Pain in the lower abdomen and lower back in a woman or man: causes

Pain in the lower abdomen is another symptom of osteochondrosis

Pain in the lower abdomen is a typical sign of diseases of the gastrointestinal tract or genitourinary system. Therefore, most people turn to a doctor of the appropriate specialization. But when the results of the examination indicate the normal state of the internal organs, both patients and doctors are perplexed: how can this be? In such situations, it is necessary to pay attention to the spine: in 10-20% of cases, the “culprit” of abdominal pain is a pathology of the musculoskeletal system.

Causes of abdominal pain in men

Specific to men are conditions in which patients feel girdle pain in the abdomen and lower back:

Inflammation of the prostate - accompanied by pain, frequent difficulty urinating, and spermatogenesis disorders.
Orchiepididymitis is an inflammation of the epididymis and testicles that results from trauma to the reproductive organs, genital tract infections, or surgery.

Read more about the causes of lower back pain in women in a detailed article.

Inguinal hernia - in addition to pain, fever and chills rise, the patient loses consciousness. In this condition, urgent hospitalization is necessary.
Infectious diseases of the reproductive system, including sexually transmitted diseases, are transmitted through sexual contact and are provoked by fungi and bacterial infections. In this case, pain occurs in the lower abdomen, groin, and discharge appears. Without treatment, the disease becomes chronic.
Colitis - most often occurs against the background of bloating and increased gas formation. In the acute form, sharp, cramping pain appears in the intestines, and when it passes into the chronic stage, a constant nagging pain is felt.

What is the connection between osteochondrosis and pain in the lower abdomen?

Abdominal pain is a concomitant symptom of lumbar, thoracic (much less frequently) osteochondrosis, since in these parts there are nerve endings of the spinal cord connecting the spine with the abdominal and pelvic organs.

Over the years, intervertebral discs deteriorate: they lose their strength and elasticity. This leads to excessive mobility of the vertebrae and the formation of bone growths on their body, the appearance of pathologies in the joints, muscles and ligaments (compression of the paravertebral structures occurs). During degenerative processes in the thoracic region, in the area of 5-7 vertebrae, the roots responsible for the nervous supply of the intestines, gallbladder, spleen and stomach are compressed. Their constant irritation by overgrown osteophytes causes pain that mimics gastrointestinal diseases.

The mechanism of pain in the lower abdomen with lumbar osteochondrosis is based on the following compression and reflex syndromes:

Radicular - manifests itself both in the early and later stages of the disease (when a protrusion or lateral intervertebral hernia has formed). As the degenerative disc moves, it compresses the nerve roots and blood vessels, thereby impairing the outflow of venous blood and the transmission of nerve impulses from the spinal cord to the brain (spasm, inflammation or paralysis of the spinal nerves occurs). This leads to pain in certain parts of the body. If the first three roots are pinched, a person feels pain in the lower back, front and inner thighs, lower abdomen and groin area.
Lumboischialgia (sciatica) is a complex of symptoms that occurs as a result of pinching of the sciatic nerve by deformed vertebrae or intervertebral hernia. The syndrome manifests itself in different ways. As a rule, the patient feels shooting pains in the back, radiating to the thigh and buttock. However, a compressed sciatic nerve can also cause spasms of the pelvic muscles: pain appears in the groin and lower abdomen.

Pinched sciatic nerve. The picture shows: 1. Irritated nerve 2. Herniated disc 3. Inflamed joint 4. Inflamed muscle 5. Herniated disc presses on the nerve endings of the spinal cord 6. Sciatic nerve

Description of symptoms

Depending on the nature of the disease, the nature of the pain can vary significantly. Additional symptoms appear (for example, if it radiates to the back and frequent urination or bloating is noted - the causes of abdominal disease may be different), which completely gives a picture for making a diagnosis.

Bloating

Bloating is a reaction of the body to certain processes occurring in it. It manifests itself as a result of the accumulation of a large amount of gases in the intestines. They do not go outside, but accumulate inside, expanding in volume.

As a result, the tissue begins to stretch, causing sharp pain. It intensifies when driving and turning. The condition can be alleviated due to the release of gases.

As a rule, pain symptoms have a wave-like character, periodically intensifying with movement or with the arrival of new gases.

Sharp

Sharp pain is an unexpected strong and sharp feeling, the intensity of which can increase over time. Intensifies with active movements, for example, when walking. Exacerbation of pain can be noticed when:

prolonged cough,
sigh,
change in body position.

In the presence of such painful symptoms, the abdominal muscles tense. The doctor records this during the examination.

Important! Acute and severe radiating pain indicates the possibility of diseases that pose a danger to human health and life.

Such symptoms require urgent treatment, and sometimes hospitalization and immediate medical intervention. Most often, such symptoms are inherent in the following diseases:

ulcer,
splenic rupture,
ectopic pregnancy,
inflammation of the intestinal diverticulum,
acute cholecystitis,
enterocolitis,
appendicitis.

Aching

Aching pain is most often chronic and lasts from several days to several months. This pain is dull, at times it can be felt stronger, and sometimes it subsides and becomes almost unnoticeable.

Sometimes aching pain is accompanied by such symptoms as:

vomit,
sweat on the forehead,
be sick,
chest pain and shortness of breath,
bloating and swelling.

The presence of such sensations is symptomatic of various functional disorders. These include irritable bowel syndrome.

In some cases, in children, such pain can cause reflux, esophagitis, diverticulitis, peptic ulcer, colitis, and so on.

Pulling

If your lower abdomen is tight, then most often it seems that not only a specific part of your body is hurting, but also nearby neighboring organs. Such pain irritates, drives you crazy, and leaves you bedridden. Most often, it is characteristic of women during the premenstrual and menstrual periods.

But there are other reasons for such sensations. Nagging pain is inherent in chronic inflammatory and tumor processes. Accompanies a disease such as parenchymatosis.

The second cause of nagging pain can be a sprain of the ligaments that support the organs in the pelvis. This happens due to the heavy load on the ligamentous apparatus. For example, due to fetal enlargement during pregnancy, heavy lifting.

The third reason is the adhesive process that occurs in the pelvis. Adhesions can appear both as a result of serious illnesses and after operations.

Attention! The pain reminds itself when changing body position, fast walking and other physical activities.

The fourth reason is a prolonged state of tension in the pelvic organs.

Shingles

Girdle pain in the abdomen is localized in the abdominal cavity, but radiates to the lower back, hypochondrium or sides. This is a characteristic symptom of various diseases of internal organs.

We suggest you read: How does osteochondrosis of the lumbar spine hurt during the acute period?

Shingles pain can be both chronic and acute. If such symptoms are accompanied by elevated body temperature and the urge to vomit, an urgent visit to a specialist is necessary.

Possible causes of discomfort:

pancreatitis,
cholelithiasis,
myocardial infarction,
radicular syndrome,
stomach ulcer,
gynecological diseases,
aortic aneurysm,
diseases of the urinary system.

