Abdominal Discomfort: When to See a Doctor? - Obstetrics and Gynecology

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Abdominal discomfort?


Hello, doctor: I've been experiencing a feeling of heaviness and slight pain in my abdomen for a week now, and I have been having daily bowel movements.
Should I see a doctor? Which specialty should I consult? Additionally, I would like to have a gynecological ultrasound and a CA-125 blood test done once a year.

huanzhe, 40~49 year old female. Ask Date: 2014/04/10

Dr. Lin Wenbin reply Obstetrics and Gynecology


It is necessary to have a look to understand the situation.
You can consult both obstetrics and gynecology as well as gastroenterology for separate examinations.

Reply Date: 2014/04/10

More Info


When experiencing abdominal discomfort that persists for a week, it is essential to consider several factors before deciding whether to see a doctor. Given that you have been experiencing a dull ache in your abdomen, it is prudent to consult a healthcare professional, especially if the discomfort is new, persistent, or worsening.
Abdominal pain can arise from various causes, ranging from benign issues like gas or indigestion to more serious conditions such as appendicitis, gallbladder disease, or even gynecological issues. Since you mentioned that you have been having regular bowel movements, this may suggest that constipation is not the primary issue, but it does not rule out other gastrointestinal problems.
In your case, it would be advisable to see a gastroenterologist first. They specialize in disorders of the digestive system and can perform necessary evaluations, such as imaging studies or endoscopies, to determine the underlying cause of your discomfort. They may also conduct tests to rule out conditions like inflammatory bowel disease, peptic ulcers, or gastrointestinal infections.

Additionally, since you expressed interest in having an annual gynecological ultrasound and CA-125 blood test, it would be beneficial to consult with a gynecologist as well. The CA-125 test is often used as a tumor marker for ovarian cancer, and while it is not specific, it can provide useful information when combined with other diagnostic tools. A gynecologist can assess whether your abdominal pain may be related to reproductive organs, such as ovarian cysts or fibroids, which could also cause discomfort.

It is important to communicate all your symptoms clearly to the healthcare provider, including the nature of the pain (sharp, dull, cramping), any associated symptoms (nausea, vomiting, changes in appetite), and any relevant medical history (previous surgeries, chronic conditions). This information will help the doctor make a more accurate diagnosis.

Moreover, if you experience any alarming symptoms such as severe pain, fever, vomiting, or changes in bowel habits (like blood in stool), you should seek immediate medical attention. These could indicate a more serious condition that requires prompt treatment.

In summary, given your ongoing abdominal discomfort, it is advisable to see a gastroenterologist for a thorough evaluation. Additionally, consider scheduling an appointment with a gynecologist for your annual ultrasound and CA-125 test. Early intervention can lead to better outcomes, so do not hesitate to seek medical advice. Your health is paramount, and addressing these symptoms proactively is the best course of action.

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