Intermittent Stomach Pain: When to Seek Further Testing

Intermittent stomach pain?

Hello, I recently went to China Medical University to undergo an upper gastrointestinal endoscopy.
After reviewing the report, the doctor informed me that there was some minor erosion, but I didn't fully understand what that meant.
The images from the endoscopy only showed a few white spots, and no medication was prescribed, so the matter was left unresolved.
I continue to experience stomach pain, which feels like cramping, and recently, the pain has also radiated to my uterus.
My stool color is normal.
Would you recommend another endoscopy or an ultrasound examination? Thank you.

San Yue Wu Yu, 20~29 year old female. Ask Date: 2002/03/05

Dr. Xu Ruihong reply Gastroenterology and Hepatology

Hello, a general gastroscopy indicates superficial gastric ulcers.
Some individuals may heal without medication, but most will require medication to alleviate symptoms.
However, your symptoms seem more indicative of a functional gastrointestinal issue (such as gastric spasms or poor intestinal motility).
It would be advisable to follow up with a gastroenterologist.
If you have recently undergone a gastroscopy and your stool color is normal, there is no need for a repeat examination.
As for the ultrasound examination, please discuss your condition with your physician, who will determine whether this test is necessary.

Reply Date: 2002/03/05

More Info

Understanding intermittent stomach pain can be quite complex, especially when previous examinations have shown some abnormalities, such as "a bit of broken skin" in the stomach lining. This description likely refers to superficial lesions or erosions that can occur in conditions like gastritis or peptic ulcers. The presence of these lesions can lead to symptoms such as intermittent stomach pain, which you are experiencing.

When it comes to the nature of your pain, you mentioned it feels like cramping and has even radiated to your pelvic area, which is concerning. While it is not uncommon for gastrointestinal pain to be referred to other areas, such as the lower abdomen or back, the fact that you are experiencing pain that shifts to the area around the uterus warrants further investigation. This could be due to a variety of reasons, including gastrointestinal issues, gynecological conditions, or even referred pain from other abdominal organs.

Given your ongoing symptoms and the previous findings from your endoscopy, it would be prudent to consider further testing. Here are some points to consider:
1. Repeat Endoscopy: If your symptoms persist, a repeat endoscopy may be warranted. This procedure allows for direct visualization of the stomach lining and can help assess whether the lesions have worsened or if new issues have developed. It also provides the opportunity for biopsies if necessary, which can help rule out more serious conditions, including gastric cancer.

2. Ultrasound Examination: An abdominal ultrasound can be a useful non-invasive tool to evaluate the organs in your abdomen, including the gallbladder, liver, pancreas, and reproductive organs. This can help identify any abnormalities that may be contributing to your symptoms, especially if there is a concern about gynecological issues.

3. Symptom Diary: Keeping a detailed diary of your symptoms, including the timing, duration, and nature of the pain, as well as any associated symptoms (like changes in bowel habits, nausea, or vomiting), can provide valuable information to your healthcare provider. This can help in determining the pattern of your pain and any potential triggers.

4. Dietary Considerations: While you are seeking medical advice, it may also be beneficial to pay attention to your diet. Avoiding spicy, acidic, or fatty foods can help reduce irritation in the stomach. Eating smaller, more frequent meals rather than large meals may also alleviate some discomfort.

5. Consultation with Specialists: If your symptoms continue to be problematic, consider consulting both a gastroenterologist and a gynecologist. This dual approach can help ensure that both gastrointestinal and reproductive health issues are thoroughly evaluated.

In conclusion, while the initial endoscopy provided some insights, the persistence of your symptoms suggests that further investigation is necessary. It is essential to communicate openly with your healthcare provider about your ongoing pain and any new symptoms you may experience. They can guide you on the best course of action, which may include repeat endoscopy, ultrasound, or other diagnostic tests to get to the root of your discomfort. Your health and well-being are paramount, and addressing these symptoms promptly can lead to better management and relief.

Similar Q&A

Understanding Abdominal Discomfort: When to Seek Further Testing

Hello Doctor, I have been experiencing intermittent cramping in my abdomen for the past two months, and the shape of my stools has been inconsistent, sometimes loose and sometimes formed. My stool tests showed no abnormalities, and I had a sigmoidoscopy in March that also showed ...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to follow a low-fat, low-dairy, and low-spice diet. If necessary, please visit a gastroenterologist at the hospital.

Understanding Gastrointestinal Issues: When to Seek Further Testing

Hello Doctor, I have been experiencing intermittent abdominal pain for over a year now. The pain is characterized as cramping, bloating, colicky, and sharp, accompanied by a feeling of pressure and discomfort in both my lower back and abdomen. Recently, I feel like my stomach has...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you have concerns that require further examination, it may be necessary to discuss this with your attending physician. The physician arranges tests after taking a history and conducting a physical examination to confirm the accuracy of the diagnostic judgment made durin...

Understanding Abdominal Pain and Bowel Issues: When to Seek Further Testing

Hello, I have been experiencing abdominal pain, gastrointestinal rumbling, and fever for over three months. My bowel movements vary between diarrhea and constipation, and in the mornings, I sometimes have to go to the bathroom several times before feeling completely empty. Occasi...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Whether additional tests are necessary should be determined by the clinical physician, which may include a stool occult blood test or a colonoscopy. It is recommended to adjust your diet and emotions, and to increase your intake of fluids and fiber. If there is still no im...

Understanding Abdominal Pain: When to Seek Further Gastrointestinal Testing

Hello, doctor. I would like to ask about experiencing severe upper abdominal pain twice within the past year (approximately six months apart). There was no vomiting or diarrhea, but after receiving IV fluids, blood tests, X-rays, and urine tests in the emergency room, everything ...

Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr./Ms. LALA, based on your description, your condition seems more like gastric spasms, which are often a symptom associated with gastritis. Medication treatment is usually sufficient; however, if the episodes occur frequently or the frequency increases, it is necessary to ...