The state, when it hurts the belly and the waist, you know a lot of people. Is due to different causes. Most often associated with diseases of the urinary system, the gynecological pathology of the woman and the clinic of urology — men, the infringements that make the system of the nerves and of the channels in the bottom department of a backbone.
Doctors there is a recognized the term "chronic pelvic pain". He is competent, if the patient suffers from back pains and lower belly from 6 months and more. Statistics show that women in 75% of cases is caused by gynecological disorders, only 25% corresponded to other pathology, call ekstragenitalnoy.
Men also suffer from pains in the back and in the lower part of the abdomen. Prostatitis, adenoma of prostate may cause permanent plaintive laments of pain with the irradiacin in the back.
Why produce sensations of pain?
The causes of pain in the back and the pelvic organs is an inflammation or congestion of the trunks nerve, the branches, the stretching of the capsule of the organs in the abdomen.
All the impulses of pathologically modified in the viscera of the pelvis, the gall bladder, the intestines, the pancreas, the liver, the kidneys are going to the ganglia, lumbar-part sacrum of the vertebral column
Here may pass from one segment to another, so that the person feels the irradiation in the remote area. If the disease refers to the own of the spine, you should take into account the possibility of osteochondrosis, sdavleniya intervertebral disc, of the inflammatory process (illness behtereva).
The defeat of the hip joints in aged people accompanied by morbidity at the bottom of the abdomen. We will examine the symptoms of the main diseases that cause pain.
What are the characteristics of the pains of the lower part of the abdomen is interested doctor?
In order to determine the nature of the symptoms, it is necessary to find out the signs of the pain syndrome, its relationship with other symptoms. A doctor with experience interested in the issues:
- on the particular location of the maximum of the sensations are painful;
- initials of the phenomena and of the limitations of its origin.
- spastic type (colicy) or stupid, dolore nature;
- appears in the midst of the pains of other symptoms (vomiting, dysuria, diarrhea, constipation, blood in the urine or stool, feelings of stiffness in the joints);
- the availability and prescription of the fever;
- the regularity of menstruation in women, due to menstruation, climacteric manifestations;
- suspected pregnancy;
- the nature of the work (for the diagnosis of adenoma of the prostate have a value of "sitting" of the profession).
Diseases of the urinary system
More frequent manifestation, if it hurts the spine and the lower part of the belly is characteristic of cystitis (bladder inflammation). They are more likely to suffer women due to anatomical features of the urethra canal.
The pain have the character of maximum pain of the lower part of the womb, but "da" in the kidneys. At the same time appear dysuric symptoms (pain and increased frequency of urination). The heavy during accompanied of an increase of the temperature.
The pyelonephritis is pelvic infection, manifested major pains in the lower part of the back with the irradiacin in the lower part of the womb. The beginning of the disease is usually acute, considerably increases the temperature of patients with fever, dysuria.
The intensity of the pain increases as the severity of the inflammation
Kidney disease is accompanied by constant awkward arching back in pain. Especially in the location of stone in the pelvis subjected to the stagnation of the urine, and the education of the hydronephrosis.
If I calculate it descends in the ureter, the attack of the character of renal colic. The pain spread on the march of the urinary tract in the adductors of the right or of the left. The patient wakes up, he is agitated. The state-of-the improvement after unloading stone, blood appears in the urine.
What kind of diseases of the digestion can you think it?
Pain in the lower part of the back — uncommon manifestation of gastritis, duodenitis, duodenal ulcer, pancreatitis. In ringworm of the nature you complain of the patients at the time of exacerbation of acute pancreatitis. Abdominal pain accompanied by symptoms of digestive disorders: nausea, acid reflux, resistant diarrhea or constipation, belching, weight loss.
Intestinal infections, in addition to diarrhea, they express the sensations of pain in the lower part of the abdomen with the irradiacin in the kidneys. Draws the attention of the general intoxication: high temperature, surrounded by the tongue, vomiting, weakness. Chair frequent and fluid, a great quantity of mucus, it is possible impurities of the blood.
