home Folk remedies Constant tension in the lower abdomen in women. Causes of nagging pain in the lower abdomen

Constant tension in the lower abdomen in women. Causes of nagging pain in the lower abdomen

When men are sick, they behave worse than children. Especially if pain occurs in the lower abdomen. When a baby feels bad or is in pain, he runs to his mother. Cries, complains and tries to explain or show where it hurts.

A man, on the contrary, is not used to crying, because real men don’t complain! And he remains silent like a partisan, poisoning his life with torment and doubts and bullying those around him. Until either the nagging dull pain turns into severe pain and you will have to see a doctor, or it will be too late.

Causes of pain in the lower abdomen

Pain in the lower abdomen can be caused by inflammatory processes.

Painful sensations in lower quadrant Abdominal pain can be sharp, dull, cramping, cutting and stabbing.

They can radiate to the leg and anal area, intensify during physical activity and when visiting the toilet, and be accompanied by problems with urination and defecation. The main causes of pain in the lower abdomen in men:

inflammatory processes in the bladder;
renal colic;
venereal diseases;
strangulation of a hernia, including the spine;
intestinal inflammation, obstruction;
appendicitis;
prostate diseases;
oncopathology of the prostate, testicles, penis.

Often the symptoms of these diseases are similar. Therefore, you should not self-diagnose. Start off active actions should be a visit to a urologist, since most diseases relate specifically to his specialization. If you suspect inflammation of the appendix or intestines, or cancer, the doctor will redirect you to the right specialist.

Diseases of the urinary system

Pain in the lower abdomen is a sign of a disease of the urinary system.

Cystitis is considered a female disease, since the urethra of the fair sex is shorter and wider than that of men and the pathological microflora reaches the bladder faster.

But the strong half of humanity is not immune from this. Inflammation of the bladder is a complication of urethritis - an inflammatory process in the urethra. The cause may be hypothermia or an STD. Symptoms of cystitis and urethritis:

Similar symptoms are observed when sand or stones pass through in renal colic. Stones passing through the ureters cause severe, cramping pain. The patient cannot find a place for himself and rushes about.

If the stones are small or sand is rejected, then the symptoms may be vague, and the pain is nagging and of moderate intensity.

Appendicitis

Appendicitis - causes abdominal pain.

The inflammatory process in the appendix causes severe pain in the right lower quadrant of the abdomen.

At the initial stage of the disease, they can be painful, but as the pathology develops, the pain syndrome intensifies. Additional symptoms:

nausea;
vomit;
defecation disorder;
the patient lies on his side with his legs bent;
blood and urine tests show high leukocytosis.

If such symptoms appear, hospitalization in a surgical hospital is indicated.

Intestinal pathologies

Dull nagging pain in the lower abdomen accompanies the following pathologies in the gastrointestinal tract:

inflammatory processes in the intestines;
pathologies in the sigmoid colon;
intestinal obstruction.

The pain syndrome is accompanied by additional symptoms. In inflammatory processes, these are nausea and vomiting, diarrhea or, conversely, constipation, flatulence, bloating, and the temperature may rise.

With obstruction, in addition to pain, the desire and urge to defecate remains, but it is impossible to carry it out. As it increases pathological process the patient begins to feel feverish and may vomit feces. In this case, the patient is indicated for immediate hospitalization surgery department hospital.

Pathologies of the sigmoid colon are accompanied by pain that radiates to the lower back and left leg. The pain intensifies with movement and defecation. The causes of the pathology are dysbacteriosis, infectious lesion, treatment with aggressive drugs and procedures.

Venereal diseases

Sexually transmitted diseases - gonorrhea, syphilis, infection by Trichomonas, opportunistic microorganisms such as chlamydia or ureplasma - in addition to specific symptoms characteristic only of them, can cause pain in the lower abdomen. This symptom is characteristic of a long-term course of an untreated inflammatory process.

Prostate pathologies

Alcohol abuse affects the prostate.

The prostate is a delicate, necessary and vulnerable organ. Normal functioning depends on the quality of its work. reproductive system men.

Inflammatory diseases of this gland are called prostatitis. The infection enters the prostate from the urethra, bladder, and intestines.

But in itself it rarely causes an inflammatory process. It takes a confluence of unfavorable circumstances. At risk are:

men leading a sedentary lifestyle;
persons who are overly sexually active. But also complete absence it is unfavorable
affects the prostate;
chronic defecation disorder;
systemic and prolonged hypothermia;
alcohol abuse.

The disease can develop acutely, but can be of a sluggish chronic nature. Symptoms of the disease:

Problems with urination - pain during the process, sluggish stream, frequent urge with a small volume of urine released.
Increase in temperature during an acute process. Without proper treatment, septic shock can begin with a drop in temperature to 35 degrees.
Pain in the lower abdomen and anus area.
Long-term treatment with preventive courses. The prognosis for early initiation of therapy is favorable. But without treatment it is extremely unfavorable.

Inflammatory diseases of the testicles

Inflammatory diseases of the testicles can cause fever.

Orchitis is an inflammation of one or both testicular glands in a man.

This disease is a consequence or complication of infectious and viral diseases, gonorrhea, syphilis, fungal flora, tuberculosis, brucellosis. Symptoms of testicular pathology:

pain in the affected organ;
nagging pain in the lower abdomen and sacrum;
the organ is enlarged;
temperature up to 39 degrees in an acute process and up to 38 in a chronic process;
general weakness.

Without treatment, there is a high probability of developing an abscess. Infertility develops. At chronic process infertility becomes permanent.

Orchitis can be combined with an inflammatory process in the organ appendage - epididymitis. Treatment is conservative, aimed at suppressing the infectious or other agent. If therapy is ineffective and there is an abscess or infiltrates in the scrotum, surgical intervention is indicated.

Oncopathologies of the prostate and testicles

With prostate diseases, urination disorder is observed.

Prostate and testicular cancer is a group malignant diseases male reproductive system.

Prostate cancer pathologies develop in old age. Often the prognosis is unfavorable due to late consultation with a doctor.

Testicular cancer, on the contrary, is typical for young men in the active reproductive period. It responds well to treatment.

A man diagnosed with testicular cancer has a very high chance of becoming a father. Symptoms of prostate cancer:

urination disorders - increased time to empty the bladder, a feeling of incomplete emptying;
pain in the lower abdomen.