Constant

Constant abdominal pain is characterized by a relatively stable course. Patients most often describe the sensation as a burning sensation in the stomach or a feeling of hunger. This is a consequence of serious inflammatory processes in the abdominal organs or a harbinger of ulcerative lesions.

Why do lower back pain and abdominal pain depend on each other? The reasons may be:

dysbacteriosis,
hepatitis A, B, C,
reactive pancreatitis,
mononucleosis,
gastritis,
appendicitis,
peptic ulcer,
pyelonephritis,
chronic gastrointestinal infections,
gynecological diseases, such as adnexitis,
urolithiasis disease.

Very often, abdominal pain is accompanied by pain in the lower back. There is a natural explanation for this.

Reference. All vital organs of the digestive tract and genitourinary system are located between the lower back and the abdominal cavity. At the moment when one of the organs is affected and inflamed, the pain goes not only to the stomach, but also to the lower back. And sudden movements cause unpleasant sensations, since when moving we use both the back and the stomach.

If you notice such signs and pain syndromes, you should urgently consult a doctor, as this condition may be a harbinger of serious health problems.

How pain manifests itself

In 15% of patients with osteochondrosis, the occurrence of pain in the abdomen is associated with degenerative processes in the tissues of the spine. In this case the pain:

felt on the surface of the body and abdominal muscles, but sometimes it is deep;
has an aching, dull, bursting or cutting character;
worries constantly;
worsens when bending over, changing body position, walking, deep breathing and coughing;
can be one-sided, combined with lumbar and back pain.

During destructive processes in the bone and cartilaginous tissues of the spine, pain in the abdomen is accompanied by:

heartburn, nausea and even vomiting;
feeling of heaviness in the hypochondrium;
bowel disorder (constipation, diarrhea);
excessive gas formation in the intestines.

With osteochondrosis, the clinical manifestation of pain in the lower abdomen is often perceived as signs of appendicitis, colitis, cholecystitis or adnexitis, and ailments of the genitourinary system. However, with a disease of the internal organs, the patient also develops other symptoms (see table)

Cause of stomach pain	Nature of pain	Difference from abdominal pain with osteochondrosis
Duodenal ulcer	Local, may appear at night or with an “empty” stomach;

has a moderate character, but periodically worsens (in spring, autumn);

accompanied by nausea and gag reflexes, stool disturbances.

If pain occurs in the lower abdomen, before the doctor arrives, the patient can do the following:

Lie on your back and place your palm on your stomach. Then we slowly press on it with our fingers, remembering the nature of the pain (bursting, sharp, aching) and the place where pressing causes the greatest discomfort.
If possible, we stand up and bend over a few steps to determine whether the pain intensifies.
We remember when the pain in the lower abdomen appeared: after stress, hypothermia, physical activity, or suddenly. It is also important to note whether the pain syndrome is accompanied by nausea, fever or stool disorder.

Self-identified pain characteristics will help the doctor make a diagnosis faster. Evidence of the vertebrogenic origin of pain in the lower abdomen are symptoms of irritation of the nerve roots and loss of functions of different parts of the body:

numbness, pallor and dry skin;
impaired tendon reflexes, muscle weakness;
reduction of superficial sensations;
excessive sweating;
tingling in the body, limbs.

Vertebrogenic abdominal pain imitates various diseases of the abdominal and pelvic organs. However, this does not exclude the possibility of the development of true trophic disorders.

When is help needed?

Why does the lower back hurt during pregnancy?

Medical assistance is necessary in the following cases:

if the pain does not stop within 60 minutes;
it increases with coughing and movement;
before the pain, bowel movements do not occur for a day, the patient suffers from flatulence;
stool contains blood clots. If it is black in color, then internal hemorrhage develops.

We invite you to read: Manual therapy for osteochondrosis of the cervical spine, indications and contraindications for use

Organ pathology or osteochondrosis: how to find out why your stomach hurts?

It is possible to identify the cause of pain in the lower abdomen only after the patient undergoes the following types of examination:

Ultrasound of the abdominal and pelvic organs is prescribed to confirm (refute) their pathology.
X-ray of the spine (in lateral and direct projections) - allows you to assess the condition of the vertebrae: the degree of their displacement, the presence of osteophytes.
CT and MRI are the most informative methods for studying tissue. They make it possible to examine the intervertebral discs (to clarify their edges) and the ligamentous apparatus, to find out the location of the infringement of the spinal roots.

The relationship between pain syndrome and osteochondrosis is confirmed if the diagnostic results show:

normal condition of internal organs;
reducing disk density;
the presence of osteophytes on the vertebrae;
destruction of cartilage inside the facet joints;
formation of protrusion, intervertebral hernia;
spinal deformities (scoliosis, lordosis, kyphosis).

In severe cases, making an accurate diagnosis may require consultation with highly specialized specialists (gynecologist, infectious disease specialist, neurologist) and additional examination, which includes:

urine blood tests (general and extended);
bacteriological culture of stool;
endoscopic examination of the stomach, intestines;
coprogram.

After a comprehensive examination, the doctor draws conclusions about the mechanism of abdominal pain and chooses a treatment method.

Why does the lower back and lower abdomen hurt?

This pain syndrome can be studied in three projections, in which the causes may be:

Diseases or processes in organs (different diagnostics are carried out for women and men)
Diseases of the musculoskeletal system
Neurological diseases

Lower back and abdominal pain in women

Most often, the lower abdomen and lower back are pulled, of course, in women. Such pain was even dubbed “female”, although such pain syndrome is also observed in men.

There are many reasons for diseases of this kind in women, and they are mainly associated with gynecological problems:

These are pains before menstruation (premenstrual syndrome) and during menstruation. Such pain is associated with changes in the uterus:

Before the start of the cycle, it increases in size and becomes tense, and the lower abdomen ache. A woman may become irritable and nervous during this period.
During menstruation, the pain may become cramping in nature, which is associated with active contractions of the uterus

Typically, such phenomena occur in women with hormonal disorders

The lower abdomen often hurts in women

due to chronic inflammatory processes in the appendages (tubes and ovary) - adnexitis
due to inflammation or pathologies of the uterus (endometriosis, uterine flexion, etc.)
due to infectious inflammatory processes in the vagina (colpitis, candidiasis, trichomoniasis, etc.)

Pulling in the lower abdomen from cystic and tumor formations (benign and malignant):

Ovarian cysts form mainly in women with a hormonal disease - polycystic disease.
Ovarian tumor
Uterine fibroma
Cervical cancer

When a cyst ruptures or is torsioned, a tumor disintegrates, or large fibroids occur, critical situations arise, accompanied by acute pain, fever, nausea and vomiting. This may indicate that the contents of the formations have entered the abdominal cavity and the onset of peritonitis. In this case, only surgery can save

Pain in pregnant women

If a pregnant woman feels pain in the lower abdomen and back:

at the beginning of pregnancy this is a dangerous symptom, as it may indicate a threat of miscarriage
at the end of pregnancy this may indicate impending labor or false contractions
often such pain is caused by intestinal diseases caused by fetal pressure on the intestines

When men have lower abdominal pain

Men also experience pain in the lower back and lower abdomen. The reason for this may be:

Prostatitis
Inguinal hernia
Appendicitis
Sick kidneys
Ulcerative colitis
Bacteriological (in particular, sexually transmitted diseases)
Intestinal inflammation

In addition to prostatitis and inguinal hernia, these diseases are common to both men and women.

