Which Medical Specialty Should I See for Abdominal Pain and Blood in Stool?

Which department should I make an appointment with?

Hello, I have been experiencing intermittent pain on both sides of my abdomen.
It seems to improve after a while but then starts hurting again.
I've also noticed some blood in my stool.
Which specialty should I consult? Should I consider a full health check-up instead? Thank you.

Miao Miao, 20~29 year old female. Ask Date: 2012/07/30

Dr. Liao Yaopan reply Family Medicine

Hello, regarding your question, gastrointestinal-related examinations may be necessary based on your symptoms.
It is advisable to consult your family physician for further evaluation.
Of course, if you are considering a comprehensive health check-up, that is also an option.
Changhua Hospital offers related services, and you can inquire further at (04-8298686 ext.
3812).
Thank you for your inquiry, and Changhua Hospital cares about your well-being.

Reply Date: 2012/07/30

More Info

If you are experiencing abdominal pain along with blood in your stool, it is crucial to seek medical attention promptly. The combination of these symptoms can indicate a variety of conditions, some of which may require immediate intervention. Given your symptoms, the most appropriate medical specialty to consult would be gastroenterology. Gastroenterologists specialize in diagnosing and treating disorders of the digestive system, which includes the stomach, intestines, and colon.

When you visit a gastroenterologist, they will likely conduct a thorough evaluation, which may include a detailed medical history, a physical examination, and possibly some diagnostic tests. These tests could include blood tests, stool tests, imaging studies (like an abdominal ultrasound or CT scan), or endoscopic procedures such as a colonoscopy. A colonoscopy is particularly important if there is blood in the stool, as it allows the doctor to directly visualize the colon and rectum and potentially identify any abnormalities such as polyps, inflammation, or tumors.

In addition to gastroenterology, if your abdominal pain is severe or accompanied by other concerning symptoms (such as fever, significant weight loss, or changes in bowel habits), you may also consider visiting the emergency department. They can provide immediate care and further evaluation to rule out any serious conditions such as appendicitis, diverticulitis, or gastrointestinal bleeding.

Regarding your question about whether to undergo a full-body health check, while it can be beneficial to have a comprehensive evaluation, it is more important to address the specific symptoms you are experiencing. A targeted approach focusing on your gastrointestinal symptoms will likely yield more relevant information and lead to a quicker diagnosis.

In summary, here are the steps you should consider:
1. Schedule an appointment with a gastroenterologist: This specialist will be best equipped to evaluate your abdominal pain and blood in your stool.

2. Prepare for your appointment: Keep a record of your symptoms, including when they started, their frequency, and any other associated symptoms (like changes in appetite, weight loss, or bowel habits).

3. Be open to diagnostic tests: Your doctor may recommend tests to get to the root of your symptoms, so be prepared for that possibility.

4. Seek immediate care if symptoms worsen: If you experience severe pain, fever, or other alarming symptoms, do not hesitate to go to the emergency room.

It is essential to take these symptoms seriously, as they can be indicative of underlying health issues that require timely intervention.

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