Abdominal Pain, Discomfort or Bloating
North South North West Statewide
All referrals should comply to referral standards and include in particular:
- Duration of pain, discomfort or bloating
- Severity and pattern of symptoms
- Relieving and aggravating factors
- Current and ceased relevant medications
- Smoking, alcohol and illicit drug use
- Results of previous investigations
Suggested initial work up:
- ESR and CRP
- Abdominal x-ray (supine)
- Abdominal ultrasound
In selected cases:
- LFTs (upper abdominal pain)
- Lipase (upper abdominal pain)
- Pelvic ultrasound (where appropriate)
- MSU (where appropriate)
To refer a patient with this condition, please see the Gastroenterology clinic page for the full referral process and templates.
Refer to the recommended pre-referral treatment for reflux/heartburn/dyspepsia.
For more information please see the Tasmanian Health Pathways website.
Severe acute pain
Suspected surgical problem including bowel obstruction
Please contact the Emergency Department Medical Officer in Charge via RHH Switchboard
Urgent / category 1
When combined with at least one of the following alarm symptoms:
Progressive unintentional weight loss
Routine / category 3
For all other presentations of abdominal pain
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
GESA Guideline:Gastro- Oesophageal Reflux Disease (2011)
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
We will endeavour to see these patients within four weeks
Urgent referrals should be accompanied by a phone call to the clinic and the relevant doctor for urgent assessment, or patient should be directed immediately to the Emergency Department.
We will endeavour to see these patients within 12 weeks
Next available appointment