Each disease differs in the nature of its manifestations:

So, with appendicitis or an inguinal hernia, acute attacks occur until loss of consciousness (with appendicitis there may also be vomiting), urgent surgical intervention is required
Kidney diseases are accompanied by aching pain, which during exacerbations turns into colic, and disturbances in urination
Colitis is combined with bloating and flatulence. In case of exacerbation - pain in the form of intestinal spasms, in the chronic stage - pulling in the lower abdomen
Intestinal infections cause severe upset, vomiting, traces of mucus and blood are visible in the stool
Bacteriological sexually transmitted diseases usually begin with an acute form: the temperature may rise, pain and discharge may occur in the genital area. If left untreated, they will become chronic with dull aching pain in the groin, lower abdomen and lower back

What to do if you have pain

If there is acute pain in the lower abdomen and lower back, combined with other symptoms, you need to call an ambulance.

What may be the signs:

The pain does not go away for a long time and intensifies with the slightest movement
Associated with vomiting, high fever, blood in stool or black stool
There are signs of intestinal obstruction (hard, bloated abdomen, lack of stool)

You cannot do the following:

Before the doctor arrives, give some medications (except no-shpa) and drink
Do cleansing enemas
Apply warm compresses

Chronic pain syndrome of the abdomen and lower back

However, with a chronic pain symptom, it is often not possible to find out why the lower back and lower abdomen hurt:

Ultrasound, MRI of the pelvis, and complex biochemical tests do not reveal any diseases, although women complain of obvious signs of adnexitis, and men of prostatitis.

In this case, the neuralgic nature of the syndrome is suspected and referred to a neurologist.

The reason for such false symptoms is that there are a large number of nerve controllers and autonomic plexuses in the pelvic area. The causes of damage to the nerve ganglia are:

Injuries
Intoxication
Herpes
Worm infestations

And then, to cure such pain, neurotropic drugs are used.

The neurologist himself will tell you about this in more detail.

Video: Cause of pelvic pain in the lower abdomen.

It also happens that the cause of pain is outside the autonomic nervous system, namely: it is located in the brain.

Thus, an attack of epilepsy can cause so-called sensory paroxysm, which manifests itself in the form of chronic pain syndrome.

Diseases of the musculoskeletal system and lower back pain

The cause of nagging pain in the lower back and lower abdomen can also be more prosaic reasons associated with diseases of our musculoskeletal system:

Muscle strain (especially after abdominal exercises)
Osteochondrosis
Intervertebral lumbosacral hernia The cause of pain is the involvement of the sciatic nerve in the process, and the pain can even radiate to the groin and leg
Scoliosis of the lumbosacral region. In this case, there is a displacement of not only the spine relative to the frontal axis, but also internal organs, which affects their work and can cause all kinds of dysfunctions, causing pain in the lower abdomen with their projection to the lower back

However, the presence of such diseases does not directly mean that the lower abdomen and lower back hurt precisely because of them:

Even a lumbosacral hernia L5 - S1 may not manifest itself in any way, but may arise as a counterbalance to the resulting scoliosis. In this case, it is not she who needs to be treated, but scoliosis.

Video: Lower back pain is not always osteochondrosis or hernia

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The complex structure of the female body, undergoing monthly cyclic changes, can signal them in the form of various unpleasant sensations. This may include dizziness, sometimes even fainting, fluctuations in blood pressure, pain in the mammary glands, lower back and abdomen. However, if the lower abdomen and lower back hurt persistently, then you should not rush to attribute everything to physiology. It is necessary to find out the cause of the pain so as not to miss a serious pathology, which also gives similar symptoms.

Why does the lower abdomen and lower back hurt during menstruation?

During menstruation, the lower abdomen hurts quite often. Why does this happen and what causes these conditions in women? But the fact is that the endometrium, which has served its term, must be rejected and safely leave to make way for a new layer. Such rejection is accompanied by various processes leading to changes in the endometrium.

The vessels feeding it begin to spasm and become clogged with microthrombi, as a result of which ischemia develops in the endometrial layer of the uterus. In addition, the appearance of pain is facilitated by the accumulation of tissue breakdown products, which is characteristic of this period. These pains will be physiological, but they are not so intense as to reduce the ability to work. Rather, it is not so much pain as a pulling sensation corresponding to the period of desquamation (squamation) of the endometrium.

It should be noted that the sensitivity threshold is also different for everyone, that is, with a low threshold, even in the absence of pathology, a woman will experience pain, which will knock her out of her usual rut during her period.

Other pains, called algodismenorrhea, which can be primary or secondary, are caused by pathological changes. Primary algodysmenorrhea occurs simultaneously with menarche and is caused by the peculiarities of the anatomical location of the uterus or a violation of the ratio of sex hormones and prostaglandins. An excess of the latter leads to increased contraction of the muscular layer of the uterus, which can be accompanied not only by aching, pulling or cramping pain in the lower abdomen, but also give symptoms such as headache, nausea, vomiting, tachycardia, and dizziness.

Secondary algodismenorrhea is caused by:

inflammation of any etiology, localized in the pelvic organs;
the presence of intrauterine contraceptives;
endometriosis;
hyperplastic conditions of the endometrium;
tumors;
adhesive process in the pelvis.

It happens that menstruation has already ended, but the pain does not go away and continues to bother the woman. You should especially pay attention to it, because if there is pain in the lower abdomen after menstruation, as a rule, this indicates a pathological condition of the genital organs.

Women should know that most often the lower abdomen hurts and pulls, and brown discharge continues to occur before and/or after menstruation due to endometriosis, a rather serious and insidious disease.

Low back pain due to endometriosis and uterine fibroids

The third place among all gynecological diseases belongs to endometriosis, a pathological process characterized by the growth in the genital and other organs of tissue similar to the endometrium in morphological and functional characteristics.

Perhaps, only cervical endometriosis is painless, which manifests itself only as scanty bleeding before and after menstruation, lasting 3-4 days.

How to get rid of pain?

When the cause of abdominal pain is compression of the nerve roots, only comprehensive treatment of the spine will help get rid of the discomfort. Its main goals:

eliminate muscle spasms;
reduce swelling and inflammation in areas of damage to bone and cartilage tissue;
relieve compression of the nerve roots.

Therapy for osteochondrosis complicated by pain in the lower abdomen includes:

Taking medications. As a rule, they prescribe:

painkillers and anti-inflammatory drugs;
medications that normalize blood circulation and metabolism in affected tissues;
chondroprotectors and muscle relaxants.

Physiotherapeutic procedures. The following help relieve pain (of any location) with osteochondrosis:

magnetic therapy;
electrophoresis;
laser therapy;
paraffin applications.

