Reasons why the lower abdomen feels tight. Pulling the lower abdomen: possible causes and solutions. Factors that provoke stabbing pain

Women's ailments are often associated with discomfort in the lower abdomen. The causes of pain are many-sided and include work failure reproductive system, as well as imbalance of other organs. Therefore, you need to focus on a whole range of symptoms.

What can hurt there?

Scroll possible diseases with a sign of severe pain abdominal cavity for the fair sex is extremely wide. When considering the cause of the process, age, the nature of the discomfort, and their duration are taken into account.

The TOP provoking factors are headed by:

• Dysfunction of the stomach and intestines, bladder, appendages.
• Disturbance of innervation due to osteochondrosis.
• Injury to the vertebrae.
• Muscle strain.

The constantly changing hormonal background also plays a significant role, triggering different phases cycle.

Classification of causes by groups

Pain in the lower abdomen in women is caused by functional and organic negative factors.

The first group includes:

• Crash monthly cycle. In the professional environment, the pathology is called algodismenorrhea. Often the result of this phenomenon is spontaneous uterine bleeding.
• Ovulatory syndrome.
• The presence of anatomical anomalies and congestion caused by them.

Possible organic causes include:

• Disturbances in the functioning of structures that form the reproductive system.
• Installation intrauterine device.
• Presence of acute surgical diseases.
• Pregnancy or postmenopause period.

Pain can also be classified according to the nature of its manifestation. It is important to understand that only a doctor who is able to adequately correlate the formative factors can understand the essence of the process. clinical picture symptoms and exclude psychosomatics.

In this video, Elena Malysheva talks about a common disease, causing pain:

Causes of aching pain

Unpleasant pulling sensations can be a consequence of the following processes:

1. Cyst formation and growth. The appearance of formations filled with blood or fluid is accompanied by discomfort localized on one side, a reduction in the number critical days or, conversely, more frequent menstruation. If the pathological structure suppurates, the pain becomes sharp and is accompanied by nausea and fever.
2. An aching sensation may accompany the period of ovulation, when the egg leaves the follicle. Increased discomfort that occurs only in one side is facilitated by pressing on the stomach and intimate relationships. The condition may be aggravated due to weakness and nausea.
   If such a syndrome is confirmed, doctors recommend dangerous days refrain from intimacy, as excitement can cause follicle rupture.
3. Vaginitis, manifested by inflammation of the vaginal mucosa. As a result of the action of bacterial flora, hormonal imbalance, and insufficient hygiene, aching pain in the lower abdomen with the addition of the picture by the appearance large quantity unpleasant-smelling discharge, itching, redness, swelling of tissues. The pain increases with urination and sexual intercourse.
4. The stomach may ache as a result of a malfunction of the ligamentous apparatus that supports the uterus and appendages. Blunt pain often worries older women. Provoking factors include heavy lifting and childbirth with accompanying injuries.
   In gynecology, the disease is called genital prolapse. When it develops, both the stomach and lower back can pull, and it suffers excretory system, which manifests itself in incontinence or stagnation of urine, diarrhea, constipation.

Severe aching pain is also caused by the phases of the cycle. Thus, deterioration of the condition is possible in the premenstrual period and the first two days of menstruation. Cause negative symptom– contraction of the walls of the uterus in order to cleanse it.

If a sharp cutting spasm is diagnosed

Sudden disturbing sensations accompany the following serious conditions:

• Hemorrhage of the ovary or apoplexy with disruption of tissue integrity and leakage of physiological fluid into the abdominal cavity. Sharp pain can radiate to the rectum, groin, and back. Against the background of severe discomfort, dizziness, weakness, and nausea often occur, which is explained by active blood loss. If the situation is dire, immediate attention is required surgical treatment.
• Mechanical defect of the cyst in the form of torsion of the pedicle. Severe pain is caused by impaired vascular blood flow and tissue death. From the very beginning, the pathology manifests itself acutely, discomfort is localized only from the inflamed structure and is supplemented by fever, vomiting, and nausea. An urgent visit to the hospital is indicated.
• Impaired health of the uterus or appendages with the development of adnexitis, salpingoophoritis. Sharp pain in the lower abdomen may appear after natural or artificial childbirth. Severe dyspepsia and fever are added to the list of symptoms. Without treatment, life-threatening peritonitis can occur.

When inflammation develops as an independent process under the influence of infection or hypothermia, the sensations are not cutting, but pulling.

Factors that provoke stabbing pain

Such a spasm signals pathologies of both reproductive and digestive system.

Ectopic pregnancy

Stitching pain is one of the signs of this pathology, which is characterized by attachment ovum to the ovary or abdominal cavity. Unpleasant sensations in the lower abdomen may be accompanied by bloody or brown spotting, swelling of the mammary glands, and nausea. On examination, a cyanotic coloration of the mucous membrane is noted.

