Okay, when the pain in the abdomen and lower back, is familiar to many people. It is due to various reasons. Most often associated with diseases of the urinary tract, gynecological diseases in women and urology in men, disorders of the conduction system of the nerves and channels of the lower spine.
Doctors have recognized the term "chronic pelvic pain". He is qualified, if the patient has back pain and lower abdomen for 6 months or longer. Statistics show that women in 75% of cases it is due to gynecological disorders, only 25% is other pathology, extragenital called.
Men also suffer from lower back pain and lower abdomen. Prostatitis, prostate adenoma can cause a constant aching pain radiating to the back.
Why is there pain?
The causes of back pain and the pelvic organs lie inflammation or pinching of the nerve trunks, branches, stretching of the capsule of the abdomen.
All impulses in the diseased internal organs of the pelvis, gall bladder, intestines, pancreas, liver, kidneys are the ganglia of the lumbosacral spine
Here they can move from one part to another, so the people seem radiant in a remote area. If the disease of the spine, it is noted the possibility of degenerative disc disease, compression of the intervertebral disc, inflammation (ankylosing spondylitis).
The defeat of the hip joints in the elderly is accompanied by abdominal pain. We consider the symptoms of the main diseases that cause pain.
What are the characteristics of abdominal pain are interested in attending?
The aim is to clarify the nature of the symptoms, it is necessary to find out signs of pain, its combination with other symptoms. An experienced physician interested in questions:
- the specific localization of maximum pain;
- elementary phenomena and the limitations of their occurrence;
- spastic type (colicy) or empty, dolore nature;
- the appearance of the background pain, other symptoms (vomiting, dysuria, diarrhea, constipation, blood in your urine or stools, feeling of stiffness in the joints);
- the presence and duration of fever;
- regularity of menstruation in women, because of menstruation, menopause symptoms;
- suspected pregnancy;
- the nature of the work (length of diagnosis of prostate adenoma are set to "sedentary" occupation).
Diseases of the urinary tract
The most common manifestation, if a sore lower back and abdomen, characteristic of cystitis (bladder inflammation). They often suffer from women because of the anatomical features of the urethra channel.
The pains are drawing in character, the biggest pain in the abdomen, but the "give" in the waist. At the same time is dysuric symptoms (cramps, and frequent urination). Severe accompanied by fever.
Pyelonephritis infection of the renal pelvis, is shown, the biggest pain in the lower back radiating to the lower abdomen. Onset is usually acute, the temperature rises patients chills, dysuria.
The intensity of the pain increase the severity of inflammation
Kidney disease is associated with constant dull arching the lumbar pains. Especially true with the localization of the stone in the pelvis, to the stagnation of urine and the formation of hydronephrosis.
If cured descends into the ureter, the attack has the character of renal colic. Severe pain spreading along the course of the urinary tract in the groin area to the right or to the left. The patient is excited, rushes. The condition improves after discharge of the stone, there is blood in the urine.
What kind of diseases of the gastrointestinal tract, can you think of?
Back pain is often a manifestation of gastritis, duodenitis, duodenal ulcer, inflammation of the pancreas. The surrounding characters complain of patients with acute pancreatitis. Abdominal pain associated with signs of gastrointestinal problems: nausea, heartburn, constant diarrhea or constipation, belching, weight loss.
Intestinal infectious diseases except diarrhea, severe abdominal pain radiating to the lower back. Pay attention to the General intoxication: fever, coated tongue, vomiting, weakness. The stool is frequent and fluid, it is a lot of mucus, possibly blood.
Symptoms and treatment of diseases of the pancreas
Chronic constipation caused by atony of the intestine, interfere with the elderly. The accumulation of fecal stones, poisoning toxins, stimulate the pain during bowel, abdominal distension. Acute pain arises when the signs of intestinal obstruction.
