Chronic Lower Abdominal Pain: A Guide to When to See a Gastroenterologist

Understanding Chronic Lower Abdominal Pain

Many people experience lower belly pain, lower intestinal pain, or lower tummy pain at some point in their lives. While occasional discomfort may not be alarming, persistent or chronic lower abdominal cramps should never be ignored. They may signal underlying digestive conditions that need medical attention.

Why Chronic Pain Should Not Be Overlooked

Ignoring recurring lower abdominal pain in women and men can delay diagnosis of serious issues like infections, ulcers, or even irritable bowel syndrome (IBS). Timely evaluation by a gastroenterologist ensures accurate diagnosis and effective treatment.

Common Causes of Lower Abdominal Pain

Irritable Bowel Syndrome (IBS)

IBS is one of the most common causes of lower abdominal cramps and bloating. It often alternates between diarrhea and constipation, causing discomfort that flares up after meals or during stress.

Inflammatory Bowel Disease (IBD)

Conditions like Crohn’s disease and ulcerative colitis cause chronic inflammation in the intestines, leading to severe pain, diarrhea, and fatigue.

Digestive Infections

Bacterial, viral, or parasitic infections can result in lower intestinal pain, often with fever, nausea, or diarrhea.

Gynecological Causes in Women

In women, lower abdominal pain may sometimes relate to gynecological issues such as endometriosis, ovarian cysts, or pelvic inflammatory disease.

When to See a Gastroenterologist

Red-Flag Symptoms

Seek urgent medical attention if you experience:

• Severe lower tummy pain that doesn’t improve

• Blood in stool or urine

• Unexplained weight loss

• Persistent nausea or vomiting

• Fever with abdominal cramps

Duration and Frequency of Pain

If your pain lasts more than a few weeks or keeps returning, it’s a sign you need professional evaluation.

Diagnostic Approach to Chronic Abdominal Pain

Comprehensive Diagnostic Evaluation

A gastroenterologist will start with a detailed medical history and physical examination to identify possible causes of your abdominal pain.

Colonoscopy for Colon Health

Colonoscopy helps detect polyps, ulcers, or early signs of colorectal cancer, which can cause chronic lower abdominal pain.

Imaging Studies: CT and Ultrasound

• CT scans provide detailed images of abdominal organs

• Ultrasound helps detect gallstones, ovarian cysts, or bowel inflammation

IBS Management

If diagnosed with Irritable Bowel Syndrome, treatment may include:

• Dietary modifications (low FODMAP diet)

• Stress management techniques

• Medications for symptom control

How Dr. Sandeep Pal Helps Patients in Chandigarh

As an experienced Gastroenterologist in Chandigarh, Dr. Sandeep Pal offers:

• Comprehensive diagnostic evaluation for chronic abdominal pain

• Colonoscopy and imaging studies for accurate diagnosis

• IBS management plans tailored to each patient

• Personalized treatment strategies to improve quality of life

Self-Care and Prevention Tips

Dietary Adjustments

• Avoid heavy, greasy foods that worsen bloating

• Eat smaller, frequent meals

• Stay hydrated with plenty of water

Lifestyle Changes

• Incorporate regular exercise

• Reduce stress with yoga or meditation

• Maintain healthy sleep habits

FAQs About Chronic Lower Abdominal Pain

1. Is lower abdominal pain always serious?

Not always, but chronic or severe pain should be checked by a gastroenterologist.

2. How do I know if my pain is from IBS or something else?

Only diagnostic tests like colonoscopy or imaging can confirm the cause.

3. Does lower abdominal pain in women always mean a gynecological issue?

No, it could be digestive in nature — hence a gastroenterologist’s evaluation is important.

4. When should I get a colonoscopy?

If you have persistent lower tummy pain, blood in stool, or family history of colon cancer, a colonoscopy is recommended.

5. Can diet alone relieve chronic abdominal pain?

Diet helps, but medical evaluation is necessary for lasting relief.

6. How is IBS different from IBD?

IBS is a functional disorder (no visible damage), while IBD involves actual inflammation and damage to the intestines.

Conclusion: Don’t Ignore Lower Abdominal Pain

If you’re suffering from chronic lower abdominal cramps, lower belly pain, or lower intestinal pain, don’t dismiss it as routine indigestion. With the right diagnostic evaluation, colonoscopy, imaging studies, and IBS management, you can find relief and prevent serious complications.

👉 Consult Dr. Sandeep Pal in Chandigarh today to get answers and reclaim your digestive health.