Skip to content
Picture of Dr QM Leong
Dr QM Leong

When to See a Colorectal Surgeon Instead of a General Doctor For Abdominal Pain

Patient consulting colorectal surgeon in singapore for abdominal pain diagnosis in clinic setting.
Medical cost calculation related to the cost of haemorrhoids surgery and treatment planning.

Summary: 

  • If you have persistent, severe, or recurring abdominal pain, changes in bowel habits, rectal bleeding, or a family history of colorectal conditions, it’s time to see a colorectal surgeon instead of relying solely on a general doctor. 
  • A colorectal surgeon can diagnose and manage conditions such as haemorrhoids, anal fissures, inflammatory bowel disease, colorectal polyps, and early-stage colorectal cancer, using tests like colonoscopy, imaging, and lab assessments. 
  • They can also suggest both non-surgical and surgical treatment options.

Abdominal pain is common, and in many cases, a general doctor can help you manage it. But when symptoms persist, worsen, or keep coming back, it may be a sign that something more specific is going on. 

While a general doctor can treat mild or short-term issues, ongoing or more complex symptoms often need a more focused evaluation. Even if you’re not sure whether you need surgery, a colorectal surgeon can assess your condition thoroughly, confirm a diagnosis, and guide you on both non-surgical and surgical treatment options. 

Keep reading to find out more.

Signs to Visit a Colorectal Surgeon in Singapore

Certain symptoms suggest that your condition may require evaluation by a colorectal specialist rather than general management.

Symptoms Not Resolving With Primary Care Advice

If you’ve already seen a general doctor but your symptoms persist despite medication or lifestyle changes, it’s a sign you may need further evaluation from a colorectal surgeon. 

These may include:

  • Severe or persistent abdominal pain: Recurring or intense pain that doesn’t ease with rest may point to a serious underlying issue.

     

  • Unexplained nausea, vomiting, or bloating: These symptoms can disrupt digestion and may indicate gastrointestinal problems.

     

  • Sudden sharp abdominal pain: Pain in the lower right abdomen (possible appendicitis) or upper right abdomen (possible gallstones) needs prompt evaluation.

  • Fever and chills with abdominal discomfort: This combination may signal infection or inflammation that requires urgent medical attention

Recurring or Severe Bowel Problems

Beyond these symptoms, changes in bowel habits shouldn’t be ignored. Frequent constipation, diarrhoea, or alternating patterns, especially when they disrupt your daily life, can signal underlying colorectal issues that need attention.

Severe symptoms such as persistent rectal bleeding, pain during bowel movements, or a constant feeling of incomplete emptying may indicate conditions like haemorrhoids, anal fissures, or more complex colorectal issues.

Family History of Colorectal Conditions or Cancer

If you have a family history of colorectal polyps, inflammatory bowel disease, or colorectal cancer, your risk may be higher. In these cases, seeing a colorectal surgeon early allows for appropriate screening and monitoring, even if your symptoms seem mild.

Diagnostic Tests Recommended by a Colorectal Surgeon in Singapore

A colorectal surgeon focuses on identifying the exact cause of your symptoms. To do this, they may recommend a combination of targeted tests for a clear and accurate diagnosis.

Colonoscopy and Sigmoidoscopy

  • Colonoscopy: Uses a long, flexible, camera-equipped scope to examine your entire colon. This lets your colorectal surgeon spot polyps, inflammation, bleeding, or early signs of colorectal cancer. If needed, suspicious areas can be biopsied or polyps removed during the same procedure.

  • Sigmoidoscopy: Uses a shorter scope to focus on your rectum and lower part of the colon. It’s ideal for identifying localised issues and guiding targeted biopsies, helping your surgeon get insights into specific areas of concern.

Imaging Tests

  • Depending on your symptoms and risk factors, your surgeon may recommend imaging tests to provide a detailed view of your intestines and surrounding structures. 

    • Computed Tomography (CT) Scan: Uses X-rays to create detailed cross-sectional images of your intestines and surrounding structures. It helps detect blockages, inflammation, or structural abnormalities.

    • Magnetic Resonance Imaging (MRI): Uses magnetic fields and radio waves to produce high-resolution images of soft tissues. This allows your colorectal surgeon to spot inflammation, tissue changes, or deeper structural issues.

    • Ultrasound: Uses sound waves to visualise organs in real time. It’s useful for detecting masses, fluid accumulation, or other irregularities that may not be visible through endoscopy.

Laboratory Tests

  • Laboratory tests help uncover underlying issues that may not be visible through imaging or endoscopy. Common tests include:

    • Blood Tests: Check for signs of infection, inflammation, anaemia, or nutrient deficiencies that could indicate digestive or colorectal problems.
    • Stool Tests: Detect hidden (occult) blood, infections, or markers of inflammation in your digestive tract, providing additional insight into your bowel health.

Don’t ignore recurrent abdominal pain or discomfort. At Advanced Colorectal and General Surgery, we’ll help you get a clear diagnosis and the right treatment options. Contact us today.

What Happens During a Consultation With a Colorectal Surgeon in Singapore?

A consultation with a colorectal surgeon in Singapore gives you clear answers. They will review your symptoms, understand what might be causing them, and discuss the next steps for your care.

Detailed Medical History and Symptom Review

Your surgeon will ask you directly about when your symptoms started, how often they occur, and what makes them better or worse. 

A colorectal surgeon in Singapore will also go through your medical history, lifestyle habits, and any family history of colorectal conditions. This gives your surgeon a clear picture of what might be going on and helps decide the next steps.

Physical Examination

During the exam, your colorectal surgeon will check your abdomen and rectal area for swelling, tenderness, or external haemorrhoids. 

This hands-on assessment provides important clues and helps pinpoint any issues that need further testing.

Discussion of Recommended Tests and Treatment Options

Based on your symptoms and initial findings, your colorectal surgeon will explain which tests are needed and why. They will also walk you through your treatment options, whether that involves medication, minimally invasive procedures, or surgery, so you understand exactly what to expect.

Unlike a general doctor, a colorectal surgeon is trained to manage complex conditions of the colon and rectum and can perform specialised procedures and surgeries when needed. 

This means you’re not only getting a diagnosis, but also access to the full range of treatments required to manage your condition effectively.

How Early Treatment Can Prevent Serious Complications

Taking action early doesn’t just help relieve symptoms; it can also prevent more serious problems from developing.

Detecting Conditions Before They Progress

By seeing a colorectal specialist early, you can catch issues before they become serious. Spotting these pr

Reducing the Risk of Surgery or Emergency Interventions

Leaving conditions untreated can lead to severe complications such as heavy bleeding, infections, or bowel obstruction that might require emergency surgery. 

Seeing a colorectal surgeon early reduces the likelihood of urgent interventions and the need for more extensive procedures.

Creating a Personalised Long-Term Care Plan

Your colorectal surgeon in Singapore will work with you to build a clear, structured plan that may include lifestyle changes, medications, and regular follow-ups. This approach helps you stay on top of your digestive health and reduces the risk of complications over time.

Contact a Colorectal Surgeon in Singapore

If your abdominal pain persists, worsens, or comes with symptoms like rectal bleeding or changes in bowel habits, it may be time to see a colorectal surgeon in Singapore.

A colorectal surgeon can diagnose complex conditions and perform specialised procedures or surgeries. If surgery isn’t required, they can guide you on appropriate non-surgical treatments to relieve your symptoms and manage your condition.

At Advanced Colorectal and General Surgery, Dr QM Leong will carry out a thorough evaluation of your condition and provide clear guidance on the next steps to protect your digestive health and overall well-being. Contact us today.