Abdominal Pain: When to See a Specialist?

Abdominal pain is a common issue that many people experience. While it is often caused by minor problems like indigestion, it can occasionally indicate a more serious underlying condition. It is important to know when to seek medical attention—especially if the pain is persistent, severe, or accompanied by other concerning symptoms.

Keep reading to learn the key signs of when abdominal pain deserves a closer look and how seeing a specialist early can make all the difference.

Common Causes of Abdominal Pain

Abdominal pain can arise from a wide range of conditions—some mild and short-lived, others more serious and requiring medical attention. While occasional discomfort may be linked to temporary digestive issues, persistent or severe pain should not be ignored. Common causes include:

• Digestive Issues

  : Indigestion, constipation or excess gas can cause cramping or bloating that often resolves with simple dietary or lifestyle adjustments.

• Infections

  : Viral or bacterial infections of the gastrointestinal tract can trigger abdominal pain, often accompanied by diarrhoea, nausea or fever.

• Inflammatory Conditions

  : Disorders such as diverticulitis, colitis or inflammatory bowel disease may cause ongoing abdominal pain that requires specialist care and treatment.

• Colorectal Conditions

  : Growths such as colorectal polyps or more serious diseases like colorectal cancer can also present as abdominal pain, particularly when associated with changes in bowel habits or rectal bleeding.

When Abdominal Pain May Be a Warning Sign

Abdominal pain refers to discomfort anywhere between the chest and the pelvic region. Although occasional discomfort is common, certain symptoms may indicate a more serious underlying condition.

Early indicators

Medical advice should be sought promptly if abdominal pain is accompanied by:

• Severe or Sudden Pain

  : This may signal a medical emergency such as appendicitis, perforated ulcer, or bowel obstruction that requires urgent attention.

• Blood in the Stool

  : Visible blood, whether bright red or dark, may indicate haemorrhoids, polyps or more serious conditions such as colorectal cancer.

• Unexplained Weight Loss

  : Losing weight without trying can suggest underlying digestive or systemic illnesses, including malignancies.

• Persistent Changes in Bowel Habits

  : Ongoing diarrhoea, constipation or alternating patterns lasting more than a few weeks can point to inflammatory bowel disease, diverticulitis or colorectal cancer.

• Pain Associated with Fever or Vomiting

  : This combination may be a sign of infection, inflammation, or intestinal blockage, all of which require medical evaluation.

Additionally, pain that occurs frequently over weeks or months, or that interferes with daily activities, may require further evaluation. Consulting a colorectal specialist can help determine whether the cause is related to gastrointestinal or colorectal conditions that need treatment.

The Role of Colonoscopy in Abdominal Pain

A colonoscopy is an important diagnostic tool that enables doctors to directly examine the large intestine. It is particularly helpful when abdominal pain raises concerns about possible colorectal conditions. Using a thin, flexible tube fitted with a camera, the specialist can carefully assess the colon lining in detail.

Through this procedure, a colonoscopy may help identify:

• Colorectal Polyps

  : Growths that may be benign but have the potential to develop into cancer if left untreated.

• Colorectal Cancer

  : Suspicious lesions or growths can be detected early, improving the chances of successful treatment.

• Sources of Gastrointestinal Bleeding

  : Such as ulcers, inflamed tissue, or vascular abnormalities that may not be visible on other tests.

In addition to diagnosis, colonoscopy also allows for tissue biopsies or the removal of polyps during the same procedure, providing both clarity and preventive care in a single session.

Coping with Abdominal Pain

Mild abdominal pain can often be eased with simple steps such as getting adequate rest, staying hydrated, and making small dietary adjustments. However, if the pain is persistent, severe, or accompanied by other warning signs, it’s important to seek medical attention. Early evaluation not only helps uncover the underlying cause but also reduces the risk of complications.

In Singapore, specialists like Dr Ho Kok Sun are experienced in diagnosing and managing a wide range of gastrointestinal and colorectal conditions. By consulting a qualified specialist, you can receive the right treatment plan, along with the peace of mind that your health is well cared for.

Our Colorectal Surgeon in Singapore

Dr Ho Kok Sun is a consultant colorectal & general surgeon in Singapore. He graduated from the National University of Singapore in 1993, obtained his Master of Medicine in Surgery in 1998 and became a Fellow of the Royal College of Surgeons of Edinburgh the same year. After completing specialist training in General Surgery in 2002, he pursued a fellowship at the Cleveland Clinic Florida and has since subspecialised in colorectal surgery. His areas of clinical interest include laparoscopic colorectal surgery, therapeutic endoscopy such as colonoscopy, and the management of anal conditions.

If your symptoms persist, worsen or occur alongside warning signs, schedule a consultation today for a thorough evaluation and timely care.