Treatment is both conservative with the use of chemotherapy drugs, radio irradiation, and surgical with complete or partial removal organ. Testicular cancer has the following symptoms:

the presence of a compaction in the structure of the organ;
nagging pain in the lower abdomen;
sometimes severe pain due to tissue necrosis;
inflammation of the organ appendages.

Already at the first stage of oncopathology, the appearance of secondary tumors in the nearest lymphatic collectors is possible.

Therapeutic tactics depend on the type of tumor. Currently, complex treatment methods are indicated, combining irradiation before and after surgical intervention, tumor removal, massive chemotherapy.

This video will tell you about the causes of pain and rumbling in the stomach:

Some conclusions

Dull pain in the lower abdomen is an uncharacteristic sign of a large number of diseases, both the reproductive system and the kidneys and intestines.

Do not self-medicate. In some pathologies, this is a delay in precious time.
Start your examination by visiting a urologist. Since most diseases with pain in the lower abdomen are its specialization. It's not scary, although it can be unpleasant. But, you are a man, not a little toddler!

Women quite often have to deal with various ailments. The most popular reason for patients to visit a gynecologist is pain in the lower abdomen (in the middle). In women, these sensations may occur periodically or be permanent. You can learn about the reasons for such discomfort from the article below.

Is it normal for women to have pain in the lower abdomen (middle)?

When a patient comes to see a gynecologist, she is first of all interested in whether such sensations are normal or if it is a pathology. The doctor will not be able to answer this question right away. To find out what caused the pain in the lower abdomen (middle) in women, it is necessary to conduct some examination. Usually it includes a gynecological examination, taking a smear, and ultrasound diagnostics. Based on the results obtained, the doctor can already prescribe additional research. These include colposcopy, hysteroscopy, magnetic resonance imaging, laparoscopy, and so on.

Depending on what caused the pain in the lower abdomen (in the middle), women are given a diagnosis. It is worth noting that such sensations are not always a symptom of pathology. Sometimes this may be the absolute norm or physiological feature. Let's look at the main causes and symptoms of lower abdominal pain in women.

Intestinal problems

Pain in the lower abdomen (in the middle) in women can appear due to intestinal pathologies. So, most often this is a delay feces or frequent bowel movements. Usually such symptoms appear due to poor nutrition. However, they can also be caused by more serious problems, such as inflammation or dysbiosis.

If discomfort arises due to problems in the intestines, then the fairer sex often notices other symptoms. These include increased gas formation, lack of appetite, nausea, and so on. If you have problems with your intestines, you should consult a doctor as soon as possible and get qualified help.

Onset of pregnancy: implantation

Pain in the lower abdomen (in the middle) in women can be a sign of fertilization. So, after the fusion of the male and female gametes, the cells begin to actively divide and gradually descend into the uterine cavity. Here the implantation of the membranes into the wall of the organ occurs. This process is accompanied by minor damage to small capillaries and pain.

It is worth noting that not all women feel such discomfort. In more than half of the cases, implantation occurs asymptomatically. This is explained by the fact that this pain is very insignificant. Sometimes implantation of the fetus into the uterus is accompanied by a short one-day bleeding. After just one week, a woman can take a home pregnancy test and get a positive answer.

Menstruation

Pain in the lower abdomen in women before menstruation is a very common phenomenon. Approximately 80 percent of all representatives of the fairer sex feel this discomfort. Sometimes this is explained by a physiological feature and low pain threshold. In other cases, pathology is detected.

Painful sensations may begin several hours before bleeding begins and persist for the first few days. To alleviate your condition, try not to engage in physical activity during this period, but rather rest more. It is also worth visiting a gynecologist and finding out whether this is a normal reaction of the body to monthly bleeding.

Ovulation

During the release of the egg from the ovary, the walls of the follicle are stretched and ruptured. This may cause minor pain. It is worth noting that such discomfort is very short-lived and most often does not repeat every cycle. Pain during ovulation spreads in the lower abdomen in the middle and radiates to one side.

Pregnancy and the threat of termination

A dull pain in the lower abdomen in women (in the middle) can occur during pregnancy. In this case, you need to immediately put aside your business and visit a doctor, or better yet, call an ambulance. At the same time, symptoms such as bleeding from the genital tract, a decrease in the strength of toxicosis, and so on may occur.

The normal state of the uterus during pregnancy is maintained by a hormone called progesterone. It contributes to the fact that reproductive organ is in a relaxed state and does not try to push the fetus out. If the amount of this substance decreases, contractions begin, leading to similar pain.

The cause of pain is a neoplasm

A nagging pain in the lower abdomen (in the middle) in women is sometimes a symptom of a tumor. Often this is a benign functional formation that has grown due to a slight hormonal imbalance. Such cysts on the ovaries go through several cycles and do not cause any harm to the woman’s health. However, sometimes a tumor can still have the same benign nature, but be non-functional. In this case, it begins to grow for some reason, affecting neighboring organs and causes a feeling of heaviness, pain and discomfort in the lower abdomen in the middle.

Malignant tumors are much less common. They usually appear in older women. Such neoplasms must be treated as soon as possible. To correct the condition, a surgical operation and a subsequent course of recovery of the body are performed.

Endometriosis is an insidious enemy

Pain in the lower abdomen (in the middle) in women can have hormonal causes. Often this is the development of endometriosis. It is worth noting that doctors still cannot find out the main reason for the development of pathology. Some say that sex during menstruation leads to endometriosis. Others argue that it is purely a hormonal disease. Be that as it may, with this pathology the patient may feel quite severe pain in the lower part of the peritoneum. They intensify during menstruation and subside somewhat towards the middle of the cycle. Bleeding is more abundant with the presence of chocolate-colored clots.

With endometriosis, the contents of the inner layer of the uterus grow where this should not happen. The most common pathologies detected are the ovaries, fallopian tubes, abdominal cavity, and so on. Treatment can be conservative or surgical. After correction, the pain in the middle of the abdomen in women goes away without a trace.

Bladder pathologies

Often pain in the lower abdomen in the middle occurs with cystitis. In this case, we are talking about an inflammatory process in the bladder. Often, a woman also complains of a frequent urge to urinate, during which pain, burning and itching appear.

