Which Medical Specialty Should I See for Suspected Intestinal Adhesions? - Surgery

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If you suspect that you have intestinal adhesions, the most appropriate medical specialty to consult would be a Gastroenterology specialist. Gastroenterologists are trained to diagnose and treat conditions related to the gastrointestinal tract, which includes the intestines. Given your history of abdominal surgery (specifically a cesarean section), it is plausible that adhesions could have developed, leading to your ongoing abdominal pain.

Adhesions are bands of scar tissue that can form after surgery, and they may cause organs to stick together or to the abdominal wall. This can lead to complications such as bowel obstruction, which can manifest as severe abdominal pain, bloating, nausea, and changes in bowel habits. A gastroenterologist can perform a thorough evaluation, which may include a physical examination, imaging studies (like an abdominal ultrasound or CT scan), and possibly endoscopic procedures to assess the condition of your intestines.

In some cases, if the gastroenterologist suspects that the adhesions are causing significant issues, they may refer you to a General Surgeon. Surgeons are equipped to perform procedures that can address adhesions, such as laparoscopic surgery, which can help to release the adhesions and alleviate symptoms.
It is important to communicate your symptoms clearly to the healthcare provider, including the nature, duration, and intensity of your abdominal pain, as well as any other symptoms you may be experiencing. This information will help guide the diagnostic process and determine the best course of action.

In addition to seeing a gastroenterologist, you might also consider discussing your concerns with your primary care physician. They can provide a referral and help coordinate your care, ensuring that you receive a comprehensive evaluation and treatment plan.

While waiting for your appointment, it may be beneficial to keep a symptom diary. Note when the pain occurs, any associated symptoms, and any potential triggers (such as certain foods or activities). This information can be valuable for your healthcare provider in diagnosing your condition.

In summary, start with a consultation with a gastroenterologist, who can evaluate your symptoms and determine if further intervention is necessary. If surgery is indicated, they will refer you to a general surgeon who specializes in such procedures. Remember, timely evaluation and treatment are crucial in managing potential complications related to intestinal adhesions.