Lower Abdominal Discomfort: When to Seek Medical Advice

Q: Lower Abdominal Discomfort: When to Seek Medical Advice

Hello： If the frequency is high, such as several times a week, you should seek medical attention, especially when symptoms occur frequently. <br>You can consult either a colorectal specialist, urologist, or gynecologist, as there are organs related to these specialties within the

Feeling bloated in the lower abdomen?

Hello, doctor.
I undergo a comprehensive health check-up every year, and during each check-up, both urine occult blood and bacteria tests show 1+.
However, there are no abnormalities in red blood cells or white blood cells, and my kidney function tests are normal (I have had an ultrasound).
Therefore, the doctor told me not to worry too much about my urination, which is normal, but occasionally I feel a dull, bloated sensation in my lower abdomen near the bladder.
This usually doesn't last long, as I often experience bloating from sitting for extended periods at work.
I'm not sure if this is related to the bloating.
I remember having an ultrasound of the uterus when I visited the gynecologist, but I don't think I had one for the bladder.
Given this situation, do you think it's necessary for me to seek medical attention? If I have concerns and want to get an ultrasound, should I go to a urologist or a gynecologist? Thank you.

Ms. Chen, 20~29 year old female. Ask Date: 2023/04/19

Dr. Du Shixi reply Urology

Hello: If the frequency is high, such as several times a week, you should seek medical attention, especially when symptoms occur frequently.
You can consult either a colorectal specialist, urologist, or gynecologist, as there are organs related to these specialties within the pelvic area.
Generally, it is necessary to rule out certain issues.
Wishing you good health.

Reply Date: 2023/04/19

More Info

When it comes to lower abdominal discomfort, especially in the area near the bladder, it is essential to approach the situation with a thorough understanding of potential causes and the appropriate medical pathways to address them. Given your history of regular health check-ups and the results indicating no significant abnormalities in your urine tests or kidney function, it is understandable that you may feel uncertain about the occasional sensations of fullness or discomfort in your lower abdomen.

Understanding Your Symptoms
The sensations you describe—occasional feelings of pressure or fullness in the lower abdomen—could be attributed to several factors. Common causes include:
1. Gastrointestinal Issues: Given that you mentioned prolonged sitting and occasional bloating, it is possible that your symptoms are related to gastrointestinal disturbances such as gas buildup or constipation. These conditions can lead to discomfort that mimics bladder-related issues.

2. Urinary Tract Considerations: While your urine tests have shown no significant abnormalities, sensations in the lower abdomen can sometimes be linked to urinary tract issues, such as bladder irritation or mild infections that may not always present with overt symptoms.

3. Gynecological Factors: Since you have undergone ultrasound examinations of the uterus, it is also worth considering that gynecological conditions, such as ovarian cysts or other benign conditions, could contribute to discomfort in the lower abdomen.

When to Seek Medical Advice
Given your symptoms and the fact that they are intermittent and not persistent, it may not be urgent to seek immediate medical attention. However, you should consider consulting a healthcare provider if:
- The discomfort becomes more frequent or severe.

- You experience additional symptoms such as changes in urination (increased frequency, urgency, or pain), fever, or any unusual vaginal discharge.

- You notice any changes in your menstrual cycle or experience significant changes in your overall health.

Choosing the Right Specialist
If you decide to seek further evaluation, the choice between a urologist and a gynecologist may depend on the specific characteristics of your symptoms:
- Urologist: If you suspect that your symptoms are primarily related to urinary issues, such as bladder discomfort or urinary tract concerns, a urologist would be the appropriate specialist to consult. They can perform targeted evaluations, including bladder ultrasounds or cystoscopy, to assess for any underlying urinary tract conditions.

- Gynecologist: If you believe that your symptoms may be related to gynecological issues, such as ovarian cysts or other reproductive health concerns, a gynecologist would be the right choice. They can perform pelvic examinations and ultrasounds to evaluate the reproductive organs.

Conclusion
In summary, while your current symptoms may not warrant immediate concern, it is essential to monitor them and seek medical advice if they change or worsen. Depending on your assessment of the symptoms, you can choose to consult either a urologist or a gynecologist. Regular communication with your healthcare provider about any new or persistent symptoms is crucial for maintaining your health and addressing any potential issues early on. Remember, it is always better to err on the side of caution when it comes to your health.

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