Cystitis must be treated with antimicrobial and diuretic drugs. However, before this you need to undergo tests that will help identify the sensitivity of microorganisms to certain drugs. After the correction, the pathology disappears, and along with it, the pain and discomfort in the abdomen in the middle is eliminated.

Inflammation of the uterus and its appendages

Pain that appears in the lower abdomen in women and is localized in the middle may indicate an inflammatory process. Doctors call it metritis, endometritis, and also use other terms. Inflammation is often the result of an untreated infection that was acquired through sexual contact. At acute form During the course of the disease, women note an increase in body temperature, weakness, headache, and so on. When does inflammation become chronic form, we can talk about adding selections unusual color With unpleasant smell, feeling pain during sexual intercourse and so on.

Treatment of inflammation takes quite a long time using numerous medications. However, after the correction, the pain disappears and no longer bothers the patient. It is worth noting that women who have had inflammation are at risk. Often the pathology recurs and symptoms reappear.

Summarizing

You now know what can cause pain in the lower abdomen in women. Remember that if symptoms appear, you should visit a doctor as soon as possible. Many women save themselves from illness with antispasmodics. However, these drugs do not solve the problem, but only muffle the symptoms. This can lead to disastrous consequences and various complications. Be regularly examined by a gynecologist and always be healthy!

When nagging pain in the lower abdomen occurs, it is difficult to immediately name the exact cause, much less give a specific recommendation. But if suddenly they appear, then you should definitely pay attention to it.

Nowadays, women often go to the doctor with complaints of pain in the lower abdomen, and the causes of such an unpleasant illness are very diverse. Often the nature of such pain is inconsistent, but you need to pay attention to this sign immediately, since underneath it there may be a pathological disease associated with great risk.

General information

Often, nagging pain in the lower abdomen worries women, but the stronger half of humanity is not immune from this illness.

Pain in the lower abdomen in women, the causes of which are quite varied, can be a harbinger of physical or emotional stress. They can also indicate hypothermia of the body. In this case, if a woman drinks painkillers and takes a horizontal position, covered with a warm blanket, through a short time the pain goes away. However, paroxysmal and sharp pains should alert the woman. Such symptoms are a signal that something is wrong with the body and something needs to be done about it. It may even require urgent hospitalization and the adoption of the most radical measures.

Naturally, it is almost impossible to independently establish the true cause of the pathology that has arisen, so if such symptoms appear, it is recommended to seek advice from a specialist. Often, women turn to a gynecologist with such complaints, but they may require the help of doctors specializing in completely different areas. The specialist will conduct an examination, prescribe a number of necessary tests and appropriate treatment.

What are the main causes of this kind of pain, and what should you pay special attention to? What are the main methods and methods of treating this disease? These questions are of interest to many women who have had to deal more than once in their lives with such an ailment as aching pain in the lower abdomen.

Factors provoking the disease

Nagging pain in the lower abdomen in women can indicate both some organic malfunctions in the body and many of its functional disorders. So, the organic reasons are as follows:

developing appendicitis;
irritating effect of the installed intrauterine device;
chronic kidney, gallbladder or bladder diseases;
abortion;
possibility of miscarriage;
placental abruption during pregnancy.

And in a row functional reasons includes:

disruption of the menstrual cycle;
disruption of ovarian function and resulting uterine hemorrhages;
sensitivity during a phenomenon such as ovulation;
stagnation during menstruation.

The pain that accompanies the above diseases can be completely different from each other in duration and intensity. Some diseases can cause sharp or dull pain, while other diseases can be accompanied by aching pain, and some pain sensations resemble contractions.

From all this it follows that it is very important to make a quick and correct diagnosis in order to prescribe therapy, which could very soon bring only positive results.

Diseases of the genital organs

Inflammation in the genital organs is a disease that affects most women, and this disease is often accompanied by pain in the lower abdomen. Painful sensations appear in the lower abdomen on the right or left side, depending on which ovary is inflamed. However, perceived pain is not the only symptom that signals inflammation in the appendages. The temperature may rise further. For many women, the described disease is known as adnexitis.

With endometritis, pain is felt in the lower abdomen in the center. The disease is usually acute, with sharp increase body temperature. Even intoxication of the body is possible.

With the chronic course of the disease, the woman feels a dull pain, and heaviness is felt in the area of the appendages.

Inflammation in the genitals should be treated to avoid possible complications and negative consequences for women's health. Treatment is prescribed by a doctor, and this is a mandatory course of antibiotics, vitamins and suppositories. The main action of the assigned medical supplies is aimed at relieving existing inflammation.

Aching pain in the lower abdomen in women often occurs with a disease such as uterine fibroids. This is a so-called tumor, only benign. The disease is quite serious and requires immediate treatment. Pain occurs when fibroids, having reached a certain size, begin to put pressure on nearby organs, which is the cause of pain. They may acquire compressive or stupid character. There is no way around this without surgery.

Sometimes women experience a phenomenon such as twisting of the base of an ovarian cyst, accompanied by aching pain in the lower abdomen. The disease can be caused by unsuccessful sudden movements or heavy physical labor. When the twist angle reaches 90°, the outflow of venous fluid is disrupted and swelling occurs. If the base of the cyst is twisted 360°, then the woman begins to experience increased pain, reminiscent of contractions, and intoxication of the body is inevitable. This requires urgent surgical intervention.

Inflammatory processes in the genitourinary system of the body

If there is a pulling in the lower abdomen, and urination is accompanied by obvious pain, then this may be a sign of incipient inflammation.

Such diseases bring suffering not only to the weaker sex; men are also often at risk. The effectiveness of treatment depends on how soon the appropriate treatment was started, otherwise very serious complications may occur.

Treatment of diseases genitourinary system and sexually transmitted diseases, requires the mandatory use of a course of antibiotics. If the bladder is inflamed, then in addition to antibiotics, diuretic drinks are prescribed. It would also be useful to take healing bacteria.

Intestines

Intestinal dysfunction is one of the common reasons the occurrence of pain in the lower abdomen, although not all people know about it. And the explanation for this phenomenon is very simple. So, if the intestines work incorrectly, their peristalsis suffers. Constipation occurs, which, in turn, causes similar unpleasant sensations in the lower abdomen.

Inflammation of the appendix can also be expressed by pain, but other symptoms are inevitable:

temperature;
severe weakness;
nausea.

