Concerns About X-Ray Radiation and Ongoing Abdominal Pain: What to Do? - Surgery

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X-ray questions..?


I have been experiencing abdominal pain along with a pressure-like sensation in my lower back to rib area, accompanied by pain, tightness, and an indescribable feeling of discomfort.
I have been unable to find the cause despite consulting gastroenterology, obstetrics and gynecology, urology, rheumatology and immunology, and neurology.
In the past six months, I have undergone a barium enema X-ray once, chest X-rays four times, abdominal X-rays twice, and additional X-rays of my buttocks, abdomen, and chest totaling around six to seven X-rays.

Doctor, I have two questions:
1.
Am I at risk of radiation overexposure? Is it concerning to have so many X-rays done?
2.
What should I do about my discomfort? It has been over a year now.

Xin, 10~19 year old female. Ask Date: 2012/09/19

Dr. Ke Fangxu reply Surgery


Avoid unnecessary X-rays, as literature has confirmed that pediatric computed tomography (CT) scans can increase the risk of cancer.
Although there are no specific studies on X-rays, both modalities are similar in nature.
If unexplained discomfort persists but multiple specialist evaluations show no issues, the likelihood of missing a significant illness is generally low.
Sometimes, I recommend that patients consult a psychiatrist, as their symptoms may be related to psychosomatic disorders caused by mental stress.
This is provided for your reference.

Reply Date: 2012/09/19

More Info


When it comes to concerns about X-ray radiation and ongoing abdominal pain, it's important to address both the radiation exposure and the underlying health issues that may be causing your discomfort.


Radiation Exposure from X-rays
Firstly, regarding your concern about radiation exposure from the X-rays you have undergone, it's essential to understand that the amount of radiation from standard X-ray examinations is relatively low. For instance, a single chest X-ray typically exposes a patient to about 0.1 mSv (millisieverts), while an abdominal X-ray can expose you to approximately 0.54 mSv. In comparison, the average person is exposed to about 2-3 mSv of natural background radiation each year from environmental sources.

Over the course of six months, if you have had multiple X-rays, the cumulative dose may still be within safe limits. According to the International Commission on Radiological Protection (ICRP), doses below 100 mSv are generally considered safe and unlikely to cause significant health effects. Your total exposure from the X-rays you mentioned is likely to be well below this threshold, especially when compared to other sources of radiation, such as a CT scan, which can deliver a dose of around 10 mSv or more.


Ongoing Abdominal Pain
Now, regarding your ongoing abdominal pain and discomfort, it is crucial to continue seeking answers from healthcare professionals. Since you have already consulted various specialists, including gastroenterologists and urologists, and have undergone several imaging studies, it may be beneficial to consider the following steps:
1. Follow-Up with a Specialist: If your symptoms persist, it may be worthwhile to revisit a gastroenterologist or a pain specialist who can provide a more comprehensive evaluation. They may suggest additional tests, such as an MRI or a CT scan, to further investigate the cause of your pain.

2. Consider a Multidisciplinary Approach: Sometimes, abdominal pain can be multifactorial, involving gastrointestinal, musculoskeletal, or even psychological components. A multidisciplinary approach involving a team of specialists may help in diagnosing and managing your symptoms more effectively.

3. Lifestyle Modifications: Incorporating lifestyle changes such as dietary adjustments, regular physical activity, and stress management techniques can also play a significant role in alleviating abdominal discomfort. Keeping a food diary may help identify any dietary triggers that could be contributing to your symptoms.

4. Pain Management: If your pain is chronic and debilitating, discussing pain management options with your healthcare provider may be beneficial. This could include medications, physical therapy, or alternative therapies such as acupuncture or cognitive-behavioral therapy.

5. Psychological Support: Given that chronic pain can often lead to anxiety and depression, seeking support from a mental health professional may also be helpful. They can provide coping strategies and support to help you manage the emotional aspects of living with chronic pain.


Conclusion
In summary, while your concerns about radiation exposure from X-rays are valid, the levels you have experienced are likely within safe limits. However, your ongoing abdominal pain requires further investigation and a comprehensive approach to management. It is essential to communicate openly with your healthcare providers about your symptoms and concerns, as they can guide you toward the most appropriate next steps for your health. Remember, you are not alone in this journey, and there are resources and professionals available to help you find relief and answers.

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