Classic and segmental reflex massage are indicated during the period when the symptoms of osteochondrosis subside. The positive effect of their use is as follows:

improves blood circulation in bone and cartilage tissues;
pressure on nerve roots and arteries decreases (muscle spasms disappear);
pathological reflexes disappear;
the functioning of all body systems is restored.

Therapeutic exercise (not used in the acute period of the disease). Effect of classes:

the back and abdominal muscles are strengthened;
the flow of blood and nutrients into the affected tissues of the spine improves;
blocked vertebrae are released;
congestion in the small pelvis disappears.

Based on the treatment methods described above, the following list can be displayed.

If, with osteochondrosis, pain in the lower abdomen and back does not respond to conservative treatment and often worsens, accompanied by dysfunction of the pelvic organs (impaired urination and defecation) and cauda equina syndrome, surgical intervention is recommended. During the operation, intervertebral disc replacement is performed and osteophytes, compressive vessels and spinal roots are removed.

Osteochondrosis is a comprehensive disease: it can cause pain in the lower abdomen, chest, heart, upper and lower extremities. By following treatment recommendations, you can not only prevent the occurrence of such complications, but also relieve the main symptoms of the disease and slow down the development of degenerative processes in the spine.

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How to get rid of pain?

Experienced specialists strongly advise against self-medication if you experience pain in the abdomen and lower back. You should especially not resort to using painkillers without a prescription. With this symptom, you need to go to a specialist who should make a diagnosis and then prescribe adequate treatment. For such pains, medical care is mandatory if they persist for more than one hour, their intensification is observed, especially during coughing or when moving, there is no bowel movement for more than a day, but flatulence is observed, and also if Blood clots are visible in the stool, or it is an unnatural black color.

What does simultaneous back and abdominal pain mean?

A person begins to worry about his health at those moments when the body gives signals of danger. Severe pain in the back and abdomen can cause great anxiety, since the true cause of the discomfort is not clear.

Girdle pain in the abdomen and back can be provoked by various factors and indicate the presence of pathologies of internal organs or the spine.

Quite often the reason lies in stomach diseases. Pain from an ulcer, gastritis or pancreatitis can be reflected in the back area. But there are also the opposite situations, when abdominal pain is provoked by diseases of the spinal column. Let's take a closer look at all the reasons that cause pain in the abdomen and back at the same time.

Causes of lower back and abdominal pain

Abdominal pain radiating to the lower back can be due to various reasons. Therefore, if such pain persists for several days, then it is necessary to undergo an examination in order to make an accurate diagnosis.

To pre-diagnose the pathology, the doctor will need to inform you about the nature of the pain in the abdomen and lower back. As a rule, with chronic inflammation the pain is dull and aching. With exacerbation of diseases, throbbing pain is noted. It is also important to report whether the temperature rises with increased pain, and whether severe pain makes you feel feverish. In addition, you will need to specifically indicate the location of the pain.

The main causes of abdominal and lower back pain may be the following pathologies:

Causes of abdominal and back pain at the same time.

Exacerbation of peptic ulcer disease is often accompanied by acute pain in the abdomen and back. There are characteristic signs of an ulcer, which include:

The stomach begins to hurt sharply, often immediately after a meal or in the morning on an empty stomach;
Signs of nausea appear, after vomiting a sour taste remains in the mouth and a sharp improvement occurs (the most accurate symptom of an ulcer);
Heartburn is added to nausea, abdominal and back pain;
Lolnoy experiences relief by adopting the fetal position; physical activity worsens the condition;
Painful sensations can spread to the chest and lower abdomen.

Pain in the left abdomen, radiating to the back and chest, is a reason not to delay a visit to your doctor; with 95% confidence, we can talk about an exacerbation of the ulcer. The specialist will be able to prescribe therapy aimed at eliminating the inflammatory process and relieving pain.

After overcoming the severe form of the disease, the patient is shown a special diet and drug treatment. Modern drugs, the action of which is aimed at healing ulcers, are very effective. But only a correct lifestyle and regular doctor’s examinations will help prevent a recurrence of the disease.

Perforated ulcer

Severe abdominal pain radiating to the back may indicate a perforated ulcer of the stomach or duodenum. At the same time, the pain is so strong that the person has difficulty coping with it. Even trying to take a full breath causes the condition to worsen.

The localization of painful sensations is the navel area and the right side, and over time spreads to the entire abdomen. In some cases, pain may occur in the right shoulder and collarbone.

Another characteristic symptom of a perforated ulcer is a sharp tone of the abdominal muscles, the abdomen becomes hard, “board-shaped”. At rest, the tone does not decrease significantly.

How to distinguish an exacerbation of a peptic ulcer from a perforated ulcer:

In the first case, a painful attack begins with eating, in the second, after a meal there is some relief;
After “sour” vomiting with an ulcer, complete relief occurs, and with a perforated ulcer, the improvement in the condition is insignificant.

The only way to treat a perforated ulcer is urgent surgery. Therefore, if signs of illness appear, you should immediately seek medical help. The earlier treatment is started, the greater the chances of a full recovery.

Acute pancreatitis

Pain in the abdomen and back on the right may indicate inflammation of the pancreas. At the same time, the pain in the back is acute, pronounced, and the sensations in the abdomen are painful, bursting.

In acute pancreatitis, pain can be reflected in the shoulder blades, lower back, and heart area. The spread is influenced by which part of the pancreas is inflamed.

When attacks of vomiting are added to the painful sensations, which do not bring long-awaited relief, the likelihood that the cause lies precisely in an attack of pancreatitis increases.

Other symptoms of pancreatitis:

Belching;
Prolonged hiccups;
Feeling of dry mouth;
Labored breathing;
Increased body temperature;
Increased blood pressure;
Pallor;
Tachycardia.

In the chronic form of the disease, gallbladder function may be impaired and signs of jaundice may appear. Treatment of inflammation of the pancreas is aimed at alleviating the patient’s condition and preventing complications. Pancreatitis is an incurable disease.

Hepatic colic

Sharp abdominal pain radiating to the back and right side may be a symptom of hepatic colic.

The discomfort appears suddenly, and the attack can last from several days to several hours. Independent attempts to improve the condition by taking medications for the gastrointestinal tract and painkillers have low effectiveness. The pain can spread to the area of the shoulder blade, collarbone, and neck. Intensifies with movement.

Other symptoms of hepatic colic:

Frequent attacks of painful vomiting;
Sweating, chills, pale skin;
Acute wave-like pain in the right hypochondrium;
Bloating, abdominal muscle tone, pain on palpation or pressing on the lower ribs;
Change in color of urine and feces.

If signs indicating hepatic colic appear, you should immediately consult a doctor. It is unacceptable to take medications without a prescription from a specialist. After symptoms of colic appear, the patient is not recommended to drink water or eat food.

Gastritis

Dull pain in the abdomen radiating to the back may be a sign of exacerbation of gastritis. The severity of the pain depends on the stage of the disease - if the inflammatory process develops not only in the stomach, but also in other organs of the gastrointestinal tract, the pain can be very intense.

