Unraveling Abdominal Pain: When to See a Gastroenterologist?

Is it uncertain whether it's stomach pain?

Hello: I have been experiencing vague abdominal pain for one to two months, with soreness extending from my back to my lower back (especially on the left side, which hurts even without pressure).
I also have soreness near my ribs around the stomach area.
My bowel movements are either constipated or slightly diarrhea, and the stool is rarely well-formed.
Could you please advise me on what might be wrong and whether I should see an orthopedic specialist or a gastroenterologist?

casper, 20~29 year old female. Ask Date: 2001/03/16

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, the issue seems to be related to the digestive system, so it would be advisable to consult a gastroenterologist.
Wishing you good health!

Reply Date: 2001/03/16

More Info

Abdominal pain can be a complex issue, and it is essential to understand the underlying causes to determine the appropriate course of action. Based on your description, it seems that you have been experiencing persistent discomfort in your abdomen, which radiates to your back and waist, particularly on the left side. Additionally, you mentioned irregular bowel movements, alternating between constipation and mild diarrhea, with poorly formed stools. Given these symptoms, it is advisable to consult a gastroenterologist rather than an orthopedic specialist.

The gastrointestinal (GI) tract is responsible for digestion and the elimination of waste, and any dysfunction in this system can lead to various symptoms, including abdominal pain, changes in bowel habits, and discomfort in surrounding areas. Your symptoms suggest a possible functional gastrointestinal disorder, such as Irritable Bowel Syndrome (IBS), which is characterized by abdominal pain and altered bowel habits without any identifiable structural abnormalities. Stress, anxiety, and dietary factors often exacerbate IBS symptoms, and it is crucial to address these aspects in your treatment plan.

Another potential cause of your symptoms could be related to gastrointestinal inflammation or infection. Conditions such as gastritis, peptic ulcers, or even infections caused by bacteria like Helicobacter pylori can lead to abdominal pain and discomfort. These conditions may also affect your appetite and lead to changes in bowel habits. A gastroenterologist can perform the necessary diagnostic tests, such as blood tests, stool tests, or imaging studies, to rule out these possibilities.

Additionally, your description of pain radiating to the back and waist could indicate issues with the pancreas or gallbladder, especially if you have a history of gallstones or gallbladder disease. Pancreatitis, for instance, can cause severe abdominal pain that may radiate to the back. If you have previously undergone gallbladder surgery, it is essential to discuss any ongoing symptoms with your gastroenterologist, as complications can arise post-surgery.

Given the complexity of your symptoms, it is crucial to seek specialized care. A gastroenterologist will be able to conduct a thorough evaluation, including a detailed medical history, physical examination, and possibly endoscopic procedures or imaging studies, to identify the root cause of your discomfort. They can also provide you with a tailored treatment plan that may include dietary modifications, medications to manage symptoms, and lifestyle changes to improve your overall gut health.

In summary, based on your symptoms of persistent abdominal pain, back discomfort, and irregular bowel movements, it is advisable to see a gastroenterologist. They are equipped to diagnose and treat conditions related to the gastrointestinal system, which seems to be the source of your issues. Early intervention can lead to better management of your symptoms and improve your quality of life. Don't hesitate to seek help, as addressing these concerns promptly is essential for your health and well-being.

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