Which Specialist to See for Abdominal Swelling and Discomfort?

Should I see a general internist or a urologist?

I have had a slight swelling in the area just above my left reproductive organ since middle school when I exert myself, but it hasn't interfered with my daily life, so I didn't pay much attention to it.
Now that I am 26, I have noticed in the past two weeks that the swollen area feels warm, and in the last couple of days, I have started to experience mild lower back pain when sitting.
Which department should I visit at the hospital for this condition?

Ben, 20~29 year old female. Ask Date: 2007/01/09

Dr. Lin Mingfeng reply Internal Medicine

Based on the described symptoms, it may be a hernia.
It is recommended to first consult a urologist.

Reply Date: 2007/01/09

More Info

When dealing with abdominal swelling and discomfort, especially in the area you described, it's essential to approach the situation with a thorough understanding of potential underlying issues. Given your symptoms of swelling, warmth, and associated lower back discomfort, it would be prudent to consult a specialist who can evaluate these concerns comprehensively.

Recommended Specialist
1. Primary Care Physician (PCP): Your first step should be to visit your primary care physician. They can perform an initial assessment, including a physical examination and a review of your medical history. They may also order preliminary tests, such as blood work or imaging studies, to help identify the cause of your symptoms.

2. Gastroenterologist: If your PCP suspects that the swelling and discomfort are related to gastrointestinal issues, they may refer you to a gastroenterologist. This specialist focuses on the digestive system and can evaluate conditions such as inflammatory bowel disease, hernias, or other gastrointestinal disorders.

3. Urologist: Given the location of your symptoms near the reproductive area, a urologist may also be appropriate, especially if there is any suspicion of urinary tract issues or conditions affecting the reproductive organs.

4. Gynecologist: If you are female, a gynecologist should be consulted to rule out any gynecological issues, such as ovarian cysts or other reproductive health concerns that could be causing your symptoms.

Possible Conditions to Consider
- Hernia: The swelling you describe could be indicative of a hernia, particularly if it becomes more pronounced with physical activity or straining. Hernias can cause discomfort and may require surgical intervention if they become incarcerated or strangulated.

- Infection or Inflammation: The sensation of warmth and discomfort could suggest an infection or inflammation in the abdominal area, such as appendicitis or diverticulitis. These conditions often require prompt medical attention.

- Ovarian Cysts: In females, ovarian cysts can cause localized swelling and discomfort. They may also lead to referred pain in the lower back.

- Musculoskeletal Issues: The lower back pain you mentioned could be related to musculoskeletal issues, such as muscle strain or spinal problems. This may require evaluation by an orthopedic specialist or a physical therapist.

Importance of Timely Evaluation
It is crucial to seek medical attention promptly, especially since you have experienced a change in your symptoms, such as the onset of warmth and lower back discomfort. Early evaluation can help prevent complications and ensure that any necessary treatment is initiated without delay.

Conclusion
In summary, start with your primary care physician, who can guide you through the appropriate referrals based on their findings. Depending on the results of your initial evaluation, you may be directed to a gastroenterologist, urologist, or gynecologist. Remember, addressing these symptoms early on is vital for your health and well-being. Don't hesitate to seek help, as timely intervention can make a significant difference in your recovery and overall health.

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