Abdominal Pain, Discomfort or Bloating


North South North West Statewide

Pre-referral work-up


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:

  • FBE
  • U&E
  • Ca
  • ESR and CRP
  • BSL
  • Abdominal x-ray (supine)
  • Abdominal ultrasound

In selected cases:

  • LFTs (upper abdominal pain)
  • Lipase (upper abdominal pain)
  • Pelvic ultrasound (where appropriate)
  • MSU (where appropriate)

Interim/GP management

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

6166 8308

Urgent / category 1

When combined with at least one of the following alarm symptoms:

Progressive unintentional weight loss

Proven anaemia

Persistent vomiting


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). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 8302  Fax: (03) 6777 5201
MCH ED – Phone: 0409 867 492  Fax: (03) 6441 5923
NWRH ED – Phone: 0459 848 725  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6101  Fax: (03) 6173 0489


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