The difficulty of making a diagnosis for gastritis lies in the fact that its symptoms are similar to those of osteochondrosis. And the location of the pain is the same. Therefore, if pain in the abdomen and back occurs, you should refrain from making an independent diagnosis and consult a specialist.

Despite the similarity of the symptoms of osteochondrosis and gastritis, there are differences:

Osteochondrosis	Gastritis
Pain worsens with exercise	Pain worsens after eating food
Condition improves at rest	Even at rest, abdominal muscle tone is observed
The nature of the pain is sharp, throbbing	The nature of the pain is dull, aching

Treatment of gastritis is based on medications and a strict diet. It is impossible to completely cure this disease, but achieving a state of stable remission is quite possible.

Myocardial infarction

Pain in the lower abdomen and back on the left also occurs when there is a disturbance in cardiac activity, in particular myocardial infarction. If, in addition to painful sensations, a person experiences rapid heartbeat, loss of consciousness and a drop in blood pressure, urgent hospitalization is required.

The insidiousness of myocardial infarction lies in the fact that its initial symptoms are completely consistent with many diseases of the gastrointestinal tract.

And if a person has chronic gastrointestinal ailments, he can attribute the appearance of painful sensations to their exacerbation. It’s really very easy to get confused, but such a mistake could very well cost your life. Therefore, if pain appears in the left side of the abdomen and back, accompanied by increased heart rate or clouding of consciousness, you should always immediately seek medical help.

Appendicitis

Severe pain in the right side of the abdomen and back may indicate inflammation of the appendix of the cecum. Typically, discomfort manifests itself 4-6 hours after a heavy meal or abuse of alcoholic beverages.

In addition to pain in the right side of the abdomen, radiating to the back and arm, other symptoms appear:

Increased body temperature;
Chills;
Vomit;
Diarrhea;
Increased heart rate.

In some cases, it is possible to relieve inflammation of the appendix with medication, and in some cases, emergency surgery is required. In any case, if you suspect an internal inflammatory process, you should consult a doctor. A ruptured appendix causes rapidly progressing peritonitis, which can cause blood poisoning and death.

Abdominal and lower back pain in women

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Pain during pregnancy

If your stomach and lower back hurt during pregnancy, the cause may depend on the period:

In the first trimester, if the bottom hurts, then there is a threat of miscarriage, so you need to take action very urgently.
In the last weeks of bearing a child, this is most likely a harbinger of labor or false contractions.
Very often, discomfort is caused by the child’s pressure on the intestines, which provokes disturbances in its functioning.

Pain in the lower abdomen and back in women

The cause of simultaneous abdominal and back pain in women may be:

Premenstrual illness;
Bend of the uterus;
Myoma;
Adnexitis (salpingoophoritis);
Endometriosis;
Twisting of the cyst stalk;
Ectopic pregnancy;
Rupture of the ovary or oviduct;
Risk of miscarriage;

Complications during pregnancy

Pain in the lower abdomen and back in women during pregnancy indicates the development of complications - placental abruption, increased tone of the uterus, changes in the condition of the fetus, etc. Such symptoms may indicate a danger not only to the fetus, but also to the life of the mother, so you should immediately see a gynecologist and undergo the necessary examinations.

It is possible that pain in the abdomen and back in women in the early stages of pregnancy occurs due to the fact that the fertilized egg has not reached the uterus, but has become embedded in the fallopian tube. An ectopic pregnancy is a direct indicator of emergency surgery. If detected late, serious health consequences or death may occur.

Diseases of the genitourinary system

Pain in the back and lower abdomen may indicate inflammation of the bladder, appendages, or infections in the pelvic organs. Often the painful sensation is accompanied by frequent urination, burning, discharge, and increased body temperature.

Therapy can only be chosen after an accurate diagnosis has been made, so contact with specialists is necessary.

Pain in the lower abdomen and back in men may indicate prostatitis, inguinal hernia or genitourinary tract infections.

Since the same symptoms have pathologies that require immediate treatment, for example, appendicitis, it is not recommended to self-medicate. A timely visit to a specialist will alleviate the condition and avoid complications. If it is not possible to call an ambulance, then you can relieve the pain attack a little by taking a dose of an antispasmodic and go to a medical facility on your own.

Intestinal obstruction

Aching pain in the abdomen, reflected in the back and, less commonly, the groin, may indicate intestinal obstruction. Other symptoms of pathology:

Colic, spasms;
Increased body temperature;
Nausea, vomiting - the vomit is foamy and has a distinct smell of feces. Also, they may contain particles of feces;
The stool is scanty, thin or completely absent for several days.

Intestinal obstruction is treated exclusively by surgery. The cause of the pathology may be adhesions after previous operations, diseases of the gastrointestinal tract, tumors, metastases and other phenomena.

Causes of nagging, aching pain in the lower abdomen and lower back in women and men

At the bottom of the abdominal cavity there are many very important organs that play an important role in the life of the body.
So there are many causes of discomfort in the lower back and lower abdomen. OLGA KIROVTSEVA: How easy it is to cure gastritis at home in 1 month. A proven method is to write down the recipe. Read more

It is especially important to react as quickly as possible if a tug begins on the lower right side of the abdomen. This may be a sign of appendicitis. During an attack, a person’s body temperature rises sharply, and the patient suffers from severe acute pain in the lower abdomen. At the same time, the person constantly feels sick. bouts of vomiting occur. Such symptoms can mean great danger for a person. It is strictly forbidden to ignore this condition, otherwise the blind appendix of the intestine will burst and the infection will spread to all other organs. As a result, sepsis will appear throughout the abdominal area. Ignoring such phenomena can cost the patient’s life.

Nagging pain can occur due to intestinal problems. In this case, pain can be transmitted to the groin and pubic areas. It also radiates to the lower back. The abdominal pain is worst in the lower part. Such symptoms may indicate that a person is developing inflammatory processes in the intestines. If treatment is not started, a peptic ulcer may develop in the duodenum or rectum. Such reasons are very serious. If the pain has become more severe and resembles contractions, then you need to call an ambulance as quickly as possible; such a condition can be a threat to a person’s life.

If you feel aching pain in the lower abdominal area, especially when urinating, then perhaps the disease concerns the urinary system, and most likely it is the kidneys that are affected. In this case, the person will experience a pulling sensation in the lower abdomen, the lower back will hurt, and sometimes the body temperature will rise. Most often, such symptoms appear in women. This is due to the special anatomical structure of the body of women and the proximity of their genital organs and urinary ducts. In this case, pyelonephritis most likely develops. In this case, do not hesitate to go to the doctor.

The causes of aching girdle pain in the abdomen and back can be hidden not only in the internal organs located in the abdominal region. This may be due to problems with the musculoskeletal system of the body. For example, with osteochondrosis, a person not only has back pain, but also pain in the lower back and lower abdomen. In this case, discomfort may even be felt in the groin area. This pain can be relieved with the help of special therapeutic exercises.

