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Health check

Abdominal ultrasound — what can it check?

Ultrasound is a safe, radiation-free and painless examination that helps the doctor clearly see the organs inside the abdomen. This article summarises what an abdominal ultrasound can check, and how to prepare before the test.

25 June 2026 5 min read By the medical team, Doctor Chat Clinic
Abdominal ultrasound — what can it check?

Ultrasound is an examination that uses high-frequency sound waves passed through the skin into the body, which then reflect back to create real-time images of the internal organs. Its key advantages are that it has no radiation, is safe, and is painless, which is why it is widely used to examine the abdominal organs and to monitor various conditions as often as needed.

What can an abdominal ultrasound check?

An abdominal ultrasound can be divided into the upper and lower abdomen, covering several important organs.

  • Upper abdomen — the liver, gallbladder, pancreas, spleen and kidneys
  • Lower abdomen — the uterus, ovaries, bladder and prostate

The examination helps the doctor find a range of abnormalities, such as stones in the gallbladder or kidneys, fatty liver, masses, and cysts, as well as assessing the size and appearance of organs.

  • Uses sound waves — no radiation, safe and painless
  • Can detect stones, fatty liver, masses and cysts
  • Shows organ images in real time and can be repeated as needed

How to prepare before the test

Preparation depends on the organ to be examined. An upper-abdomen scan, such as the liver and gallbladder, usually requires fasting for about 6–8 hours to get clear images. A lower-abdomen scan, such as the uterus or bladder, usually requires drinking water and holding your urine so the bladder is full. The clinic will tell you the correct way to prepare before your test day.

Who should have an abdominal ultrasound?

People with chronic abdominal pain, abdominal fullness, pain under the right rib cage, abnormal urination, or blood results indicating abnormal liver or kidney function should consider an abdominal ultrasound. It is also suitable as part of a health check for those who want to screen for abnormalities of the internal organs early.

Examination services at the clinic

Doctor Chat Clinic offers health checks, blood tests, ultrasound, and electrocardiograms (EKG) by a doctor, along with assessment of symptoms, interpretation of results, and appropriate health advice.

Symptoms that need urgent medical care

  • Severe, sudden abdominal pain, or abdominal pain together with a high fever
  • Yellowing of the skin or eyes, or unusually dark urine
  • A palpable lump in the abdomen, or rapidly worsening abdominal swelling
  • Vomiting blood or passing bloody stools

Frequently asked questions

How is ultrasound different from an X-ray?
Ultrasound uses high-frequency sound waves to create images of organs, so it has no radiation and is very safe. It is well suited to viewing soft-tissue organs such as the liver, kidneys and gallbladder. An X-ray uses radiation and is suited to viewing bones and the lungs. The doctor chooses the right method based on the organ and condition to be examined.
How should I prepare?
It depends on the organ being examined. An upper-abdomen scan, such as the liver and gallbladder, usually requires fasting for about 6–8 hours before the test. A lower-abdomen scan, such as the uterus or bladder, usually requires drinking water and holding your urine so the bladder is full. The clinic will tell you the correct preparation before your test day.
Is it safe during pregnancy?
Ultrasound is safe during pregnancy because it uses sound waves, not radiation, which is why it is widely used to monitor pregnancy. Even so, you should have it done as your doctor advises and under the care of medical staff.

The information in this article is for general knowledge only and cannot replace diagnosis or treatment by a doctor. If you have worrying symptoms or would like an ultrasound, please consult a doctor directly.

Want an abdominal ultrasound? We can help

Call the clinic or chat on Line to ask about the test, the preparation, and to book an ultrasound with a doctor.