Place of localization of discomfort - on the right or left side of pubic bone. Increased pain occurs with palpation of the specified area.

Proctosigmoiditis

The pathology is a type of colitis and is accompanied by health problems internal walls intestines. Periodic relapses of inflammation are possible with the development of negative symptoms in other areas digestive tract.

The act of defecation intensifies pain in the lower abdomen. Additional signs of the disease include nausea, bowel irregularities, sensation of a foreign object in the intestines, and weakness due to intoxication of the body.

Acute appendicitis

The cause of local inflammation of the appendix is ​​the influence intestinal microflora. In most situations, unpleasant sensations are localized on the right, closer to the center of the abdomen, but it is possible that the pain may spread to the pubic area, its similarity to severe colitis. Gradually, the discomfort becomes tolerable, which is not a favorable sign.

Additional symptoms diseases - dyspeptic disorders with diarrhea, nausea, vomiting, foul-smelling belching.

Diverticulitis

It's about development inflammatory process in the intestinal area, where hernial protrusions form. In such bags, food chyme mixes with microflora and the contents stagnate. The result is pathological processes in the structures of the diverticulum and a tense state of the muscles of the anterior wall.

Sharp pain piercing nature in this situation is localized in the lower left part at the site of the projection of the sigmoid colon, anus. Point discomfort persists for 2–3 days, increasing discomfort perhaps after physical activity, laughing, sneezing, coughing.

Cystitis

Inflammation of the bladder mucosa occurs due to infection pathogens. Soreness is present in the middle of the abdomen in the lower part. Burning discomfort occurs when going to the toilet. It seems as if evacuation is partial, so the urge becomes more frequent. Additional signs are increased temperature, imbalance of night and daytime diuresis.

When pain occurs from time to time

Periodic discomfort may indicate the following pathologies:

We are talking about the proliferation of epithelial cells outside the uterine mucosa. The process may involve the fallopian tubes, ovaries and even the intestines. Due to the sensitivity of spreading cells to vibrations hormonal levels constant changes are observed with the onset of the next cycle.

They can be judged by regular bleeding, promoting the transition of inflammation to nearby tissues. Women form the risk group for this pathology reproductive age, it is diagnosed extremely rarely in young girls.

Intermittent pain in the lower abdomen occurs only on the eve of menstruation, but over time the discomfort persists throughout the entire cycle and intensifies with intimacy, after emptying the bladder and bowels. Menstrual discharge can be either scanty or heavy. Additional signs include bad mood, migraines, and trouble sleeping at night.

A characteristic symptom is the inability of the female body to conceive a child.

The initiator is a bacterial infection, provoking factors are insufficient hygiene, STIs. After pathogenic flora enters the vagina under conditions of high humidity and heat, microorganisms begin to actively multiply. Over time, the process spreads to the entire reproductive system, affecting the ovaries, uterus, and tubes.

Adhesions can block the lumen of organs, making the physiological movement of the egg impossible and leading to infertility. If female material does end up as intended, the risk increases ectopic pregnancy requiring emergency surgical intervention.

Pain during pregnancy

Such discomfort is far from uncommon for expectant mothers. Unpleasant symptoms accompany the first trimester, when the body adapts to the new status and carries out global hormonal changes. Pain is also a concern in the later stages, which can also be regarded as normal physiological process in the form of uterine tone, changes in ligamentous apparatus, lack of calcium, and a sign of a threat to pregnancy due to high blood pressure on the neck.

A reliable means the result of malaise is relaxation of the body, a change in its position. Some doctors recommend resorting to moderate physical activity, but only if there are no contraindications.

When on later the lower abdomen becomes sharply painful, dizziness is noted, you need to immediately seek medical help due to the risk of placental abruption, dangerous intrauterine death of the baby.

Starting from the 36th week, recurring spasms with tension in the uterine muscles - training contractions - may occur from time to time. Although this phenomenon is considered normal, consultation with a gynecologist should not be neglected.

Pain during menopause

Unpleasant sensations with the onset of menopause are localized only in the abdomen or encircle a ring, spreading to the sacrum. The reasons for the negative changes lie in the following:

• Development of uterine fibroids. If menopause occurs after 50 years, against the background of increased estrogen production, the likelihood of developing benign education. The pain is spastic or aching, present bloody issues.
• Endometriosis. The manifestations of the pathology have already been described above.
• Chronic salpingitis. We are talking about a hidden inflammatory process, accompanied by the formation of adhesions and fluid accumulation. IN advanced stage there is severe, intractable pain.
• Leaching calcium from the body. The lack of this particular mineral due to a decrease in estrogen production provokes back pain and dysfunction of cardio-vascular system, brain. At the same time, bone structures are weakened and the spine suffers. Increased discomfort occurs during physical activity and carrying heavy objects.
• Fusion of the internal tissues of the uterus, its atrophy with a decrease in size. As a result, in reproductive organ synechiae are formed, accumulation is noted inflammatory fluid. The pain is constant and unbearable.
• Development of the cancer process. If pain persists for a long time, cancer may be suspected. late stage. Therefore, women who have entered menopause should seek qualified help, even if there are complaints of periodic stretching of the sacrum and abdomen.

