Same-Day Abdominal Assessment

Minor Abdominal Pain Assessment in Elstree

Same-day assessment of mild to moderate stomach pain by experienced emergency medicine doctors. On-site urine and blood tests where clinically indicated, structured red-flag screening, and a clear plan. Adults and children aged 1 and over.

Adult consultation £110 · child consultation £95. For severe sudden abdominal pain, signs of bowel obstruction, vomiting blood, suspected appendicitis, or pregnancy-related paincall 999or attend A&E directly.

When We Can Help

When Same-Day Abdominal Assessment Helps

Common minor abdominal presentations we see — for severe or red-flag symptoms, A&E is the right service:

Mild to moderate stomach pain

Cramping or aching abdominal pain that's bothersome but not severe — examination, on-site investigations where clinically indicated, treatment plan, and clear advice on what should bring you back urgently.

Suspected uncomplicated gastroenteritis

Vomiting, diarrhoea, mild stomach cramps, low-grade fever — assessment of hydration, fluid and antiemetic advice, and red-flag screening.

Mild bloating or trapped wind discomfort

Recent onset of bloating, gas, or mild colicky pain — examination to rule out red flags, and dietary plus symptomatic advice.

Suspected uncomplicated UTI presentation

Lower abdominal discomfort with urinary symptoms — same-day urine dipstick, antibiotic decision per NICE NG109. See our UTI page for the dedicated pathway.

Mild constipation pain

Lower abdominal discomfort from constipation — examination, advice on fluid, fibre, and over-the-counter treatments, and red-flag screening.

Children's tummy pain (1+)

Children with mild abdominal discomfort, viral gastroenteritis, or mild colic — paediatric assessment focused on red-flag screening (appendicitis presentations need A&E).

Important Safety Information

When You Should Go to A&E, Not Us

Severe abdominal pain can be a surgical or obstetric emergency. Call 999 or attend A&E if any of these apply:

Red flags — A&E directly:

  • Severe, sudden, or worsening abdominal pain
  • Right lower abdominal pain that's localised, persistent, and worsening — possible appendicitis
  • Abdominal pain with collapse, severe weakness, or feeling faint
  • Severe, persistent vomiting (especially bile-stained or with blood)
  • Black, tarry stools or fresh blood in vomit / stool
  • Pregnancy with abdominal pain — needs hospital obstetric / gynaecology assessment
  • Severe pain in the upper right abdomen with fever — possible cholecystitis
  • Severe back / flank pain with fever — possible kidney infection or stones requiring hospital review
  • Distension, no bowel motion or wind passed, vomiting — possible bowel obstruction
  • Children: persistent crying, drawing legs up, refusing food, vomiting bile, blood in stool

If unsure, call NHS 111 for free clinical advice.

Call 999

Your Visit

What Happens at Your Visit

History and triage

Detailed history of pain — location, onset, character, associated symptoms (vomiting, diarrhoea, urinary, fever), bowel and gynaecological history, medications. Triage flags any red-flag features that need immediate hospital transfer.

Examination and on-site tests

Abdominal examination for tenderness, guarding, masses, bowel sounds. Urine dipstick where indicated. Pregnancy test for women of reproductive age with lower abdominal pain. Blood tests on site for selected presentations.

Decision and plan

  • History and examination: Detailed history of pain location, onset, character, associated symptoms, bowel and urinary history, gynaecological history, medications. Abdominal examination for tenderness, guarding, masses, and reflexes.
  • On-site investigations: Urine dipstick where indicated (UTI, kidney involvement). Blood tests on site where clinically warranted (suspected infection, abnormal liver/kidney function suspected). Pregnancy test for women of reproductive age presenting with lower abdominal pain.
  • Symptomatic treatment: Pain relief, antiemetics for vomiting, antispasmodics for cramping pain, antibiotics where confirmed bacterial cause. Hydration advice and dietary guidance for gastroenteritis.
  • Onward referral: Suspected appendicitis, bowel obstruction, gallbladder disease, kidney stones, or any acute abdomen presentation — immediate transfer to A&E. Suspected gynaecological emergency or pregnancy-related pain — straight to A&E or specialist obstetrics.

Transparent Pricing

What It Costs and How Long It Takes

Consultation fee: £110 adult / £95 child — covers examination, urine dipstick, and pregnancy test where indicated.

Blood tests (if needed): charged additionally at cost.

Prescription medication (antibiotics, antiemetics, antispasmodics if indicated): private prescription via on-site pharmacy.

Time on site: typically 30–45 minutes, longer if blood tests are needed.

Insurance: detailed receipts provided.

After Your Visit

Aftercare and What to Watch For

  • Diagnosis or working diagnosis, with the reasoning
  • Symptomatic treatment plan and any prescription medications
  • Hydration and dietary guidance for gastroenteritis or dehydration
  • Follow-up plan with your GP for ongoing or recurrent symptoms
  • Red-flag symptoms requiring urgent return or A&E: severe pain, signs of dehydration, vomiting blood, blood in stool, fever with worsening pain, inability to keep fluids down

Common Questions

Common Questions about Abdominal Pain

Should I come to you or A&E for stomach pain?

If the pain is mild to moderate, gradual in onset, you can move and talk normally, and you don't have any of the red-flag features (severe pain, vomiting blood, signs of pregnancy with pain, sudden onset), we're the right service. Severe sudden pain, signs of bowel obstruction, suspected appendicitis, pregnancy-related pain — A&E directly. If unsure, call NHS 111.

Do you do scans for abdominal pain?

We don't have ultrasound or CT on site. For straightforward presentations our examination plus on-site bloods and urine is usually sufficient. If imaging is clinically required, we'd refer to Centennial's imaging suite for ultrasound or arrange A&E for urgent CT — whichever the clinical picture demands.

Can you treat my child's tummy bug?

Yes — children aged 1 and over with mild gastroenteritis or non-severe abdominal pain. The priority for children with tummy symptoms is hydration assessment and red-flag screening. If your child has severe pain, bile-stained or bloody vomiting, blood in stool, or appears very unwell, that's A&E or 999, not us.

What about period pain?

Severe period pain is best managed by your GP for ongoing care, with prescription pain relief and investigation if cycles are disrupted. We can help with acute episodes of severe pain that aren't responding to over-the-counter treatment, but recurring gynaecological pain needs proper specialist assessment, which we'd arrange via Centennial's gynaecology consultants.

Is it appendicitis?

Classic appendicitis is right-lower abdominal pain that starts central and migrates, often with nausea, fever, and worsening over hours. Examination has signs we look for. If suspected, we don't manage it ourselves — we refer immediately to A&E for surgical assessment and CT/ultrasound. Our role is the gateway: assess, recognise, refer.

What does it cost?

Adult consultation £110 / child £95 — covers examination, on-site urine dipstick, and basic investigations. Blood tests, antibiotics, or other prescription medications charged additionally at cost. We'll explain the total before proceeding.

Walk In or Book Online

Same-Day Abdominal Assessment

GMC-registered emergency medicine doctors. CQC registered, part of Centennial Medical Care.

Open seven days: Mon–Fri 8am–8pm · Sat–Sun 9am–6pm

Centennial Park, Centennial Ave, Elstree, Borehamwood WD6 3FG · Free parking

Last reviewed: 5 May 2026

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