Hiatal hernia causing cramping in the opening part of the stomach, esophagus. Possibly impaired swallowing. More susceptible to overweight people with no physical activity. Abdominal pain starting in the epigastrium to the back. Getting worse after eating. Similar sensations appear in a patient with cardiospasm.
If the pain arose suddenly in the background all health, we can't exclude acute appendicitis. Atypical location of the appendix (cecum, along the midline of the pelvis) causing dragging pain in the abdomen and lower back, "glutin production bonum est" the bladder wall or in the female uterus.
During the exacerbation of ulcerative colitis the distribution of pain focused on the lower back, anus
Disease men
In men, a gradual hypertrophy of the prostate gland is accompanied by aching above the pubes, the donor of the sacrum and lower back. Urological inflammatory diseases are rarer than in women.
But the most common cause of urethritis and cystitis are sexual infections (gonorrhea, chlamydia, mycoplasmosis). Painful cramps, and frequent urination indicate an inflammatory process in the urethra.
Orchiepididymitis — inflammation of the covering of the testis and epididymis. May be due to trauma, but most often the infection is transmitted sexually. Patients, in addition to local pain, fever, nausea, vomiting. The treatment of specific antibacterial substances. Rinse the urethra channel.
Gynecological pathology
Lower abdominal pain and lower back pain in women are usually associated with inflammation of the internal genitalia. Among the gynecological diseases of the female body, the general adnexitis (inflammation of the appendages), ovarian cysts, endometrial inflammation.
Often the pain is cramping, "trah so-called" nature, concerning, where one side or both. Acute adnexitis difficult to perform the abortion, childbirth. Pain localized in the abdomen, with one hand. Without treatment, becomes very powerful, can cause peritonitis.
Pain in the cyst will get worse during movements
When the legs of ovarian cysts in women is twisted is a sharp attack, pain in the stomach, but give in the waist. The same happened at the clinic ectopic pregnancy. Diagnosis based on digital examination of the uterus and appendages.
Gynecologists in enlargement or painful penetration. One of the symptoms is the cessation of menstruation. It is important to detect the disease, such complication is internal bleeding. Endometriosis, cancer a disease of the uterus, is characterized by increased pain above pubic area during menstruation.
Gynecologists claim that half of the female adult population youth age suffer from menstru believes pain. Why pain in the lower abdomen during the period before the onset of menstruation in young and healthy girls in the first three days?
Researchers have shown that the cause of the cramping of the uterine contractions is associated with the concentration of certain hormones, prostoglandins, inflammation or adhesions. Rarer for women to define a tilted uterus.
The direct impact of the pain syndrome is appetite ladies dress cold weather coat with bare lower back, cold shoes. This cause leads to infertility. Unnecessary bravado of young men is complemented with high-load service in the army. A dangerous trend is the primary prevention of infertile marriages.
Aching in the lower abdomen and lower back, girls, gynecologists recommend the use of rectal suppositories with belladonna. They work quickly, relieving the accompanying symptoms (nausea, dizziness, salivation).
In pregnant women lower abdominal pain is an alarming symptom. The initial time midwives suggest a threatened abortion. The third trimester of pregnancy the abdomen is drawn continuously enlarged uterus compresses the intestine, the bladder. The load on the spine significantly increases.
It is especially difficult to tolerate physically untrained women. Moderate pain in the first half of pregnancy is associated with stretching of the ligaments of the growing uterus. During the period before the birth of symptoms can masquerade as false labor. Early detachment of the placenta is accompanied by increase in pain, bleeding. Impaired fetal heart rate.
Diagnosis is the value of observation for women with one doctor, a real-time implementation of ultrasound.
Belly and hips are worried about women for whom an abortion. Prolonged pain, discharge, temperature rise indicates a failed intervention, incomplete removal of the ovum.
The woman is threatening sepsis, therefore, needs urgent treatment in hospital. Rough sex can cause tears on the walls and vault of the vagina. Abdominal pain cause of cervical erosion.