Prevention of the above conditions during menopause is considered homeopathic remedies presented in state pharmacies by several positions. Remens and Klimadinon are especially popular.

Who to contact

Traditional methods for the treatment of abdominal pain in women and medicinal antispasmodics, analgesics are appropriate only after identifying the cause pathological process and approval of the planned scheme by a specialized physician. In no case should you delay a visit if you have chronic discomfort or a sharp spasm accompanied by worsening general well-being.

Doctors of several specializations, including a gynecologist, urologist, and proctologist, can help solve the problem. If signs of dyspepsia are present, it would be useful to visit a gastroenterologist. To exclude psychosomatics and infringement of nerve processes, consult a neurologist. In difficult situations requiring surgical intervention, turn to surgeons.

As a rule, finding out the factor that provokes pain begins with a visit to a therapist or female doctor, which collect information about the localization of unpleasant sensations, their nature. It is mandatory to pass a complex of tests: urine and blood, smears. At the discretion of the doctor, CT or ultrasound of the pelvic organs is performed. With this approach, you can count on the most reliable diagnostic results, adequate treatment And get well soon.

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Bad diagnostic criterion. However, there are several common conditions that cause abdominal pain in men and women.

Why pulls the lower abdomen in women

Nagging pain in the lower abdomen in women can be associated with menstruation, pregnancy or gynecological diseases.

1. Pulls the lower abdomen during pregnancy

In pregnant women, the lower abdomen can feel tight both in the early and late stages. In the first weeks after conception, the stomach may hurt due to the increase in the size of the uterus: its muscles stretch as the fetus grows, so the woman feels discomfort and pain. Usually, either women who have become pregnant for the first time or mothers whose interval between pregnancies exceeds 7 years turn to obstetricians-gynecologists with complaints of nagging pain.

If the lower abdomen does not last long, the pain is mild, but others pathological symptoms not observed, as a rule, there is nothing to worry about. But when the pain is accompanied by bloody, dizziness, high fever, chills, weakness and nausea, you should immediately consult a doctor: there is a risk of ectopic pregnancy, miscarriage and premature birth.

Solutions:

• If the pain is not severe, take a no-shpa tablet, lie down, place a pillow under your feet and try to relax.
• If the nagging pain recurs and radiates to the right or left side, your doctor may recommend an ultrasound and examination for genitourinary infections.
• If pain in the lower abdomen is accompanied by nausea and vomiting, it may be a symptom acute appendicitis. In this case, pregnant women are advised to undergo an operation that is completely safe for the child.
• If your lower abdomen is tight due to digestive disorders, ask your gynecologist to choose a special diet for you.
• If discomfort in the lower abdomen is felt at 18-24 weeks of pregnancy, this may indicate sprains and spasms of the round ligament. Lie down for a while on the side that does not hurt, and the discomfort will pass.

2. Pulls the lower abdomen during menstruation

The most common cause of nagging (aching) pain in the lower abdomen in the absence of pregnancy is the approaching menstruation. As a rule, girls easily recognize PMS symptoms, but many mistakenly believe that they are the norm.

Indeed, slight discomfort in the lower abdomen is quite acceptable, because under the influence of hubbub the muscles of the uterus contract. But severe spasms radiating to the rectum, appendage area or bladder may indicate dysmenorrhea - a pathological condition often caused by hormonal imbalances, endometriosis, adhesions in the pelvic organs and other diseases.

Solutions:

• Make an appointment with a gynecologist: if you treat dysmenorrhea at random, you may miss a hidden disease.
• To treat painful sensations during PMS, the doctor may prescribe: hormonal therapy reduces the frequency of uterine contractions, and the nagging pain goes away.
• Stop smoking. Harmful substances contained in tobacco smoke, affect the synthesis of certain hormones, enhancing PMS symptoms.

3. Pulls in the lower abdomen in the middle of the menstrual cycle

If your lower abdomen feels tight in the middle menstrual cycle, the reason may be . Mild discomfort for 1-2 days indicates that the maturing follicle is stretching the walls of the ovary. When a follicle bursts, the fluid flowing from it irritates the uterus, causing it to begin to contract, causing nagging pain in the lower abdomen.

