Abdominal pain

Comprehensive care for digestive disorders by Dr. Akeel Alisa

Understanding Abdominal Pain

Abdominal pain is one of the most common reasons people seek medical advice. It can range from mild discomfort to severe cramping and may be short-lived or persistent. While abdominal pain is often caused by minor issues such as indigestion or trapped wind, it can also be a sign of a more serious underlying condition.

Because so many organs are located in the abdomen — including the stomach, intestines, liver, gallbladder, pancreas, kidneys, and reproductive organs — identifying the exact cause requires expert evaluation. A gastroenterologist can help determine whether abdominal pain is linked to a digestive disorder or another medical condition.

Types of Abdominal Pain

Abdominal pain can vary depending on its cause:

  • Generalised pain: Felt across a large area of the abdomen, often caused by indigestion, gas, or a viral infection.
  • Localised pain: Felt in one specific area, which may suggest a problem with a particular organ such as the appendix, gallbladder, or stomach.
  • Cramping pain: Commonly linked to IBS, constipation, or diarrhoea.
  • Sharp or stabbing pain: Could indicate gallstones, kidney stones, or ulcers.
  • Chronic pain: Long-term discomfort often linked to conditions like IBD, coeliac disease, or reflux.

Common Causes

Abdominal pain may be triggered by a wide range of conditions, including:

  • Indigestion or acid reflux
  • Constipation or diarrhoea
  • Irritable Bowel Syndrome (IBS)
  • Food intolerances or allergies
  • Gallstones or gallbladder disease
  • Gastritis or stomach ulcers
  • Appendicitis
  • Inflammatory Bowel Disease (Crohn’s disease or ulcerative colitis)
  • Pancreatitis
  • Liver conditions, including hepatitis or fatty liver disease
  • Hernias
  • Gastrointestinal infections

When to Seek Medical Help

While mild abdominal pain often improves on its own, you should see a gastroenterologist if you experience:

  • Persistent or recurring abdominal pain
  • Pain that disrupts daily life or sleep
  • Severe or sudden onset pain
  • Pain accompanied by bloating, changes in bowel habits, or weight loss
  • Blood in stool or vomit
  • Persistent nausea or vomiting
  • A family history of bowel disease or bowel cancer

Seeking early medical advice helps to identify the cause and prevent complications.

Diagnosis of Abdominal Pain

A gastroenterologist will begin with a detailed consultation, reviewing your symptoms, medical history, and lifestyle. Diagnostic tests may include:

  • Blood tests: To check for infection, inflammation, or anaemia.
  • Stool tests: To look for infection, inflammation, or hidden blood.
  • Ultrasound or CT scans: To examine abdominal organs.
  • Endoscopy (gastroscopy or colonoscopy): To look inside the digestive tract and detect inflammation, ulcers, or cancer.
  • Breath tests: For lactose intolerance or SIBO.

Accurate diagnosis is the first step towards effective treatment.

Treatment Options

The treatment for abdominal pain depends on the underlying cause. Options may include:

  • Lifestyle and dietary changes: Adjustments to diet, hydration, and stress management.
  • Medications: Such as antacids, antispasmodics, antibiotics, or anti-inflammatory drugs.
  • Endoscopic procedures: To diagnose or treat issues such as ulcers, strictures, or polyps.
  • Surgery: If caused by appendicitis, gallstones, hernias, or bowel obstruction.

Possible Complications if Ignored

Ignoring persistent abdominal pain can allow serious conditions to progress undetected. For example:

  • Appendicitis can lead to a ruptured appendix.
  • Inflammatory bowel disease may cause long-term bowel damage.
  • Untreated ulcers can bleed or perforate.
  • Bowel cancer may go undiagnosed until it reaches an advanced stage.

This is why specialist evaluation is so important, even if symptoms appear mild.

Why See a Gastroenterologist?

A gastroenterologist has the expertise to:

  • Accurately identify the cause of abdominal pain
  • Rule out serious conditions quickly and safely
  • Provide personalised treatment plans
  • Offer access to advanced endoscopy and imaging
  • Reassure patients with clear answers and guidance
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My consultation with Dr Akeel Alisa was highly satisfactory and he was very thorough. The Gastroscopy procedure was performed satisfactorily with no pain or discomfort at all. I am very pleased with treatment received so far.

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I was fully vaccinated investigated by Dr Akeel Alisa and I was reassured. My endoscopy and colonoscopy were straight forward and painless. I am very happy with the care I received.

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