If inflammation of the appendix is detected, then surgical intervention is simply necessary. If the operation is not performed on time, the patient may even face death.

Inflammation in the intestines can also begin as a result of snugly nestled here pathogenic bacteria and microorganisms. A person who has inflammation of this vital organ is often concerned about:

nagging or aching pain in the lower abdomen;
frequent stools with noticeable bloody or mucous discharge.

If a person notices that the pain he feels in the lower abdomen and constipation go hand in hand, then he can start by taking independent measures for relief. It would be advisable to accept such medicines, like Duphalac or Senade. It is very important to review your daily diet, since poor nutrition is the main cause of many intestinal diseases. In such cases, following a diet helps very well.

If symptoms persist for several days and the condition does not improve, then a visit to the doctor is mandatory.

If the doctor detects obvious inflammation of the intestines, the patient is prescribed sorbents and antibacterial agents, which include tablets and injections. The patient may be recommended to take a course of beneficial bacteria in order to restore his microflora.

Ectopic pregnancy

Quite often, women go to the doctor, complaining of nagging pain in the lower abdomen, even without admitting that they have an ectopic pregnancy, although often the pain indicates precisely this diagnosis. This pathological phenomenon develops due to the fertilized egg entering the space required for them, that is, the uterus. The egg may end up in the fallopian tube, one of the ovaries, or the abdominal cavity.

Diagnosing this disease will not be difficult if the patient complains of regular severe pain in the lower abdomen, which is paroxysmal in nature. Usually a woman notices a delay in her menstruation, although at times there may be a discharge mixed with blood, and a pregnancy test taken will be positive.

The described phenomenon is very serious and requires immediate hospitalization and surgical intervention, since in case of untimely treatment medical care Intracavitary bleeding may occur, which is unsafe for the woman’s life.

It is worth noting that mainly those women who once had similar problems can encounter this disease. Those who have an intrauterine device installed are also at risk.

Nutrition

Surely few people realize this, but often pain in the lower abdomen can be caused by certain foods eaten, overeating, or fasting.

So, pain can be caused by such phenomena as:

poisoning with certain foods;
heartburn;
problems with the spine.

A malfunction of the digestive system can often lead to nagging pain in the lower abdomen. In this case, it would be a good idea to give your stomach some time to rest. In other words, you just need to avoid eating heavy foods for some time. It is advisable to eat all liquids for a certain period of time, but it would be better to switch to dietary nutrition.

An urgent visit to the doctor is necessary if, in addition to pain, you suffer from symptoms such as:

diarrhea;
severe nausea;
vomit;
constipation.

Medical attention is urgent when severe pain is felt for half an hour, and is accompanied by obvious sweating and obvious pain in the chest.

Timely consultation with a doctor

Most pregnant women, feeling discomfort in the lower abdomen, immediately go to see a doctor. This is correct, because the expectant mother must react immediately to this symptom in order to avoid disastrous consequences, such as termination of pregnancy or placental abruption. Treatment will be aimed at maintaining the pregnancy. The patient must comply bed rest, take antispasmodic drugs, and hormonal therapy is also prescribed.

Pain in the lower abdomen can be a serious signal of a malfunction of some organs, so at the slightest manifestation of pain you should immediately consult a doctor.

Only qualified specialist can determine the exact cause of these pains and prescribe the correct therapy.

The fair sex often experiences discomfort in the pelvic area due to physiological characteristics. Added to the discomfort are mood swings, weakness, drowsiness, and dizziness. If the problem bothers you frequently and does not coincide with the monthly cycle, you need to think about why the woman’s lower abdomen and lower back hurt. What to do, what therapeutic measures to use - the doctor will tell you based on the diagnostic results.

If the pain becomes persistent, limits mobility, and reduces the quality of life, you should not delay a visit to the clinic: many causes of discomfort are far from harmless. The doctor will determine why the lower abdomen hurts and provide the woman with the necessary help.

Why does the stomach and lower back hurt in women?

Practice shows that pain in the lower back and abdomen in women is a common problem.

To find out its reasons, the doctor asks the patient clarifying questions:

what nature of the unpleasant sensations are (dull, shooting, paroxysmal);
how often does discomfort occur;
whether the patient’s body temperature rises;
where the pain is localized: covers the lower back, center of the abdomen, side;
are there any accompanying symptoms (dizziness, nausea, problems with urination, etc.).

Based on the results of an oral interview, the doctor makes an assumption about why the lower back hurts, which is confirmed or refuted after laboratory tests.

Unpleasant sensations are not always associated with menstruation. They are often caused by serious pathologies of the body, other than gynecological problems.

Intestinal diseases

The cause of discomfort in the pelvic area is intestinal disease.

They cause the following set of symptoms:

the patient has a stomach ache;
discomfort radiates to the lower back, groin and chest area;
increases gas formation in the intestines, which is why a woman feels like her stomach is “bursting” from the inside;
nausea, vomiting, loss of appetite occurs;
stool is disturbed.

If a patient has intestinal pain, the doctor may suspect the following problems: infection, poisoning, intestinal obstruction, ulcerative colitis, perforation small intestine etc. To eliminate unpleasant sensations, you must definitely consult a doctor: delay or the use of traditional methods leads to a worsening of the situation and progression of the disease.

Particular attention is required if the pain becomes cramping in nature. You need to call an ambulance: such a symptom indicates the danger of the disease to the woman’s life.

Kidneys

Abdominal pain radiating to the back is a manifestation of the following kidney-related ailments: pyelonephritis, cyst, development of malignant neoplasms, renal failure. They arise due to poor nutrition, hypothermia, hereditary predisposition, other factors.

Nagging pain in the lower abdomen and lower back is complemented by the following characteristic symptoms:

If the problem bothers the patient long time, you need to visit a doctor who will diagnose accurate diagnosis, will prescribe treatment.

Urolithiasis disease

Aching pain radiating to the lower back is a sign urolithiasis. It affects patients aged 25-50 years. Doctors attribute the problem to the unfavorable influence of poor ecology and poor lifestyle of patients.

Appendicitis

Unpleasant sensations appear unexpectedly and rapidly increase. The patient may have a fever, which indicates a purulent form of the disease.

The pain extends to the epigastric region, then moves to the stomach and lower back, especially bothering the right side. With purulent appendicitis, the discomfort is less intense, which is due to loss of sensitivity in the nerve endings. Loss of consciousness and bouts of vomiting are possible.