Solutions:

• Usually, mild nagging pain during ovulation does not last more than 2 days and does not require specific treatment. To reduce discomfort, a woman can take a no-shla tablet.
• If your stomach hurts after ovulation, consult your gynecologist. A pulling sensation and spasms may indicate inflammation of the ovaries and other gynecological diseases.

4. Pulling in the lower abdomen after intercourse

The most harmless reason nagging pain in the lower abdomen - intense sex, when a man’s penis reaches the cervix. In this case, the best solution is to experiment with positions, use more lubricant, or ask your partner to be careful.

Also this symptom characteristic of infectious and inflammatory diseases:, chlamydia, gonorrhea, pelvic adhesions, endometriosis, etc. Such pathologies are often accompanied by liquid discharge With unpleasant smell, urinary disorders, and other alarming signs.

Solution:

To clarify the causes and solutions, consult a gynecologist. You should not endure discomfort: you risk developing hidden sexually transmitted infections or other dangerous pathologies.

Why does the lower abdomen pull in men?

A pulling feeling in the lower abdomen may indicate diseases of the male reproductive system. The most common cause is sexually transmitted infections and prostatitis.

Pulling in the lower abdomen during sexually transmitted infections and prostatitis

In men with chronic prostatitis, the lower abdomen often feels tight - this is one of the common symptoms that should be the reason for an immediate visit to a urologist. Pain from inflammation of the prostate gland can radiate to the perineum, genitals and rectum. It is accompanied by various urination disorders: polyuria, a feeling of a full bladder. Pay attention to body temperature: during exacerbations chronic prostatitis it often goes up.

Solution:

• Men are recommended to get tested for STIs and have an ultrasound of the pelvic organs. The doctor will also conduct a rectal examination of the prostate: this is necessary to clarify the diagnosis and obtain a sample of prostate secretion, which will be used for bacteriological examination.
• To treat prostatitis, a man may be prescribed antibiotics, antiandrogens, thermal procedures, anti-inflammatory drugs and microenemas.

Nagging pain it's in the lower abdomen common symptom, which bothers many people, both men and women. And if you have such a symptom all the time, and you cannot explain the nature of its origin, then it is better to visit a doctor to determine the causes of the pain. Since self-medication can drown out the pain, but also hide the disease, which will continue to develop on the sly.

What kind of pain is called nagging?

The pain can be localized in the lower abdomen, above the pubis, below the right side or left. Drawing pain is usually aching, lasts at least half an hour, moderately strong, but not sharp and not cramping. It brings significant discomfort to a person if taken comfortable position, then the pain may ease, but there will still be a pulling sensation. This pain usually lasts for some time, then subsides and returns again.

Tugging sensations often bother women more than men. This is due to the fact that, in addition to common reasons nagging pain, in women these sensations arise in a number of ways physiological reasons related to gynecology.

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Causes

The reasons why the lower abdomen hurts in men can be:

Aching unpleasant pain in women in the lower abdomen can be due to the following reasons.

Physiological state

With increased pressure on the bladder, a pregnant woman has different frequent urination. The enlarged uterus puts pressure on the intestines and therefore pain may occur in the right side, or the left side may be affected, depending on which has more pressure.

Previously, the abdominal muscles felt freer, but now, due to the “interesting position” of the woman, they feel constant pressure. Sometimes the cause of nagging pain can be constipation, because the fetus interferes with active advancement feces, compressing the intestinal walls.

Pathological conditions

For women, judging by the points mentioned, there may be much more reasons for concern. But their abdominal pain can also be caused by a physiological condition, while in men it is always a sign of pathology. So a man, feeling a nagging pain in the lower abdomen, should immediately consult a doctor to determine the cause of this phenomenon.

A woman may initially wonder if this symptom is normal, and if so, then there is no reason to visit a doctor. But if none of the woman’s physiological conditions are noted, or other symptoms are added to the abdominal pain (bloody discharge from the vagina, severe weakness, headaches, nausea), it is better to consult a doctor about this.

Women should know that during menopause, pain in the lower abdomen can appear only in the first and third periods, and a pulling sensation in the second period is a reason to consult a doctor.

Diagnostics

To find out why there is nagging pain in the lower abdomen you need to:

If you do go to the doctor, be prepared to undergo an examination; this is mandatory for women gynecological examination, men can be examined by a proctologist or urologist, if necessary.

You will definitely need to take the following tests and examinations:

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A gynecologist, proctologist, urologist, traumatologist, surgeon, and rheumatologist can examine the patient. The choice of specialist will depend on what disease is suspected.

Treatment

If you have established the physiological nature of abdominal pain, then here you can take an antispasmodic or painkiller, try to rest or sleep. The nagging feeling in this case goes away after a few hours and becomes less noticeable with each passing moment. But if you don’t know what it is, then it’s better not to self-medicate, so as not to stop the symptoms of an incipient disease, but to identify it in the early stages.

