Why Visit an Abdominal Pain Specialist?
Abdominal pain is one of the most common complaints patients present with, yet it is also one of the most complex to diagnose accurately. Located in Bathinda, Punjab, Dr. Raman Garg is a Senior Surgical Gastroenterologist with extensive experience in diagnosing and treating the full spectrum of abdominal conditions — from simple indigestion to complex surgical emergencies.
At Bombay Gastro & Cancer Institute, Bathinda, patients receive world-class investigations and compassionate care under one roof. Whether your pain is acute, chronic, colicky, or referred, Dr. Garg's systematic approach ensures the right diagnosis and the most effective treatment plan.
Types of Abdominal Pain We Treat
- Epigastric pain (upper abdomen) — gastritis, peptic ulcers, GERD, pancreatitis
- Right upper quadrant pain — gallstones, liver disease, biliary colic
- Right lower quadrant pain — appendicitis, ovarian cysts, hernia
- Left lower quadrant pain — diverticulitis, IBS, colitis
- Periumbilical pain — umbilical hernia, early appendicitis, intestinal obstruction
- Diffuse abdominal pain — peritonitis, intestinal obstruction, mesenteric ischemia
- Chronic recurrent pain — IBS, IBD, peptic ulcer disease, functional dyspepsia
Common Causes of Abdominal Pain
Gastrointestinal Causes
- Gastritis & peptic ulcers
- GERD & acid reflux
- Irritable Bowel Syndrome
- Crohn's disease & ulcerative colitis
- Appendicitis
- Intestinal obstruction
Hepatobiliary & Other Causes
- Gallstones & cholecystitis
- Pancreatitis (acute/chronic)
- Liver disease & hepatitis
- Kidney stones
- Hernia (inguinal/umbilical)
- Abdominal aortic aneurysm
Warning Signs — Seek Immediate Care
Go to emergency or call immediately if you experience:
- Sudden, severe "knife-like" abdominal pain
- Rigid, board-like abdomen
- Vomiting blood or coffee-ground material
- Black tarry stools (melena)
- Abdominal pain with high fever and chills
- Pain radiating to shoulder or back with jaundice
- Inability to pass gas or stools with distension
Diagnostic Approach at Bombay Gastro & Cancer Institute
Dr. Raman Garg follows a methodical diagnostic algorithm to pinpoint the cause of your abdominal pain:
- Detailed history — onset, duration, character, aggravating/relieving factors, associated symptoms
- Physical examination — palpation, percussion, auscultation, special signs (Murphy's, Rovsing's, etc.)
- Laboratory tests — CBC, LFT, RFT, lipase, amylase, urine routine, H. pylori test
- Imaging — ultrasound abdomen, CT scan (with/without contrast), MRI as needed
- Endoscopy/Colonoscopy — direct visualization of the GI tract
- Specialized tests — HIDA scan, EUS, MRCP for complex cases
Treatment Options
Treatment is tailored to the underlying cause and may include:
- Medical management — antacids, PPIs, antibiotics, antispasmodics, bowel rest
- Endoscopic procedures — upper GI endoscopy, ERCP, endoscopic hemostasis
- Laparoscopic surgery — appendectomy, cholecystectomy, hernia repair, colectomy
- Nutritional & lifestyle counselling — dietary modifications, trigger avoidance
- Pain management protocols — multimodal, non-opioid approaches