Often a woman feels discomfort on the right side of her leg. This causes her to limp when walking. General weakness, irritability, urination problems and diarrhea are gradually added.

In the absence of medical intervention, acute appendicitis entails death . If its symptoms appear, you need to call an ambulance. Before her arrival, the patient should be put to bed and something cold should be placed on the right stomach or under the lower back. Taking painkillers is strictly prohibited.

Video

Video - how to identify an inflamed appendix?

Menstruation

According to statistics, 70% of women experience discomfort in the abdomen and lower back during menstruation. The main cause of discomfort is changes in hormonal levels. The muscles of the pelvic area and the uterus begin to contract, which irritates the nerve endings.

A characteristic symptom appears - a woman’s lower abdomen pulls.

It is accompanied by other unpleasant manifestations:

chest pain;
worsening mood: the woman becomes lethargic, nervous;
increased fatigue;
slight increase in body temperature;
loose stools;
dizziness, etc.

Practice shows that monthly discomfort mainly affects nulliparous women. The symptoms are dangerous because they can be explained not only by natural cyclical processes, but also by sexually transmitted diseases, endometriosis, and inflammatory processes in the ovaries and fallopian tubes. Therefore, it is important for a woman to listen to her own body and be able to distinguish the norm from signs of illness.

Pain during pregnancy

Pregnant women often complain that their lower abdomen and lower back are tight. As a rule, unpleasant symptoms are regarded by doctors as normal. On early stages(first and second trimester) they are caused by a shift in the center of gravity of the spine, weight gain, increased muscle tone in the pelvic area.

In later stages, the weight of the fetus reaches three kilograms. It is not easy for the expectant mother to carry such a heavy weight, so her lower back is constantly bothering her. The load on the genitourinary system increases, swelling occurs, so the lower abdomen ache. Sometimes the discomfort becomes so strong that a woman prefers most time to sit or lie down.

Painful sensations are regarded as normal if they are not sharp, shooting in nature, and the stomach does not become hard. In these cases, you need to consult a doctor and get examined.

Ectopic pregnancy

A characteristic sign of a dangerous condition is. Discomfort is often localized in the right or left side - closer to the affected fallopian tube, and intensifies when walking or turning the body. Woman notices bloody issues from the vagina.

Pain in the lower back and pelvic area gradually increases, becoming unbearable and cramping. An ectopic pregnancy is life-threatening for the patient, so if its first symptoms occur, you should immediately consult a doctor.

Diagnostics

To make a diagnosis, the doctor conducts an oral conversation with the patient to identify her complaints. He is interested in where the pain is localized: below, on the side, around the abdomen and lower back, etc., what its nature is, how often it appears, what additional symptoms are accompanied.

To make a correct diagnosis you need laboratory research:

general blood test - an increased level of ESR indicates the development of an inflammatory process in the body;
general urinalysis - an increased level of leukocytes indicates kidney disease;
Ultrasound of the pelvic organs - allows you to exclude or confirm diseases of the genitourinary system;
X-ray – reveals osteochondrosis and other diseases of the spine;
absorption densitometry – diagnoses osteoporosis;
irrigoscopy - the doctor examines the large intestine and identifies gastrointestinal problems.

Based on the research results, the doctor draws conclusions about what caused the discomfort in the lower back and what to do in this case.

Treatment

When the doctor has found out why the patient has pain in both her back and stomach at the same time, he prescribes treatment. Treatment options vary depending on the cause discomfort.

If your back hurts for a reason acute appendicitis, the patient is prescribed surgery in 100% of cases. Refusal to undergo surgery results in death.

If intestinal problems are detected, the patient is prescribed absorbents and (or) antibiotics, substances that normalize the microflora of the gastrointestinal tract. It is necessary to adjust your lifestyle and give up bad habits, follow a diet. Ignoring the doctor’s instructions will lead to the problem moving into a chronic stage.

Complaints of nagging pain in the lower abdomen can be heard from many women, and there are many reasons for this. Tightening in the lower abdomen may occur during pregnancy or during menstruation, but this is explained physiologically and is not dangerous. Abdominal pain deserves more attention without apparent reason when the pulling begins abruptly, after certain actions or at a specific time of day.

When considering why women may have a tight lower abdomen, it is important to take into account lifestyle, nutrition, and genetic predisposition to various diseases, including oncology.

The lower abdomen can be pulled after physical activity, overeating, injury, or in case of inflammation of the pelvic organs. It is interesting that nagging pain in the lower abdomen Young girls are more likely to be harassed and women under 35, which makes you think about changes environment and lifestyle over the past few decades.

Why does it feel tight in the lower abdomen?

Basic cause nagging pain lower abdomen should be highlighted premenstrual syndrome and menstruation period. These days, a woman feels incredible pain not only in the lower abdomen, but also in the lumbar region and legs. During pregnancy, there are also unpleasant sensations associated with the growth of the uterus and the pressure of the fetus on the internal organs, which is why the lower abdomen begins to pull.

If we talk about a middle-aged woman who is not in a special situation and easily tolerates PMS, but still experiencing nagging pain in the lower abdomen needs to be reconsidered pathological causes this phenomenon. Unpleasant symptom may be a consequence of several dangerous diseases of the pelvic and abdominal organs.

Why does the lower abdomen pull:

Every option pain (pulling, sharp, stabbing, aching, cutting) characterizes individual pathological processes in the body. If we talk about nagging pain in the lower abdomen, it may indicate benign and malignant processes, inflammation of parenchymal organs.

Pain in the lower abdomen as a sign of pregnancy

A delay in menstruation along with nagging pain can indicate an upcoming pregnancy. Parallel woman feels physiological changes in your body, drowsiness, increased fatigue, irritability, frequent shifts mood, breast enlargement and soreness, as well as improved sense of smell.

With such symptoms you need to be examined by a gynecologist, who will confirm pregnancy or find out what the symptoms typical for pregnancy are associated with. When the abdomen feels tight during pregnancy, this is due to the constant growth of the uterus. These sensations occur regularly, others join typical symptoms, which soon makes the woman aware of her situation.