Often pain in the lower abdomen is associated with the development of colitis. This disease can torment a person for only a couple of days, or it can become chronic. This happens if a person does not start treatment on time. With chronic colitis, exacerbations will periodically occur. This disease not only causes severe pain in the lower abdomen. but also bloating and flatulence appear, and body temperature rises. In this case, the pain will be aching and girdling.

Back and abdominal pain in a child

Painful sensations in a child that do not have a specific localization may be associated with a simple muscle strain, indigestion, or serious health problems. Applying a heating pad, taking medications and other methods of self-medication is unacceptable - only a doctor’s examination and a complete diagnosis will help determine the true cause of the pain.

You should not wait for other symptoms to appear or for the condition to worsen - a simple visit to the pediatrician will help keep your baby healthy.

Why does the lower back hurt in women (video)

For successful treatment of any disease, correct diagnosis is most important. Pain in the lower back and abdomen can indicate a variety of diseases, so only a doctor can determine the exact cause of the pain. He will also prescribe adequate treatment, taking into account possible individual characteristics. Diagnosing yourself on your own is completely unacceptable: many of the diseases listed above not only become chronic, but also lead to death. Therefore, if a woman has pain in her lower abdomen and lower back (for any reason), she should immediately consult a doctor.

Let's sum it up

There are infinitely many reasons why your stomach and back hurt at the same time. This could be a simple muscle strain, which does not pose a threat to life and health, or a ruptured appendix, which threatens sepsis. By self-medicating, a person risks aggravating the course of the disease or losing his life.

Only a doctor can identify the source of pain. Examination, tests and diagnostic measures will not take much effort and time, but will help you find answers to all your questions. Timely diagnosis and competent therapy are the key to good health and excellent well-being.

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Features of pain in women

Pain in the lower abdomen and lower back in women can occur during menstruation. She is dumb by nature. Appears before menstruation, a few days before. During menstruation, the cause of discomfort is intense contractions of the uterus. Soreness should be moderate; too strong sensations indicate the presence of pathologies.

If foci of endometriosis are located on the organs of the female reproductive system, pain may also be experienced, which becomes stronger during menstruation.

Possible ectopic pregnancy. The fetus increases in size, causing the fallopian tube to stretch and causing severe pain. If you do not consult a doctor in a timely manner, the fallopian tube may rupture.

During pregnancy, pain may occur if the placenta departs prematurely. There are paroxysmal dull pains, the intensity of which gradually increases. In addition, a pregnant woman may experience pain due to premature onset of labor or the threat of miscarriage.

Benign and malignant tumor neoplasms are possible.

Painful sensations appear when a follicle with a mature egg, ovary or oviduct ruptures. Urgent hospitalization is required to avoid blood entering the abdominal cavity.

Often the cause of pain is inflammatory processes in the organs of the female reproductive system: uterus, ovaries, endometrium, fallopian tubes. At the same time, the sensations are of high intensity.

Causes of pain in the lower back and lower abdomen in women and men

Simultaneous pain in the lower back and abdomen may indicate an acute and/or chronic course of diseases of the internal organs. The acute form of pain symptoms responds with reflex pains of a sharp, pulsating, aching or shooting nature, and nagging pain in the lower abdomen and lower back is evidence of a possible chronic pathology. Clinical manifestations of symptomatic pain in the lower abdomen and lower back in women and/or men may have different cause-and-effect relationships. Therefore, it is possible to determine why and why the stomach and lower back hurt only with a differentiated diagnostic approach, taking into account the age, physiological and gender criteria of a person.

Causes of lower abdominal pain in men

Men react more strongly to each symptom than women.
And most female diseases occur hidden. When the lower abdomen and lower back are pulled in men, the reasons may be as follows:

prostatitis;
inguinal hernia;
appendicitis;
kidney diseases;
ulcerative type colitis;
diseases of venereal or bacteriological type;
inflammation of the intestinal tract.

Each of the above ailments is characterized by additional symptoms.

When the stomach and lower back hurt due to appendicitis and inguinal hernia, the unpleasant feeling is acute, which manifests itself more on the right side and goes down to the navel area. With appendicitis, there is an increase in temperature, nausea and vomiting.
With kidney disease, aching pain occurs. When the pathology worsens, it turns into renal colic. It is characterized by difficulty urinating, burning sensation and increased frequency of trips to the toilet.
If your stomach feels tight and your lower back hurts constantly, then chronic colitis may have developed. Additional signs include bloating, flatulence, and bowel problems such as diarrhea or constipation. When the disease worsens, severe spasms appear in the intestinal tract. In chronic cases, the lower abdomen simply feels tight.
Intestinal infections lead to repeated vomiting, diarrhea, increased temperature, and weakness. There may be particles of mucus or blood in the stool.
Venereal diseases begin to manifest themselves with acute symptoms: the temperature rises, the lower abdomen hurts and radiates to the umbilical region, the nature of the discharge from the genital organ changes. If left untreated, the disease will become chronic, accompanied by constant dull and aching pain.

Possible common clinical manifestations

Severe pain in the abdomen and lower back can be caused by various pathological conditions. Let's consider the possible reasons why the lower abdomen may hurt, and what symptomatic signs are identified in these conditions.

Appendicitis

Acute pain on the right side of the lower abdomen, giving off pain in the lower back, can be caused by inflammation of the vermiform appendix of the cecum, defined in surgery as appendicitis. Such an anomaly of the abdominal cavity requires urgent surgical intervention, since such abdominal pain can lead to rupture of the appendix and further inflammation of the visceral and parietal peritoneum, which is incompatible with the patient’s life. Acute, nagging and/or aching pain in appendicitis is accompanied by other clinical symptoms:

interest in food completely disappears;
nausea appears, turning into vomiting;
the body temperature increases slightly according to the subfebrile type;
the right side in the lower abdomen constantly hurts;
urination disorder occurs, loose stools and increased heart rate are possible.

On a note! A characteristic sign of the acute form of appendicitis is that upon palpation of the left lower part of the abdominal cavity, abdominal pain radiates to the umbilical zone and the right iliac region.

Urinary system problems

Pain in the lower back and lower abdomen can be caused by various types of bacteria and viruses that penetrate the genitourinary system. Nausea and pain in the lower abdomen, in this case, are symptomatically caused by the appearance of a urinary infection, which leads to inflammation of the mucous membrane of the bladder. In urology, such a disorder of the urinary system is defined as cystitis.

Typical symptoms of an acute bladder infection include:

frequent urge to urinate, occurring at intervals of 5–6 minutes;
heaviness in the abdominal cavity;
an uncomfortable condition in which the stomach constantly pulls;
there is blood discharge in the urine;
there is a feeling of incomplete emptying.

Therapeutic antibacterial treatment, in this case, is carried out only after identifying the infectious pathogen and its sensitivity to antibiotics. In addition, painful symptoms in which the lower abdomen aches and/or hurts may indicate inflammation of the urethra, also caused by an infectious lesion of the walls of the urethra.

