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

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Recently, my stomach has been experiencing intermittent spasms?


Hello, doctor: For the past month, I have been experiencing intermittent pulsations in my stomach, frequent diarrhea (I have recently been drinking plum vinegar), and lower abdominal pain.
Sometimes I also feel bloating and pain in my chest.
I have visited a gynecologist, and there are no signs of pregnancy.
About 5-6 months ago, a doctor suggested that I undergo an endoscopy.
Which department should I go to for further examination?

Xiao Yi, 20~29 year old female. Ask Date: 2004/10/04

Dr. Su Baojia reply Gastroenterology and Hepatology


You should see a gastroenterologist for an examination of your symptoms.

Reply Date: 2004/10/04

More Info


When experiencing abdominal twitches, diarrhea, and pain in the lower abdomen, it is essential to seek the appropriate medical attention to determine the underlying cause of these symptoms. Given your description, it would be advisable to consult a gastroenterologist, as they specialize in diagnosing and treating conditions related to the gastrointestinal tract, including the stomach, intestines, and associated organs.

Abdominal twitching can be attributed to various factors, including muscle spasms, gastrointestinal disturbances, or even stress and anxiety. In your case, the combination of symptoms—especially the abdominal pain and diarrhea—suggests that there may be an underlying gastrointestinal issue that needs to be addressed. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even infections could be potential causes of your symptoms.

The fact that you have also experienced chest pain could indicate that the issue may not be limited to the gastrointestinal tract. It is important to differentiate between gastrointestinal-related pain and potential cardiac issues, especially if the chest pain is significant or accompanied by other concerning symptoms such as shortness of breath or dizziness. Therefore, if the chest pain persists or worsens, it would be prudent to seek immediate medical attention.

As for your recent consumption of plum vinegar, it is worth noting that dietary changes can significantly impact gastrointestinal function. While some individuals may find relief from digestive issues through natural remedies or dietary adjustments, others may experience adverse effects, such as increased acidity or gastrointestinal upset. If you suspect that the plum vinegar may be contributing to your symptoms, consider discontinuing its use and monitoring any changes in your condition.

Regarding the recommendation for an upper endoscopy (gastroscopy), this procedure is typically indicated when there are persistent symptoms that suggest a possible upper gastrointestinal issue, such as ulcers, gastritis, or esophageal disorders. Given your history of abdominal discomfort and the recent suggestion from a physician, it may be beneficial to follow through with this recommendation. An upper endoscopy allows for direct visualization of the esophagus, stomach, and duodenum, and can help identify any abnormalities that may be causing your symptoms.

In summary, based on your symptoms of abdominal twitching, diarrhea, and lower abdominal pain, it is advisable to consult a gastroenterologist for a thorough evaluation. They may recommend diagnostic tests, including an upper endoscopy, to assess your gastrointestinal health. Additionally, if you experience any worsening of symptoms, particularly chest pain, do not hesitate to seek immediate medical attention. It is crucial to address these symptoms promptly to ensure proper diagnosis and treatment.

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