Ovulation and PMS

Every woman can feel discomfort and nagging pain in the lower abdomen during ovulation, and this can be explained quite simply. Ripe the egg is released, tearing the follicle. This occurs in the middle of the menstrual cycle. A little blood flows into the gap that was formed by the rupture, and it is at this moment that the woman feels pain. In addition to heaviness in the lower abdomen, symptoms of headache may occur, elevated temperature body, pain in the lumbar and pelvic areas. In addition, pain after intercourse may also indicate the onset of ovulation.

Premenstrual syndrome is also characterized by similar symptoms. Signs are different for every woman, but they are all united by nagging pain and discomfort in the lower abdomen and lumbar region. In addition, there may be dizziness, loss or increase in appetite, breast tenderness, and irritability.

Explained pain in PMS time the fact that the unfertilized egg gradually exfoliates and leaves the body along with the blood. This process is not easy, although familiar to every woman. During the release of the egg, severe spasm uterus, reminiscent of labor, which is why some women endure this period extremely painfully.

Pain is eliminated with antispasmodic and analgesic drugs, heat, drinking plenty of fluids and rest. At that time heavy physical activity is contraindicated, but charging, on the contrary, will help reduce discomfort. A woman’s nutrition during this period is also important. Since appetite increases more often, you should try to replace heavy foods fresh vegetables and hearty salami, there are more protein and be sure to drink plenty of fluids, sweet tea, water with lemon, but it is better to avoid coffee.

Already a few days before the onset of menstruation, a woman can do, for example, yoga or meditation, to relax her muscles and calm her nervous system.

Inflammation in the abdominal cavity

A tight lower abdomen can have the following unpleasant causes:

The most dangerous of the listed reasons cancer, internal bleeding should be highlighted and acute inflammation of the abdominal cavity. Therefore, we will consider these conditions in more detail, and what measures should be taken if typical symptoms appear.

Internal bleeding and oncology

Gastrointestinal bleeding can be acute or chronic. Each condition is dangerous in its own way. Chronic hemorrhage in the gastrointestinal tract dangerously asymptomatic onset, you can feel only minor soreness and nausea. The accumulation of blood leads to dysfunction of organs, and subsequently to anemia. When acute process Heavy bleeding occurs, there is a risk of anemia of organs and their death. In any case, surgical assistance is required.

In addition to pain in the lower abdomen, the following symptoms appear:

These are nonspecific symptoms that can indicate other ailments, so you need to be examined by several specialists. Need help from a gastroenterologist, abdominal surgeon, gynecologist, infectious disease specialist. After the examination, the doctor will be able to prescribe treatment or emergency surgery.

Malignant formations organs of the gastrointestinal tract they begin asymptomatically, and this is the main danger. Among the first manifestations are minor nagging pain in the lower abdomen, indigestion, but initial stage formation of a malignant tumor, it is quite difficult to determine the correct cause, which is why the treatment is prescribed incorrectly. To avoid such a mistake, you should undergo an oncology test, take a tumor marker, and do an ultrasound of the abdominal cavity to be sure of your condition.

Treatment of lower abdominal pain

To start treatment it is necessary to undergo examination by a gynecologist and gastroenterologist. Diagnostics will determine the main cause of the ailment, after which the doctor will prescribe comprehensive treatment. Besides medications, the doctor will recommend a diet, daily routine and physical exercise to strengthen the muscles of the anterior abdominal wall. This is necessary in order to improve the overall health of the body and prevent complications of the underlying disease.

In case of benign or malignant processes the woman will undergo surgery. It may be necessary to remove the ovaries and uterus, but this is necessary to preserve the life and health of the patient.

In acute pancreatitis, appendicitis or other inflammatory processes I'll also have to have surgery to clean it up. abdominal cavity from pathological microorganisms, preventing blood poisoning, sepsis.

One of the most unpleasant sensations we experience is if we have a tightness in our lower abdomen. In such situations, the desire naturally arises to establish real reasons similar phenomenon. A significant part of the available information is devoted, as a rule, to those cases when the stomach pulls in women.

Quite often this is observed in combination with painful menstruation. However, it is important to understand that it is not always aching bottom abdomen has a connection with the female physiological process.

In some cases pulling sensations may indicate the presence serious illnesses, which are characteristic not only of the female half of society, but also of the male half. Such cases are mostly accompanied, in addition to abdominal manifestations, by a number of additional symptoms, which together make it possible to establish the exact disease.

For this reason, it seems appropriate to consider the most full list possible diseases and other factors, the manifestation of which is, among other things, pulling bottom belly.

So, the following reasons are possible:

Pulling stomach as a sign of pregnancy

A woman may sometimes find that there is a delay in menstruation due to a pulling sensation in the abdomen. At the same time, she also notices her own drowsiness, excessive fatigue, and increased breast sensitivity.

All these signs together can carry information about great joy: pregnancy.

You should, of course, consult a doctor, who will certainly determine the presence of pregnancy. However, a preliminary pregnancy test is also allowed. In the vast majority of cases, the test result will be positive.

Thus, specific set signs can quite clearly indicate that a woman is pregnant. But why does your stomach feel tight during pregnancy? The explanation for this is the constantly changing size of the uterus.

Throughout pregnancy, pulling sensations in the abdomen may occur repeatedly. And if at first they only indicate the presence of pregnancy, then later we talk about a completely different meaning. Let's dwell on this issue.

What does a tight lower abdomen indicate during pregnancy?

As pregnancy progresses, situations where the stomach feels tight can have a wide variety of causes: from the most calm to the truly dangerous. More specifically, a number of factors should be mentioned:

What to do in all of these situations? First of all, avoid panic and unnecessary emotional experiences.

Instead, you should immediately consult your gynecologist. Based on the results of the conversation, the gynecologist will conduct an examination, during which he will identify the real reasons that caused the pulling sensation in the abdomen and determine the necessary treatment.

It (treatment) involves relieving discomfort by taking antispasmodics in the mildest cases. If there is a need for a full examination and the prescription of thorough treatment, there is a possibility of placing the woman in a hospital.

Results

Thus, the pulling sensations that can be observed in the lower abdomen can be associated with various circumstances.

Some of them are harmless and even unusually joyful (if we talk about pregnancy), but there are still a sufficient number of less pleasant factors, among which a considerable proportion are dangerous diseases. Therefore, we should not take the signals our body gives us too lightly. After all, a lot depends on a timely reaction, even the life of the unborn child.