And also abdominal pain radiating to the lower back and back may be associated with inflammation of the renal pelvis and tubular system of the kidney. Pyelonephritis is the most common disease of the urinary system in women and girls. Since, basically, urological pathology in the regulator of urine formation is caused by bacterial penetration into the genitourinary canal during the menstrual cycle due to non-compliance with the rules of sanitary and/or personal hygiene. The clinical picture of symptomatic signs of pyelonephritis is as follows:

pain in the lower back and lower abdomen;
nausea and sometimes vomiting appears;
chills and fever occur;
body temperature rises to 38–40º C.

Local symptoms of pyelonephritis are also expressed in other pain syndromes of abdominal and intoxication properties, which vary depending on the age of the patient.

Urolithiasis, or urolithiasis, is another explanation for why there is pain in the lower abdomen and a bursting of the lower back. Formed stones (calculi) in the urinary system can cause unbearable pain in the abdominal cavity or in the spinal lumbar region.

Renal colic is the most acute pain syndrome in which a calculus damages the walls of the surface of the ureter. Acute urinary retention stretches the lower abdomen and lower back.

Painful symptoms due to gastrointestinal disorders

Pain in the lower back, in which the back hurts and the lower abdomen pulls, may reflect a problematic condition in the gastrointestinal tract. With an intestinal infection, non-localized pain is observed, which covers the entire abdominal cavity from the thoracic spine to the small pelvis. Painful symptoms attack the lower half of the abdomen, the stomach area, and spread to the sides of the spinal cord, causing general bloating, flatulence and an uncomfortable state of the internal system organs. The final stage is a pain syndrome that radiates to the lower back. When defecating, a person discovers bloody and/or mucous inclusions in the stool. All these are symptomatic signs of an intestinal infection, the causative agent of which is Salmonella.

If your stomach hurts, your lower back ache, your back ache or pulls, and you experience low-grade body temperature, then it is quite possible that all the signs of colitis are present - acute inflammation of the mucous membrane of the colon. This disease often affects men after 45 years of age, and among the fair sex, the problematic organization of the digestive system begins to manifest itself already in adolescence, at the time of the formation of the menstrual cycle.

Other clinical symptoms

Lower back pain in a woman or man can be associated with a common pathology of the abdominal cavity - an inguinal hernia. Protrusion of the peritoneum into the inguinal canal on the left or right may be due to increased pressure in the abdominal cavity, due to heavy lifting, frequent transfer of loads, exceeding interindustry standards. Unfortunately, this problem is becoming more common among women. To date, in the Russian Federation, inguinal hernia has been recorded in 4% of women, and among the male population this figure is close to 30%. Initial symptoms:

pulls the lower abdomen and pulls the lower back after carrying or lifting weights;
pain of varying intensity occurs in the pelvic area;
lifting weights causes nausea and vomiting;
a tumor-like protrusion in the groin area is visually felt.

Cases have been recorded where pain resulting from pinching causes a person to faint. With such symptoms, a person needs urgent medical attention.

In addition, destructive-dystrophic transformations (osteochondrosis) in the lumbosacral spine can cause pinching of the nerve roots, which, if the innervation in the body is disrupted, leads to pain in the lower abdomen and lower back in women or men. The localized pain zone when nerve branches are pinched is the middle of the back, groin area, lower abdomen and buttocks.

Often the back and lower abdomen hurt as a result of malignant or benign neoplasms that arise in the systemic organs of the digestive tract or genitourinary system. Each specific case of pain symptoms in women and men should be considered individually.

Pain in the lower abdomen and lower back

If the above symptoms of cystitis are not observed, then perhaps the patient is dealing with intestinal problems. Pain in the lower abdomen and lower back in a woman may also indicate an ovarian cyst in the initial stages, adnexitis, or some other fairly serious diseases associated with the female genitourinary system. A gynecologist can most accurately determine the cause of pain in the lower abdomen and lower back in a woman.

As for pain in the lower abdomen and lower back in men, this is a rather rare occurrence. But these symptoms may indicate that the digestive or genitourinary system is not working as it should. Pain in the lower abdomen and lower back can also accompany prostatitis. If pain of this nature is detected, a man should contact a gastroenterologist or urologist.

If pain in the lower abdomen and lower back is accompanied by an increase in temperature, then diseases such as mycoplasmosis, chlamydia, gonorrhea, and ureaplasmosis are possible.

Pain in the lower abdomen and lower back can be sharp or aching, cramping. Also, along with them, you can often observe an increase or decrease in temperature, vomiting, bleeding, nausea, chills, blood during urination, and frequent urge to urinate.

If the lower abdomen hurts and the lower back is pulled, this phenomenon in medical practice is called chronic pelvic pain. If the patient experiences the symptoms described above for six months, doctors make this diagnosis. In most cases, chronic pain in the lower abdomen and lower back is caused by gynecological diseases, and relatively rarely by extrogenital ones.

More rare causes of pain in the lower abdomen and lower back may be the presence of:

spinal osteochondrosis;
intervertebral disc herniation;
arthrosis of intervertebral joints;
rheumatoid arthritis;
intervertebral canal stenosis;
infectious lesions of the vertebrae;
scoliosis;
stroke;
osteoporosis.

Experts say that menstrual pain is influenced by special hormones, prostaglandins. But the pain can be very strong and painful. They can also be caused by other complicating factors, such as endometriosis or fibroids.

Pain in the lower abdomen and lower back is quite common in pregnant women. During pregnancy, the spine experiences increased stress. If nagging pain begins to manifest itself immediately before childbirth, these may be false contractions (Braxton-Hicks). The presence of such symptoms in the early stages is dangerous; they can threaten miscarriage. Then you need to report the situation to doctors as soon as possible.

Pain in the lower abdomen and lower back in girls can also be a signal of hypothermia. The bare lower back, which girls often leave open for the sake of beauty, can cause hypothermia and, worst of all, lead to infertility.

When a doctor diagnoses a patient in order to identify the cause of pain in the lower abdomen and lower back, he first needs to understand the degree of intensity of the pain and its nature. In women, it is important to determine whether there is a connection with pregnancy or menstruation.

For diagnosis, it is important to establish the nature of the pain and the frequency of its occurrence, since different characteristics may indicate different diseases. If the nature of the disease is acute, then the patient may experience cramping pain that gradually increases; complications include chills, nausea, and elevated body temperature. Such pain indicates that the inflammatory process is rapidly developing. When pain of this nature is observed for a long time, some kind of chronic disease may well develop, therefore it is important to see a doctor as soon as possible.

To diagnose pain in the lower abdomen and lower back, clinical laboratory and hardware-instrumental research methods are used:

laboratory tests for herpes infection, which affects the development of pelvic ganglioneuritis;
ultrasound examination of the pelvic organs (ultrasound) - to exclude organic diseases of the genitourinary system;
X-ray of the spine and pelvic bones;
absorption densitometry to exclude osteoporosis;
X-ray studies (irrigoscopy), endoscopic (sigmoidoscopy, colonoscopy, cystoscopy) of the gastrointestinal tract and bladder;
laparoscopy.