In this case, the doctor will diagnose and prescribe treatment depending on the established diagnosis. It may be appropriate to use antiseptics for inflammation, antibiotics for bacterial infection, radiation and chemotherapy for malignant neoplasms, surgical intervention in the presence of a hernia, or any other therapy selected individually.

Therefore, if you notice nagging pain in your lower abdomen, try to see a doctor as soon as possible, especially if they bother you for a long time, have chronic nature or occur simultaneously with other symptoms. Good doctor will select treatment for your disease, not the symptom, and this is much more effective than spending your whole life on painkillers without treating the cause. Having been treated in this way once, you will be able to forget about abdominal pain, if not forever, then certainly for a long time.

Painful sensations of a pulling nature, which are localized in the lower abdomen, were experienced by almost every woman. Sometimes pain can be the result of increased physical exertion, rough sexual intercourse, weight lifting. Very often, a similar symptom occurs in the middle of the menstrual cycle, as well as during menstruation.

All these situations are physiological and do not require treatment, but in some cases, pain in the lower abdomen can be an alarming sign indicating possible pathologies and diseases. Statistically, uterine cancer is the second most common cancer cancer in women after breast cancer, so seeing a doctor if you experience frequently recurring pain in the lower abdomen is mandatory for women of any age.

Almost 60% of cases pulling sensations lower abdomen in women is associated with gynecological problems. To determine what exactly caused unpleasant symptom, you need to contact a gynecologist. During the examination with the help of a medical mirror and palpation, the doctor will be able to assess the size of the uterus, the density of the cervix, the presence of erosions, polyps and other formations. To clarify the diagnosis, they may be prescribed additional research, For example:

• Ultrasound of the pelvic organs, uterus and appendages using a transvaginal sensor;
• smear on bacterial flora vagina;
• colposcopy (examination of the vagina and its walls using a special device - a binocular);
• biopsy (if malignant pathologies are suspected).

In some cases, ultrasound diagnostics of the abdominal organs may be required, as well as consultation with specialized specialists, since the causes of pain can be many diseases.

Endometriosis

The inside of the uterus (its walls) is covered with a layer epithelial tissue, which is called the endometrium. Normally, the endometrium is located only in the cavity of the organ, but with endometriosis, parts of the epithelium extend beyond the uterus. Clinically, this is manifested by pulling pains, which can have moderate or rather high intensity - the severity of the syndrome depends on the degree of damage and the individual pain threshold.

Another sign to suspect endometriosis is the appearance dark brown discharge on the first and last day of menstruation. Endometriosis does not have any discharge specific smell, do not contain pus and other impurities and differ from normal blood discharge only in color. Other symptoms of the disease include:

• painful sensations during sexual intercourse (when the partner is on top);
• the absence of pregnancy for a long time period with unprotected sexual intercourse;
• severe pain when defecating or urinating;
• pain in the pelvis and lower back;
• menorrhagia (long and heavy periods).

Endometriosis must be treated with initial stages, since untimely treatment increases the risk severe complications, For example, uterine bleeding.

Problems with appendages

One of the frequently diagnosed "female" diseases is salpingo-oophoritis. This is an inflammatory process of the uterine appendages (ovaries and fallopian tubes), which has infectious nature. Pathogenic microorganisms enter one or both fallopian tubes and move further, reaching the ovaries.

Pain during inflammation of the appendages is most often acute and intense, but with a chronic course, a woman may notice the appearance of regular pulling sensations. Pain may be accompanied by an increase in volume vaginal discharge and the appearance of a small amount of pus, which is the result of bacterial activity.

When collecting anamnesis, the doctor may suspect inflammation of the appendages based on the following complaints:

• body temperature 38° and above;
• weakness and general malaise (the result of intoxication);
• chills;
• pain when emptying the bladder;
• increased work of the sweat glands.

Treatment of salpingoophoritis. Part 3

During palpation of the abdomen, the doctor can detect muscle tension and soreness on the side where the inflammatory process is localized.

In some cases, discomfort and pain may occur as a result of torsion of the appendages. The pathology is a revolution of the ligaments that hold the ovary, as a result of which the blood supply to the pelvic organs is disrupted. Clinically, this is manifested by nagging pain of high intensity, frequent attacks nausea, possible vomiting. Distinctive feature pathology is a decrease or increase in the severity of symptoms after a change in body position.

Torsion of the appendages can be suspected during a medical examination and palpation of the abdomen: a painful lump will be detected at the site of the pathology.

Important! When the ligaments are turned over blood vessels overlap, and blood flow to the ovary stops. This can lead to acute ischemia of organ tissue and death of individual areas, so you should not delay visiting a doctor if any signs of pathology are detected.