Inguinal hernia
Hernial protrusion in the groin more often diagnosed in boys and men. This is due to a violation of embryonic development of the genital organs and weakness of the anterior abdominal wall. Manifestation of progress:
- weight lifting;
- injuries of the abdomen;
- cough in smokers;
- ascites-cirrhosis of the liver;
- obesity or sudden weight loss.
Men feel pain in the groin radiating to the back, the appearance of education, which protrudes out of the tension of the abdominal muscles. Lying on his back, the bulge disappears, is itself returned to the canal the hernia. If a violation of acute pain can cause fainting. The patient is immediately hospitalized, and it worked, until strinxit part of the colon has not formed necrosis.
Tumors
Malignant tumors, kidney, lower intestine, bladder, uterus and ovaries in women, accompanied by pain in the abdomen and lower back. The differential diagnosis between them requires a full investigation. Germination of the tumor with adjacent organs and the formation of metastasis greatly complicates identification and treatment.
Chronic pain
Pain in the abdomen and lower back to treat the manifestation of chronic diseases. The most common:
- rheumatoid arthritis polyarthritis damage to the intervertebral joints (the most severe pain and stiffness the patient feels immediately after waking up);
- osteochondrosis of the lumbosacral cause radicular symptoms, doctors, neurologists said, disturbed sensitivity in the regions of innervation of the nerve plexus and branches of the anterior wall of the stomach, thighs, buttocks;
- herniated disc — formed weakness in the ligaments and vertebrae;
- osteoarthritis of the spine — the process of atrophy disrupts the form of the contact surfaces of the vertebrae;
- osteoporosis — a disease which reduces bone density associated with leaching from the body of salts of calcium, lack of vitamin D
Pathological pain is considered Central in the pathology and stroke. Patients experience, that the "sore back" - is not only a long sleep, but the innervation of the body.
What causes back pain and stomach in children?
Children, including youth, often complains of back pain. How to distinguish between important symptoms completely safe? According to the observations of pediatricians, has the following cause you pain. Premature physical overload children's sports, a variety of combat. Not all children are alike.
If your muscles are not ready to stretch, after training the child, pain in the lumbosacral region. They are related to the turns, the radiant front or back of the thigh, in the groin. Stretching the ligaments of the hip joint "corresponds to the" tenderness of the abdomen.
Violation of posture, the habit of stooping can be due to uncomfortable furniture, high chairs, too soft bed
Prolonged immobility of the lesson in a sitting position, causing static strain on the abdominal muscles and back. Therefore, the right teachers, to arrange a short training.
Child that things weight. Obese children get sick more often, complain of back pain and the stomach, flatulence in the intestine.
Myositis — inflammation of the joint infection, the draft, injury to the lumbar muscles is prolonged and painful. Often there is aching in nature, radiates to the abdomen. Pain appear immediately after waking up. Typically, a unilateral lesion.
Intestinal infections are much heavier adults. In addition, diarrhea and vomiting, frequent muscle cramps, dehydration.
Diseases of the urinary tract disturbed children as well as adults. Large concretions have not had time to form, but the salts cause paroxysmal renal colic. More common in boys. At that time, the attack may occur urinary retention, vomiting. Pain radiating to the groin. The urine is red because of the abundance of red blood cells.
The value of the diagnostic
If a person has a sore back and pulls the lower abdomen, the examination should include all possible ways to find the real reason. Laboratory-blood tests, urine, feces, you can exclude or confirm the presence of inflammation of the urinary organs, intestines.
In addition to the bacteriological examination can be used to determine the specific causative agent and to appoint treatment.
Review of the x-ray of the pelvis and spine can be assessed osteoarthritis in diagnosing hernial protrusion of the disc to see the stones in the ureter. Perform cystoscopy allows viewing of the bladder wall and the urethra, to set the symmetry of the receipt of urine from the urinary opening.
Ultrasound helps if the suspected disease of the dense body (pancreas, kidney).