To eliminate pain in the lower abdomen and lower back, doctors do not recommend taking painkillers on your own. This can only worsen the patient's condition. First you need to understand why exactly the pulling, stabbing, aching or sharp pain in the lower abdomen and lower back arose, therefore independent initiatives are undesirable here. Pain is, first of all, a signal from the body that some kind of disease has arisen and is developing, which needs treatment only after the specific cause has been established, and only a doctor can do this. As we have already found out, the range of causes is very wide, and numbing pain in the lower abdomen and lower back with the help of painkillers is not a solution, since the symptoms will only be eliminated temporarily, and the disease will progress.

The most common causes of pain in women

Some pain in women may be associated with various gynecological problems. So, if your lower back hurts after ovulation, then it is likely that you should expect the onset of an extraordinary menstrual cycle. It is much worse when abdominal or lower back pain occurs in the middle of the cycle, which indicates unstable hormonal protection. Can the lower abdomen and lumbosacral area hurt with other gynecological pathologies? Let's consider the most likely conditions and pathological disorders in the reproductive system of the female body:

Bend of the uterus, or retroflexion, is formed as a result of adhesions of the reproductive organ, provoked by muscular weakness of the pelvic floor, disruption of the integrity of the ligaments under the influence of various force factors or after inflammatory processes in the pelvic organs. There is lumbar pain, aching and nagging pain symptoms in the lower abdominal cavity.
Fibromyoma is a benign neoplasm that occurs in the uterine myometrium. The frequency of complaints of pain in the abdominal cavity and lower back, with a confirmed diagnosis, is 25% of the total number of gynecological diseases.
Inflammation of the uterine appendages (adnexitis), associated with the penetration of gram-positive or gram-negative bacterial pathogens into the fallopian tubes, also provokes discomfort in the lumbar area and in the lower abdomen in women. Painful symptoms can occur after artificial termination of pregnancy, after sexual intercourse during the menstrual cycle, due to hypothermia of the reproductive organs of the reproductive system or a general weakening of the immune defense.
A critical situation becomes a rupture of the oviduct or ovary, in which a woman experiences unbearable pain in the lower abdomen and lower back. To avoid general infection of the abdominal cavity, urgent assistance from a surgeon is necessary.
An ectopic pregnancy and the threat of miscarriage provokes not only pain in the lower back and lower abdomen, but is also sometimes accompanied by heavy bleeding. This condition also requires emergency medical attention.

Symptoms of pain in a woman’s body can occur not only for medical gynecological reasons, but also after a nervous breakdown, depression, psycho-emotional stress and other factors.

Painful sensations in women

According to statistics, women are much more likely to experience a pulling sensation in the abdominal area.
In practice, this type of pain is even called female, although the pain syndrome can also be observed in men of different ages. The causes of pain in the lower back and lower abdomen in women may include the following:

premenstrual syndrome at the beginning of menstruation. The uterine cavity increases in size, tenses and pushes out the growing layer of endometrium. Additional symptoms include irritability and nervousness;
chronic inflammatory processes in the appendages;
inflammation and pathologies of the uterine cavity. This may include endometriosis or inverted uterus;
infectious diseases in the vagina in the form of colpitis, candidiasis or trichomoniasis;
tumor formation in the ovary, uterine cavity and cervix;
the appearance of a cyst. Occurs against the background of congenital or acquired polycystic disease.

Painful sensations during pregnancy

Women often complain about the development of unpleasant symptoms during pregnancy. If the lower abdomen and lower back are pulled, the reasons may be hidden in the following:

threat of miscarriage before 12 weeks;
the beginning of labor. Contractions may be false. This phenomenon differs from childbirth in that the interval between grasping the abdomen is large and does not change for a long time;
intestinal diseases. This process is observed due to compression of the digestive canal by the fetus. Every week the baby grows more and more in size, against the background of which the unpleasant symptoms become more pronounced. In addition to all this, a woman may complain of nausea, bloating, heartburn, flatulence, and constipation.

Causes of lower back and lower abdominal pain in men

Just like the female body, the male anatomy has its own exceptional features, which can simultaneously lead to pain in the lower abdomen and pain in the lumbosacral area. The main cause of clinical symptoms is a functional disruption of the rhythmic functioning of the organs of the reproductive system. The most common cause-and-effect factor of discomfort is inflammation of the prostate gland, which reliably holds the TOP-3 position among all urological diseases in men. Symptoms of prostatitis:

pulls the lower abdominal cavity;
back muscles and lumbar joints ache;
there is nocturia, or a frequent urge to urinate;
there is a pain and burning sensation when urinating.

In addition, an enlarged prostate, in contact with the rectum, causes pain and difficulty during bowel movements.

a sedentary lifestyle or a sharp decrease in physical activity;
excessive consumption of strong drinks;
long-term sexual abstinence;
decreased protective properties of the body;
hypothermia of the genitourinary system.

However, there are other cause-and-effect factors for prostate disease. The causative agent of the prostate can be a viral or bacterial infection, penetrating as a result of chronic pathology of the genitourinary system, or transmitted through the anal genital tract.

Another causative agent of pain symptoms can be epididymitis orchioepididymitis, or inflammation of the testicle and its epididymis in men. The disease, expressed in lumbar pain, nagging and aching pain attacks in the abdominal part of the body, can be provoked by acute infectious damage to the organs of the genitourinary system or their chronic pathology.

Intestinal diseases

When signs of illness affect the abdomen, lumbar region, and intestines, it is necessary to exclude the inflammatory process.

Such signs are inherent:

inflammatory process in the pancreas,
renal colic,
movement of salt stones through the ureter,
ulcer,
inguinal hernia,
kidney pathologies,
colitis,
prostatitis,
osteochondrosis.

In women, most often the cause of illness is the following diseases:

malignant or benign tumor,
consequences of abortion,
PMS,
inflammatory processes in the ovary,
ectopic pregnancy,
intestinal and digestive tract disorders.

If you have lower back and stomach pain (pulling in the lower abdomen), then the cause may be improper bowel function. When perilstatics are disturbed, constipation occurs, which serves as a reason for the occurrence of such sensations.

Also, inflammation of the appendix can be expressed by such symptoms, however, in this case, fever, nausea and weakness are associated.

Another reason why the stomach pulls and aches may be an inflammatory process in the intestines due to the entry of pathogenic microorganisms into it. In addition to discomfort in the abdomen, a person may complain of frequent stools with inclusions of mucus or blood.

Correction

If you have pain in your lower back and lower abdomen due to constipation, then for treatment you need to take laxatives: Duphalac syrup, Senade tablets. It is also worth reviewing your diet and choosing an appropriate diet.

If inflammation of the appendix is detected, urgent surgical intervention is necessary, during which the doctor will remove the pathologically inflamed appendix.

If you suspect intestinal inflammation, you need to consult a doctor to get the right treatment. In most cases, the patient is prescribed sorbents: Smecta powder, Activated carbon tablets. It is also recommended to take a course of antibacterial agents: Gentamicin tablets or injections, the drug Doxycycline. After this, beneficial bacteria are prescribed to restore the microflora: the drug “Bifidumbakerin”, powder “Lactobacterin”.

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