Uterine and ovarian cancer

Malignant diseases in the initial stages occur without severe symptoms, so the pain is usually moderate and does not bother the woman much. This is the main insidiousness of the disease, since most patients turn to the doctor when the process is in an advanced stage and metastases are actively forming.

Statistics cancer diseases in women of reproductive age

Important! Recognize cancer by early stage very difficult, so experts recommend undergoing a preventive examination by a gynecologist and mammologist at least once a year. After the onset of menopause, the likelihood cancer pathologies remains quite high, so you should not neglect this advice after 45 years. An extraordinary examination is required if symptoms appear that may indicate a malignant lesion of the uterus or appendages. These include nagging pain in the lower abdomen, the appearance of leucorrhoea with pus, and periodic bleeding.

Consequences after scraping

Curettage of the uterine cavity (removal of the endometrium) can be used for the following purposes:

• abortion (removal of the fetus from the uterine cavity);
• stopping uterine bleeding in the absence of effect from drug therapy;
• diagnosis of diseases (examination of the endometrium for hormonal levels and possible availability malignant process).

If the procedure was performed correctly, complications usually do not arise after it. A slight nagging pain for three days after curettage is considered normal and should not bother the woman if there is no increase in temperature, purulent discharge and other pathological symptoms. To prevent complications, the doctor may prescribe antibiotics to the patient. wide range(for example, Metronidazole).

Important! Curettage can be performed using a sharp surgical knife (curette) and a vacuum aspirator. The second method is preferable, as it is considered less traumatic and less likely to cause complications. Moderate pain may appear after using any method, but if its intensity increases, or the pain does not go away after 3-4 days, you should consult the doctor who performed the operation.

Other reasons

The causes of nagging pain in the lower abdomen are not always gynecological in nature. Such symptoms very often bother women with inflammatory processes in the kidneys or bladder. At acute cystitis the pain is usually acute, but if the process has taken chronic course, pulling sensations may appear. The pain syndrome is quite pronounced and can intensify under the influence of unfavorable factors (hypothermia, heavy lifting, rough sexual intercourse, etc.).

Important! Distinctive feature Cystitis is a burning sensation and pain when emptying the bladder, but these signs can also occur with sexually transmitted infections, so it is almost impossible to independently diagnose the cause of pain at home.

Infectious diseases of the genital organs are another common cause of pain and discomfort in the lower abdomen. Doctors consider the most common infections diagnosed in women aged 20 to 45 years to be:

• mycoplasmosis;
• gonorrhea;
• trichomoniasis;
• chlamydia.

Infections of the genital tract are accompanied by quite severe symptoms. In addition to pain, a woman may be bothered by vaginal discharge with an unpleasant odor and pus. Consistency, color and amount of discharge when infectious diseases changes, a burning sensation appears in the groin area and anus and itching on the mucous membranes.

Video - Why does the lower abdomen hurt in women?

Digestive system diseases

In 20% of cases, pain in the lower abdomen can be caused by diseases of the digestive tract. The most common of them are gastritis and pancreatitis. In most patients, the pain in these diseases is acute, but in cases of severe neglect and chronicity of the process, the painful sensations can be a nagging pain of moderate intensity, turning into a slight tingling sensation.

Another pathology in which abdominal pain may occur is inflammation of the gallbladder (cholecystitis). A distinctive sign of the disease is skin itching, the intensity of which can vary throughout the day. In case of obstruction bile ducts and stagnation of bile acids, yellowing is possible skin and mucous membranes.

If the painful syndrome is caused by organ diseases gastrointestinal tract, a woman may also be bothered by the following symptoms:

• dryness of the mucous membranes of the oral cavity;
• chills;
• temperature increase;
• nausea;
• vomiting mixed with undigested particles, gastric contents and bile acids;
• increased pain after eating;
• change in stool;
• confusion (with severe intoxication).

Important! In some cases, nagging pain may appear in the initial stages of peritonitis. The disease is an inflammation of the peritoneum, often accompanied by the release of purulent contents into the space of the organ. If a woman is not provided with timely health care, possible development of sepsis and death.

What information might you need when visiting a doctor?

In order for the doctor to be able to draw up the most accurate clinical picture of the disease and make the correct diagnosis, he needs to collect a medical history. Great importance has a description of pain, since pain is the main symptom that allows the classification of pathologies. Before going to the doctor, it is better to write down the answers to the following questions on a piece of paper:

1. At what time of day does the pain appear or intensify?
2. What precedes its appearance (eating, physical activity, going to the toilet, etc.)?
3. What is the nature of the pain (pulling, sharp, cutting, dull, stabbing, etc.)?
4. When did the first painful sensations appear?
5. Where does the pain syndrome appear?
6. How long does the pain last?
7. What other symptoms occur besides pain?

