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Saturday, 12/9/2026 | 08:06 GMT+7

Does prolonged digestive disorder require endoscopy?

I am 40 years old and often experience a dull ache in my lower left abdomen, along with digestive disorders. While medication provides some improvement, the condition frequently recurs. Do individuals with digestive disorders need a colonoscopy? (Minh Anh, Lam Dong)

Answer:

Prolonged abdominal pain accompanied by digestive disorders can signal various gastrointestinal conditions. It is advisable to consult a gastroenterologist for a thorough examination. The doctor will assess the nature of your pain, bowel habits, dietary choices, current medical conditions, medications, and any other accompanying symptoms. This detailed information allows the doctor to narrow down the potential causes of your persistent abdominal pain and digestive issues.

Following a comprehensive medical history, your doctor may conduct a physical examination, particularly focusing on the abdominal area. This helps detect any abnormal signs, such as localized pain or unusual masses on the abdominal wall.

Doctors at Tam Anh General Hospital TP HCM perform a colonoscopy for a patient. Photo: Provided by the hospital.

To aid in diagnosis, your doctor may also order several necessary paraclinical tests. These can include a blood count, CRP, stool and parasite tests, and an abdominal ultrasound.

A colonoscopy is not a routine procedure for all patients experiencing abdominal pain. This method is specifically indicated based on the results of the physical examination and other signs that suggest a colorectal disease. Endoscopy provides direct visualization of the entire colon lining, allowing doctors to identify lesions such as inflammation, ulcers, diverticula, polyps, or tumors. If necessary, a doctor can perform a biopsy of any lesions or remove polyps during the procedure for histopathological examination.

Currently, colorectal endoscopy is often performed under anesthesia, ensuring the patient experiences no pain or discomfort. Before the procedure, patients should undergo a consultation with their doctor to discuss the most suitable endoscopy method and receive proper instructions for colon preparation.

For those experiencing continuous abdominal pain and bowel disturbances, or symptoms such as blood in stool, unintentional weight loss, anemia, or prolonged unexplained fever, it is crucial to seek medical attention immediately. Self-treating in these situations can lead to serious complications.

Doctor of First-Degree Specialization Ho Thanh Truc

Endoscopy and Gastrointestinal Endoscopic Surgery Center

Tam Anh General Hospital TP HCM

Readers can ask questions about digestive diseases here for doctors to answer
By VnExpress: https://vnexpress.net/roi-loan-tieu-hoa-keo-dai-co-can-noi-soi-5119415.html
Tags: abdominal pain colonoscopy digestive disorder

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