Nagging pain in the lower abdomen has diagnostic value. To identify the cause of the disease, the doctor needs to find out the characteristics of the pain syndrome. It includes questions: when does pain appear, where is it localized, where does it go, what sensations does it cause, what strengthens or weakens it.

If the pain is not constant, then it is important to know how long it lasts and after which it occurs again. Some diseases cause the same symptoms and do not depend on gender, while others are unique to men or women. This explains why patients with nagging pain in the lower abdomen are necessarily referred to a gynecologist and urologist-andrologist. We will look at both general and specific reasons.

Mechanism of pain syndrome

It is believed that abdominal pain can be caused by parenchymal organs (in the lower part - the uterus with appendages in women, prostate - in men) due to enlargement and stretching of the capsule. In hollow structures (bladder, intestines, fallopian tubes) - spastic contractions of the muscle layer.

Accordingly, the nature of the pain will be dull, constant, increasing as the organ enlarges, or cramping, periodic, if muscle tone changes. In addition, the speed of development of the pathological process is important: a rapid increase (for example, in acute inflammation) is accompanied by bursting pain, and a gradual increase is accompanied by nagging pain.

Another nature of nagging pain in the lower abdomen is associated with hyperextension of the ligaments (large ovarian cyst, chronic adnexitis). These are anatomical structures that secure internal organs. In long-term chronic inflammatory diseases, adhesions from scar tissue occur.

The adhesions themselves do not have nerve endings, but they pull the organ by the capsule

Stretching adhesions can disrupt optimal localization and reduce the lumen and patency of tubular formations. Then the pain will be sharp and accompany any movement, intestinal peristalsis, bowel movement, physical activity, sex life. The adhesions irritate the layers of the peritoneum.

Their formation is typical after surgical interventions, with appendicitis, Crohn's disease, diverticulitis, endometriosis in women. WITH physiological manifestation Sprains occur in women during pregnancy. Inexperienced mothers-to-be often complain that their lower abdomen is tight.

One more significant reason nagging pain in the lower abdomen is an increase in tone and prolonged tension of the organ. This symptom is observed during painful periods in girls and women (algomenorrhea).

The description of the clinical picture of the disease is influenced by the subjective assessment of pain. People experience this symptom differently. Therefore, additional manifestations are important, accompanying pathologies, laboratory and hardware research.

Diseases accompanied by the same symptoms, regardless of gender

There are diseases in which both men and women equally often complain of nagging pain in the lower abdomen.

Chronic appendicitis

The disease develops when an acute attack is stopped independently and there is no surgery. However, it does not stop. A pronounced adhesive process occurs. This defensive reaction organism to limit spread.

Frequent nagging pain in right area in the lower abdomen are sometimes the only sign of the disease. For a complete diagnosis, it is necessary to exclude the presence of diseases of the genital organs, urination, and intestines. If the diagnosis is confirmed, elective surgery is recommended. This is the only way to get rid of pain.

Chronic diverticulitis of the ileum

The disease is caused by inflammation of saccular protrusions on the wall ileum. They occur during the formation of the intestinal tube in the fetus or as an acquired pathology as a result of thinning of the wall.

Without inflammation, diverticula are not clinically apparent

The entry of intestinal microorganisms, retention of contents, and decay contribute to the inflammatory reaction.

It is clinically difficult to distinguish from an attack of appendicitis: nagging or bursting pain, nausea, vomiting, headache, fever. The transition of pain to throbbing is an unfavorable sign. It indicates the formation of an encysted abscess. Complications include peritonitis, bleeding and intestinal obstruction. Treatment is only surgical.

Intestinal obstruction

The pathology completely or partially disrupts the passage of contents through the intestinal tube. Possible due to:

with mechanical blockage by adhesions, diverticula, tumor, fecal stones, foreign body;
damage to intestinal motor function by eating too heavy a meal after fasting;
diseases of inflammatory origin (pancreatitis, colitis, appendicitis);
uncontrolled use of medications, drug addiction.

Abdominal pain increases gradually and becomes very strong, bursting, spreading in all directions. The stool is retained, gases do not pass, the stomach is swollen upper sections intestines, repeated vomiting occurs, false urges to defecation. For health reasons, urgent surgery is required.

Chronic sigmoiditis

Sigmoid colon located in the left side of the abdomen, in the side and iliac region. Due to physiological bends, the speed of movement of intestinal contents here is reduced. The location is convenient for support chronic inflammation. The process causes correspondingly nagging pain to the left of the pubis, radiating upward into the lower back.

Long-term disease leads to damage to the entire intestinal wall with surrounding tissues (perisigmoiditis) and lymph nodes. The pain becomes constant, intensifies with movements, after an enema, while walking. Treatment measures often come down to a lifelong diet and anti-inflammatory treatment.

Malignant neoplasms of the colon

At the beginning of the development of colorectal cancer, nagging pain in the lower abdomen is possible. The growth of the tumor, the disintegration and addition of inflammation cause severe pain in the iliac region on the left or right, in the lateral zone, bloating, constipation, and signs of intestinal bleeding.

To distinguish from other diseases, endoscopic colorectal examination with biopsy cytology is necessary. Treatment is only surgical.

What diseases in men cause nagging pain in the lower abdomen?

Closest to lower sections The abdomen is adjacent to the pelvic zone, in which in men an important organ is located - the prostate gland with seminal vesicles.

Chronic prostatitis

If a man complains that “it hurts and pulls in the lower abdomen,” then first of all suspicions arise. chronic prostatitis. Middle-aged men are more likely to get sick, especially with sedentary work (drivers, pilots). The pain is constant, radiating to the suprapubic area, coccyx, anus, groin and external genitalia.

Itching in the anal area is typical; when straining, prostate secretion is released in drops through the urethra. Exacerbations of prostatitis are caused by hypothermia, alcohol consumption, and sexual excesses.

In addition to the characteristic pain, pain during urination, increased urination, retention of urine, and a feeling of incomplete emptying of the bladder are added. The man's temperature rises, dizziness, weakness, headaches, and insomnia appear. Character often changes; a tendency towards isolation and irritability over trifles is noticed in the family.

Benign tumor

Prostate adenoma is formed by overgrown glandular cells. The disease occurs more often in older men. Enlarged prostate squeezes urethra. Therefore, in the early stages, symptoms indicate impaired urination: straining to push urine out, frequent urges without the feeling of complete emptying of the bladder.