Answers to these questions, prepared in advance, will help simplify diagnosis and exclude a number of pathologies at the preliminary diagnosis stage. After examination and examination, the doctor will prescribe treatment for the woman, which may differ depending on the diagnosis.

Video - Where does pain in the lower abdomen come from in women?

Treatment of nagging pain in women

Under no circumstances should you self-diagnose or try to prescribe treatment. The symptoms of many diseases are similar, therefore, to clarify the diagnosis, an examination by a specialist (with palpation of the abdomen) and other diagnostic measures. If the nagging pain is of a physiological nature (that is, it appeared after rough sexual intercourse or increased physical activity), discomfort can be reduced by resting and taking analgesic medications. Paracetamol-based medications are considered the safest. For severe pain, non-steroidal anti-inflammatory drugs can be used, for example:

• "Nurofen";
• "Ibuprofen";
• "Ibufen."

Important! Some women, when such sensations appear, use a heating pad with hot water. This method cannot be used until the cause of the pain is determined, since during inflammatory processes, heating can aggravate the course of the disease.

To treat sexually transmitted infections, cystitis and pyelonephritis, the doctor will prescribe the woman antibacterial therapy using antibiotics. The drug of choice in most cases is Amoxicillin and drugs based on it, which can be enhanced with clavulanic acid. These include:

• "Amoxiclav";
• "Flemoxin";
• "Amosin".

Note! For stomach problems and peptic ulcer clavulanic acid is contraindicated as it may worsen the patient's condition.

If the disease is in an advanced stage, the doctor may prescribe antibiotics from the macrolide group (for example, Clarithromycin). They are more effective, but side effect in drugs of this group it is more pronounced.

With spasms of the bladder, antispasmodics are recommended. These drugs relax smooth muscle muscles, eliminate spasms and reduce the severity of pain. The most popular drugs from the group of antispasmodic drugs include:

• "No-shpa";
• "Papaverine" (recommended in the form of rectal suppositories);
• "Drotaverine".

Treatment of sexually transmitted infections is also carried out using antibacterial therapy aimed at destroying pathogenic flora and pathogens. Usually a woman is prescribed local remedies, which are applied to the skin and mucous membranes of the genitals and vaginal tract, and vaginal suppositories, but sometimes systemic therapy may be required.

The list of drugs used in gynecological and dermatovenerological practice to treat women with sexually transmitted infections includes:

• "Hexicon";
• "McMirror";
• "Pimafucin";
• "Gynoflor";
• "Terzhinan";
• "Lomexin".

Important! Some of these drugs have a limited spectrum of action, so before using them you must consult a doctor and take a flora smear to determine the type of pathogen.

If the nagging pain is the result of diseases of the digestive system, complex therapy usually consists of the following medications:

• digestive enzymes (“Creon”, “Pancreatin”);
• proton pump blockers (“Omeprazole”, “Omez”);
• drugs for neutralization of hydrochloric acid(“Rennie”, “Maalox”, “Gaviscon”);
• enveloping agents to protect the mucous membrane (“Almagel”).

Nagging abdominal pain is a common symptom in women of reproductive age. Diseases that contribute to the appearance of this characteristic, a lot, so there is no need to engage in treatment. If the pain does not go away after taking analgesics and lasts more than one day, you should consult a doctor.

Common cause feeling unwell, bad mood in women there is pain in the abdominal area. For what reason does the lower abdomen hurt, pull, or ache in women and how to treat it?

Such pain can occur as a result of various pathological conditions occurring in the pelvis. The uterus and ovaries are usually involved. Sometimes the cause is physiological phenomena occurring in female body. To establish accurate diagnosis pathological condition, as a result of which the following symptoms appear: nagging, aching pain, you need to understand where exactly it is located, its intensity and regularity.

The main causes of abdominal pain

There are two types of reasons: organic and functional.

Organic ones include:

• Various diseases of the uterus and ovaries. Cyst, fibroid and other diseases;
• Infections of the genital organs;
• The presence of a vaginal device;
• The presence of scars due to surgical interventions;
• Inflammatory processes or infection in the kidneys, bladder, intestines;
• Pathological conditions during pregnancy.

All of these causes of pain are serious reason to seek medical advice and further treatment.

Functional reasons:

• Algodismenorrhea. This phenomenon is associated with pathology in the position of the uterus. It is also possible following reasons: the uterus is not developed, is highly sensitive, bleeding in the uterus, other menstrual disorders.
• Ovulatory syndrome. During the period of ovulation, women often experience a similar condition, characterized by pain in the pelvic area and lower abdomen. The pain may be on the left or right, depending on which ovary the follicle ruptured. Similar state Normally, it goes away after a few hours, or within a day at most.
• The uterus is bent. Blood stagnates during menstruation, and the girl feels severe pain in the lower abdomen.

These pains appear due to disorders and bad work functions of the genital organs.

