessary, the gastroenterologist may recommend an upper endoscopy or colonoscopy. These procedures allow direct visualization of the gastrointestinal tract and can help diagnose conditions like ulcers, polyps, or tumors. A colonoscopy would be particularly important given your symptoms of blood in the stool.

Conclusion
In summary, your symptoms warrant a visit to a gastroenterologist as soon as possible. The combination of abdominal pain, changes in bowel habits, and the presence of blood in your stool is concerning and should not be ignored. Early diagnosis and treatment are key to managing any potential gastrointestinal issues effectively. Don’t hesitate to seek medical help; it’s better to be cautious when it comes to your health.

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