Aching constant pain in the groin, above the pubis, it is painfully tolerated by patients. Further increase leads to stagnation of urine and inflammation. In men, cystitis, prostatitis, and pyelonephritis are detected.

Adenoma is associated with hormonal disorders

Prostate cancer

A malignant tumor of the prostate gland occurs against the background of a long course of adenoma, inflammatory processes in the genitourinary organs. The disease begins with nagging pain above the pubis and in the perineum, frequent urination, and the appearance of blood in the urine. Further development of the tumor is characterized by rapid metastasis, pain in the bones (legs, spine, ribs), loss of appetite, and weight loss.

Physiological nagging pain in women

Physiological conditions female body(menstruation, pregnancy) may be accompanied by nagging pain in the lower abdomen. They disappear on their own.

During pregnancy

The pain is caused by stretching of the ligaments surrounding the uterus and appendages. There is a dependence on age (if pregnancy occurs at 25 years of age or older). At individual characteristics structure of the ligamentous apparatus or hypersensitivity pain bothers me in the background next pregnancies. Here, a gap of 7 or more years between births is considered important.

The distinctive signs of physiological pain from pathology are:

lack of connection with any action, spontaneous beginning and ending;
short duration;
low intensity;
there is no deterioration in health, no signs such as bleeding or fever.

Every woman during pregnancy should closely monitor her condition and report any deviations to her obstetrician-gynecologist.

Women usually notice nagging pain during their first pregnancy.

During ovulation

The ovulation period means the release of a mature egg from the follicle in the ovary. It occurs on days 14–15 with a regular menstrual cycle. Some women experience nagging pain in the lower abdomen for several hours or days.

They are classified as low and medium intensity, and intensification occurs during sexual intercourse. It has been proven that pain is caused by increased blood supply to the ovary, its temporary increase, which is associated with hormonal fluctuations. They have a one-way flow.

Gynecologists advise women to be examined to rule out inflammation in the appendages. If pathologies are not detected, then it is recommended not to engage in physical work and sports during the period of ovulation, and to exclude sexual intercourse. At severe pain You can take antispasmodic drugs or put a rectal suppository with belladonna.

What pathology causes nagging pain in women?

Menstrual function is a physiological phenomenon and healthy woman it should not cause any signs of illness. But some people experience intense pain every month and have problems general state. This symptom is called algodismenorrhea.

Gynecologists identify secondary dysmenorrhea caused by pathological changes uterus, appendages, disturbed structure of the internal genital organs.

Adenomatosis

Nagging pain is combined with heavy uterine bleeding and prolonged brown discharge from the uterus. Suffer more often nulliparous women after 30 years, suffering from infertility. With adenomatosis (endometriosis of the uterus), the internal epithelium grows from the uterine cavity into the muscular layer, and “pockets” are formed.

With menstrual blood, the endothelial layer of the uterus is torn away, a mass of blood enters the “pockets”, they expand and put pressure on the surrounding tissues. This causes intense pain radiating to the back and groin.

Hormonal drugs are used in treatment. After conception and during pregnancy, obstetricians monitor the development of the fetus and prevent rejection. Women are observed by a doctor for a long time. The formation of cysts and foci of endometriosis in the pelvis and cervix is possible. It is believed that the pathology disappears after the onset of menopause.

Inflammatory diseases

Chronic inflammatory diseases genital area in women is often accompanied by nagging pain. Menstrual bleeding provokes the development of inflammation, since blood is considered a good environment for pathological microorganisms to live.

Adhesions in the tube become one of the causes of infertility and ectopic pregnancy

At the same time, the general condition worsens, the following appear:

weakness;
headache and dizziness;
muscle pain;
temperature increase.

A change in discharge is characteristic: an unpleasant odor due to the admixture of pus. Neurological complaints of insomnia are typical, stabbing pains in the heart area, irritability. The examination reveals a sexually transmitted infection in 60% of cases; therefore, the diagnosis must take into account the woman’s sexual behavior.

The risk of inflammation increases significantly in the following cases:

transferred diagnostic curettage, abortion;
applications intrauterine contraceptives;
refusal and untimely termination of therapy for an acute disease.

For congenital anomalies, disruption of the structure of the uterus

Nagging pain occurs in a girl with a congenital anomaly during her first menstruation. If the defect is a clogging of the vagina or cervix, then the blood is not released, but accumulates and significantly expands the vagina and uterine cavity.

Teenage girls at painful menstruation it is necessary to show it to a gynecologist and examine it. In women who have given birth, adhesions (synechias) may form in the uterine cavity as a result of the use of intrauterine contraceptives, a previous abortion, or endometritis. A delay in the outflow of blood is caused by retrodeviation of the uterus (bend).

The cause of the bend is severe physical labor, incorrect guidance in postpartum period, sudden weight loss

Primary algodismenorrhea

Characterized by a lack of connection with gynecological diseases. Pain syndrome is explained by functional disorders in endocrine and nervous system, a tendency to increased synthesis by the body of prostaglandins, which contract the uterus, and an increase in the level of estrogen. Typical for girls with overload at school, at work, low mobility, poor nutrition, increased emotional perception.

In 2/3 of cases, a diagnosis of premenstrual syndrome is made. Nagging pain occurs in the lower abdomen several days before the scheduled start of menstruation. Most intense on the first day. There is a combination with headache, nausea, fainting, vomiting, pain in the mammary glands.

Tumors of the internal genital organs

Benign tumors of the ovaries and uterus (cysts, fibroids) with their growth stretch the organ and contribute to nagging pain. At the same time, the process is connected ligamentous apparatus. Clinical picture must be complemented by strong uterine bleeding.

Malignant ovarian tumors are characterized by bilateral pain, since they affect both organs. Pain syndrome is expressed at stages II–III cancer. There are other signs:

Pain in the lower abdomen on one side occurs due to cancer of the fallopian tube. His early manifestation periodic heavy watery discharge is considered. The pain itself in this case is caused by impaired peristalsis of the tube.

Early stages uterine sarcomas are accompanied by uterine bleeding, rapid growth tumors, intense pain, metastases. For an experienced doctor, the significance of nagging pain in the lower abdomen is important for assessing a person’s condition and making a diagnosis. Patients with such symptoms should be examined and specific causes identified.