Organic factors

Aching, nagging pain in the lower abdomen can occur due to inflammation, infection, various processes occurring as a result of the deformed state of the genital organs, and improper blood circulation.

Diseases of the genital organs of an organic nature that cause pain:

1. Adnexitis. An inflammatory process that occurs due to the presence of infection in the uterus and tubes. The pain syndrome begins to manifest itself only in chronic stage diseases. Soreness may be felt on the left side or the right. There are disturbances in the work and functioning of the ovaries. The menstrual cycle is disrupted. There may be bleeding. There is a possibility of ectopic pregnancy.
2. Endometritis. Menstrual irregularities, pain in the center of the abdomen and below occurs due to inflammatory processes in the endometrium. There are cases of spread of the inflammatory process to the appendage area.
3. Endometriosis. With disease, the endometrium grows into the uterine tubes and ovaries. Occurs due to hormonal imbalances. It is characterized by painful periods and their instability. A complete cessation of menstruation and the formation of adhesions are possible.
4. Apoplexy of the ovaries. Hemorrhage occurs in the ovarian area. Reasons: unsuccessful sexual intercourse, excessive physical activity. Elimination of bleeding is possible with surgical intervention.
5. Colpitis. Inflammation occurs in the vaginal mucosa. Causes: streptococcus, fungus, gonococcus, others infectious diseases. There may be itching inside the vagina.
6. Myoma. A benign tumor. Characterized by the appearance of nodes inside or outside the uterus. Blood circulation is impaired. For these reasons, the lower abdomen and lower back begin to hurt. There is a possibility of bleeding in the uterus. The disease can be cured through surgery or hormone therapy.

Do not delay treatment if you suspect a disease.

Pathologies of other organs

The causes of discomfort in the abdomen can be other factors and pathologies.

• Appendicitis. With the disease, aching and nagging pain may occur. May be accompanied by nausea, vomiting, general malaise, elevated temperature bodies. It is necessary to perform the operation quickly to avoid peritonitis.
• Urolithiasis disease. The resulting conglomerates prevent urine from passing freely. Appear pain syndromes in a stomach. It is recommended to combat the disease promptly.
• Cystitis. The bladder becomes inflamed. The pain is characterized varying intensity, usually pulling, arising in the lower abdomen. There may be a burning sensation in the bladder area. During bowel movements, the bladder feels like a pain.

Similar pains also occur due to diseases of the digestive system. This is the area of ​​the intestines and bladder. An example of a disease is cholecystitis.

Nagging and aching pain in the abdomen as a result of a woman’s pregnancy

If such painful sensations occur together with a delay in menstruation, this may be pregnancy. Along with all the symptoms, the girl does not feel the same as before. Irritability, at times weakness and fatigue appear. The woman feels sleep-deprived and her mood often changes. May occur increased sensitivity, breast tenderness.

Any woman experiencing such symptoms should consult a gynecologist. The doctor will confirm or deny possible pregnancy, will determine whether the symptoms in this case are normal.

Functional reasons

Functional reasons include cases where a woman feels pain associated with menstruation.

If pain appears immediately before the onset of menstruation, it is called premenstrual syndrome. May occur due to underdeveloped organs of the reproductive system and disturbances in the uterus.

During the period of ovulation, when a follicle ruptures in the female body, the girl feels severe discomfort. The lower abdomen pulls, it aches and there may be blood discharge. This condition is considered normal. It goes away on its own, without treatment after a day.

Significance of additional symptoms

To determine the cause of pain, it is necessary to understand the importance of the symptoms that accompany the disease.

• Discharge in the form of blood that does not occur during the approach of menstruation, it is not associated with menstruation. Such a symptom gives reason to think about diseases of the organs of the reproductive system.
• Discharge that has an unnatural odor. Accompanied by fever, pain in the lower abdomen. Perhaps it is an infectious disease. Gonorrhea or trichomoniasis.
• Feeling of pain, possibly burning. If at the same time there is frequent urination, and the lower abdomen hurts, this is a disorder of the genitourinary system.
• Nausea, bloating, possible vomiting along with abdominal pain is an infection in the intestines.

If these symptoms appear, you should go to the hospital immediately.

Diagnosis and treatment

To establish the cause of such pain, the doctor prescribes different kinds examinations:

1. Blood test to detect inflammation;
2. Urine tests;
3. Ultrasound of the pelvic area;
4. Blood test for infections in the genitals;
5. Blood test for biochemistry.

Prescribe treatment medicines possible based on the diagnosis. Usually prescribed:

• Antibacterial drugs;
• Hormonal agents;
• Various antispasmodics that relieve pain;
• Surgical intervention if necessary. This could be curettage of the uterus. Cauterization of the cervix, cutting out tumors and cysts are used.