See a stomach pain, Zhang Li (a pseudonym) completely confused, she has been transferred to the obstetrics and gynecology, surgery, gastroenterology 3 departments to consult, experienced a number of registration, waiting, examination, re-registration, waiting again, re-examination …… still can not find the cause. In response to this phenomenon, experts pointed out that: stomach pain is not simple, involving many departments of disease, “at the same time, it is recommended to use retired veteran doctors or senior nurses as a guide, some young nurses lack experience in this area, may not point patients to the right way.” Seeing a doctor has become a “multiple choice” “is a little pain in the right belly when pressed, which is worth going to the hospital, who does not have a stomach pain ah! 56-year-old Zhang Li (a pseudonym), early this year in the bath accidentally found their right lower abdomen a little pressure pain, began not to take it seriously, thought to eat some anti-inflammatory drugs, pain tablets can be good, but the medicine also ate, but no good, consumed half a year, and finally forced by family members sent to the hospital for treatment. Zhang Li did not expect that her visit to the hospital had caused a debate among the nurses at the infusion desk of this tertiary hospital. “My right lower abdomen pain hanging which department ah?” “General Surgery, right? How old are you?” A young nurse said. “56 years old.” “At that age, it could be a gynecological problem. Another nurse said. Should I register for general surgery or gynecology? The two nurses argued, and finally one nurse said that the obstetrics and gynecology department had a specialist number today, so Zhang Li decided to register a specialist number and rest assured. It was not yet 9:00, but the medical record booklet placed outside the gynecologist’s office was already lined up to 26. After waiting for nearly an hour, Zhang Li was able to see the doctor, who first asked her to do a transvaginal ultrasound before coming back for diagnosis. The ultrasound results, already to 11:10 pm, afraid of doctors off work, Zhang Li rushed to the specialist’s office, the expert gave the answer, so she felt that the morning were busy for nothing. “Not a gynecological disease, the location of the pain is too up, go to general surgery or gastroenterology to see it.” General surgery? Gastroenterology? The specialist gave two more choices. This time, Zhang Li did not look for the nurse at the guide desk and directly registered for surgery. “How long has the pain been there? Do you have a fever? Any other chronic diseases? Had surgery? Constipation ……” the general surgeon asked very detailed questions, and recommended that she undergo a “lower gastrointestinal tract imaging combination test”, that is, abdominal ultrasound, so again to the ultrasound outside the queue, pay the fee, waiting for the examination, and again The result was that no abnormality was found in both kidneys, ureter and bladder, but still not sure what the disease was. The doctor recommended that Zhang Li undergo another barium enema to rule out colon cancer, intestinal tuberculosis, ulcerative colitis and other intestinal diseases, and prescribed more than 100 yuan of laxatives, which Zhang Li was instructed to take one day before the examination to clean the foreign bodies in the intestines to avoid affecting the test results. A few days down, the original relaxed Zhang Li slowly nervous up, she even suspected that she really has a serious illness, otherwise how a doctor after another doctor to see? During this period she also registered for gastroenterology, the results are similar to the experience of the surgical consultation, the same need to cooperate with a variety of tests, registration, payment, waiting …… During the waiting period, Zhang Li met patients with the same experience as her, and finally, a patient suggested that she go to the anorectal department to see: ” I was finally diagnosed in the anorectal department.” A tummy ache, is it that difficult to diagnose? When the reporter repeated the process of Zhang Li’s visit to the experts of internal medicine, gastroenterology and anorectology, the experts gave a unanimous opinion: Zhang Li’s experience is a very normal phenomenon in the clinic. “Doctors see patients just like judges decide cases, they need to line up a little bit to come up with a correct diagnosis, and very few patients can be completely cured after just one visit or one department.” Dr. Shang Zhanmin, chief physician of the Department of Gastroenterology at Beijing Chaoyang Hospital, told reporters, “The right lower abdomen is medically known as the triangle, meaning that this area is the intersection of the appendix, intestines, urinary tract and gynecology and other organs, involving multiple departments, and it is normal for doctors to refer to other departments after screening that does not fall within the scope of consultation and treatment of this department.” Wang Zemin, chief physician of the Department of Internal Medicine at Wangjing Hospital of the Chinese Academy of Traditional Chinese Medicine, believes that pain is often a reflection of systemic diseases in the local area, and sometimes although registered for consultation according to the site of pain, but after experiencing an exclusionary examination, the resulting disease may not be in the initial pain site. For example, some heart attack patients may have toothache symptoms, but if they meet an experienced dentist, they may be referred to cardiology, and it is relatively normal to change departments during consultation. So, which department should a right lower abdominal pain be referred to? Depending on the urgency of the abdominal pain, the degree of pain and the accompanying symptoms, the experts give the opinion that the following procedure should be followed. The first choice for acute right lower abdominal pain is surgery, where conditions such as appendicitis should be ruled out by the surgeon. For example, appendicitis may be accompanied by fever in addition to pain; if the pain is accompanied by vomiting, no exhaustion, no defecation, etc., intestinal obstruction cannot be ruled out; if the abdominal pain is combined with lumbago and hematuria in men, it may be urinary stones; in women, combined with menstrual changes, abnormal bleeding or a history of menopause, it may be ectopic pregnancy. If there is no combination of the above symptoms, but only a long-term chronic hidden pain, you can first go to the internal medicine department, through routine blood, stool routine, abdominal ultrasound, etc., after the physician’s preliminary diagnosis, if necessary, colonoscopy, barium enema examination to clarify the presence of intestinal disease. As for whether to hang anorectal department, the advice of Jin Weisen, deputy chief physician of the anorectal department of the Armed Forces General Hospital, is that anorectal department is actually a part of surgery, and there are doctors in surgery who are good at treating anorectal diseases. If you have a history of anorectal disease or severe anemia, do not rule out intestinal tumors, you can first register for anorectology. After all these diseases are ruled out, there is also a possibility of gynecological problems. It should be emphasized that once abdominal pain symptoms appear, self-administered painkillers should be avoided because they can harm the stomach and intestines or mask the condition, making it more difficult for doctors to diagnose.