Which Doctor to See for Frequent Stomach Pain: Gastroenterology or Family Medicine? - Gastroenterology and Hepatology

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If you have stomach pain, you should see a gastroenterologist?


Hello, Dr.
Tsai.
I've been experiencing frequent stomach pain lately, and my diet has been normal without any significant changes.
I feel pain both when I don't eat and after meals, and occasionally I have a strong urge to vomit.
Which specialist should I see for this issue, a family medicine doctor or a gastroenterologist? Thank you for your help.

Jiexi, 20~29 year old female. Ask Date: 2015/11/20

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is recommended to consult a gastroenterologist.
You should avoid consuming tea, coffee, carbonated beverages, fried foods, glutinous rice products, high-fat, and high-protein foods.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/11/20

More Info


When experiencing frequent stomach pain, it is essential to determine the underlying cause to receive appropriate treatment. Given your symptoms—persistent stomach pain that occurs both before and after meals, along with occasional nausea—it is advisable to consult a gastroenterologist. Gastroenterologists specialize in diagnosing and treating disorders of the gastrointestinal tract, which includes the stomach, intestines, and other related organs.
Family medicine doctors can provide general care and manage a variety of health issues, but they may not have the specialized training required to address complex gastrointestinal problems. If your symptoms are persistent and concerning, a gastroenterologist will be better equipped to conduct the necessary diagnostic tests, such as endoscopy, ultrasound, or other imaging studies, to identify the root cause of your discomfort.

In your case, since you have not made any significant changes to your diet and are still experiencing these symptoms, it is crucial to rule out conditions such as gastritis, peptic ulcers, or even gastroesophageal reflux disease (GERD). These conditions can cause pain and discomfort in the stomach area and may require specific treatments that a gastroenterologist can provide.

Additionally, it is important to consider lifestyle factors that may contribute to your symptoms. Stress, anxiety, and emotional fluctuations can significantly impact gastrointestinal health. If you suspect that stress might be exacerbating your stomach issues, it may be beneficial to discuss this with your doctor. They might recommend stress management techniques, dietary modifications, or even therapy to help manage your symptoms.

In terms of dietary recommendations, it is advisable to avoid irritants such as caffeine, alcohol, spicy foods, and high-fat meals, as these can aggravate stomach pain. Eating smaller, more frequent meals rather than large ones can also help reduce discomfort. Keeping a food diary may assist in identifying any specific triggers that worsen your symptoms.

If you find that over-the-counter medications provide temporary relief, it is still essential to follow up with a healthcare provider for a comprehensive evaluation. While antacids and H2 blockers can help manage symptoms, they do not address the underlying cause of your stomach pain. A gastroenterologist can provide a tailored treatment plan based on the results of your diagnostic tests.

In summary, for frequent stomach pain, it is best to see a gastroenterologist. They can perform the necessary evaluations to diagnose your condition accurately and recommend appropriate treatments. Meanwhile, consider lifestyle and dietary changes that may alleviate your symptoms, and do not hesitate to seek help for stress management if you believe it is contributing to your gastrointestinal issues.

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