Abdominal Pain: When to Seek Gynecological Care - Obstetrics and Gynecology

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Abdominal pain


Two weeks ago, I started feeling sudden pain in my lower left abdomen (about 2 inches below the navel and 2 inches to the left).
Initially, it occurred 2 to 3 times a day, but in the last 3 to 4 days, it has happened more than 10 times daily.
I'm not sure if I didn't pay much attention before or if it has become more severe recently.
I just saw a general practitioner who asked if I had constipation, diarrhea, or frequent urination, but I do not.
He also inquired about my menstrual cycle, but since I had just finished my period when the pain started, I'm unsure if there is an issue.
He mentioned that the area where I feel pain could involve the large intestine, urethra, uterus, or fallopian tubes, and said that occasional pain is not a major concern and that I shouldn't worry unless the situation persists, at which point I should consider seeing a specialist.
He suggested it might be a gastrointestinal issue and prescribed me four medications: Dimegel, Becompex, Dhamotil, and Digezyme (s/c) tab.

I have the following questions:
1) If I have a gastrointestinal issue, will it heal on its own without medication? If it is not a gastrointestinal issue, could taking these medications cause any problems?
2) In my situation, do I need to see a gynecologist only if there is an issue with my menstrual cycle?
3) I am due for my period in two weeks; will it be too late to check then?
4) If I see a gynecologist due to abdominal pain, what kind of examinations will be conducted? Will they take a sample or just perform an ultrasound? Will the results be available immediately?

Appl6, 20~29 year old female. Ask Date: 2005/10/17

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: Please come for a consultation.
The doctor will perform an ultrasound, and if there has been sexual intercourse, a pelvic examination should also be conducted.
Only if both are normal can we rule out the possibility of gynecological diseases.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/10/17

More Info


Understanding abdominal pain can be quite complex, especially when it involves the gynecological system. Your symptoms, particularly the sudden onset of pain in the left lower abdomen, warrant careful consideration. Here’s a breakdown of your questions and some additional insights into when to seek gynecological care.


1. Will gastrointestinal issues heal on their own without medication?
Many gastrointestinal issues can resolve on their own, particularly if they are mild and related to transient factors like dietary changes or minor infections. However, if the pain persists or worsens, it is crucial to seek further evaluation. The medications prescribed by your doctor—Dimegel, Becompex, Dhamotil, and Digezyme—are designed to alleviate symptoms associated with gastrointestinal distress. If your pain is indeed gastrointestinal in nature, these medications may help you feel better. However, if your symptoms do not improve or if they worsen, it is essential to follow up with your healthcare provider for further assessment.


2. Do I need to see a gynecologist if my menstrual cycle is normal?
While your menstrual cycle may appear normal, abdominal pain can sometimes be related to gynecological issues, such as ovarian cysts, endometriosis, or pelvic inflammatory disease. If the pain persists, it would be prudent to consult a gynecologist, especially if you experience additional symptoms like changes in your menstrual cycle, unusual discharge, or pain during intercourse. A gynecologist can provide a more targeted evaluation of your reproductive organs.


3. Is waiting two weeks until my next period to check too late?
It depends on the progression of your symptoms. If the pain is severe or accompanied by other concerning symptoms (such as fever, vomiting, or significant changes in bowel habits), it is advisable to seek medical attention sooner rather than later. If the pain remains mild and manageable, waiting until your next period may be acceptable, but you should remain vigilant for any changes in your condition.


4. What kind of examinations can I expect if I visit a gynecologist for abdominal pain?
When you visit a gynecologist for abdominal pain, they will typically start with a thorough medical history and physical examination. This may include:
- Pelvic Examination: To check for any abnormalities in the reproductive organs.

- Ultrasound: This imaging test can help visualize the ovaries, uterus, and surrounding structures to identify any cysts, fibroids, or other issues.

- Blood Tests: These can help assess for signs of infection or other underlying conditions.

- Urinalysis: To rule out urinary tract infections, which can also cause abdominal pain.

Results from an ultrasound or blood tests may not be immediate, but your doctor will discuss the timeline for results and any necessary follow-up.


Additional Considerations
Given your history of abdominal pain and the potential for gynecological issues, it is essential to monitor your symptoms closely. If you experience any of the following, seek immediate medical attention:
- Severe or worsening pain
- Fever or chills
- Nausea or vomiting
- Changes in bowel or urinary habits
- Unusual vaginal bleeding or discharge
In conclusion, while your current symptoms may not seem alarming, they should not be ignored, especially if they persist. Understanding the potential causes of abdominal pain and knowing when to seek further evaluation can help ensure that any underlying issues are addressed promptly. Always trust your instincts; if something feels off, it’s worth getting checked out.

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