Symptoms and treatment of diseases of the pancreas
The chronic constipation caused by atony of the intestine, to disturb the people of the third age. The accumulation of fecal stones, the intoxication slag contribute to headaches of the motion of the intestine, swelling of the belly. The acute pain is produced when the signs of intestinal obstruction.
The diaphragmatic hernia is causing the crush in the pit of the stomach, the esophagus. It is possible to violation of swallowing. More risk full of people without motor activity. The pain in the stomach gives of the epigastrium in the back. The condition worsens after you eat. Similar sensations in the patient when cardiospasm.
If the pain arose suddenly in the background of the full health, can not rule out acute appendicitis. Microkernel the location of the plant (blind rectum, of half, the line of the pelvis) flame throwing pain in the lower abdomen and lower back, "glutino bonum est," to the wall of the bladder or of the woman towards the womb.
When the worsening of ulcerative colitis the distribution of pain directed in the kidneys, anus
Men of the disease
The men of the hypertrophy of the prostate is accompanied by pain pains above the pubis, bestower in the sacrum and kidneys. Recurrent inflammatory disease are less frequent than in women.
But the most frequent cause of urethritis and cystitis are genital infections (gonorrhea, chlamydia, mycoplasmosis). Painful pain and increase in the frequency of urination shows inflammatory process in the urethra.
Orchiepididymitis — inflammation covers the testes and dependencies. It may be due to an injury, but more often the infection is transmitted by sexual contact. The patients, in addition to local pain, increased temperature, nausea, vomiting. For the treatment to apply specific antibacterial. The washing of the urethral channel.
Gynecological pathology
Pain in the lower abdomen and lower back in women are often associated with inflammation of the internal genital organs. Among the gynecological diseases of women are most often found adneksit (inflammation of appendages), ovarian cysts, endometritis.
Often the pain are cramping, "trahens" in nature, bother you with one hand or with both. Acute adneksit complicated performed abortion, childbirth. The pain localized in the lower part of the abdomen, by a party. Without treatment, you become very intense, capable of causing peritonitis.
The sensations of pain when a cyst is intensified during movements
When the foot of an ovarian cyst in women twisted occurs in the acute attack, with stomach pain, but gives in the kidneys. The same clinic develops during pregnancy ectopic. The diagnosis is based on Paltseva the study of the uterus and appendages.
Gynecologists detect an increase or a painful infiltrate. One of the symptoms — the cessation of menstruation. It is important for the early detection of the disease, as it serves as a complication of internal bleeding. Endometriosis — a pre-cancerous disease of the uterus, is characterized by the strengthening of the pain over the pubis during menses.
Gynecologists say that the female half of the adult population at young age suffers flowers of the pain. Why it hurts the lower part of the womb in the period before the arrival of menstruation, the young people and practically healthy girls and in the first three days?
Scientists have shown that the reason cramps reductions of the uterus, related to the concentration of specific hormones – prostoglandins, inflammatory process or welds. With less frequency in women define the curve of the uterus.
Direct influence on the pain syndrome is the desire of the girls to use in the cold season jacket with the bare bottom of the back, the cold of the shoes. This reason leads to infertility. As a bravado of the young is complemented with a great burden of service in the army. Dangerous trend becomes the main in the prevention of marriages are sterile.
When it hurts the lower part of the belly and the waist, girls gynecologists recommend rectal candles with belladonna. Act quickly, remove related symptoms (nausea, dizziness, drooling).
In pregnant patients with abdominal pain is a disturbing symptom. In the first dates of the midwives pose a threat of disruption. In the third trimester, the belly is pulled constantly, enlargement of the uterus compresses the intestine, the bladder. Load on the spine grows significantly.
Particularly difficult to transport physically prepared women. Moderate pain in the first half of pregnancy is associated with a sprain of the ligaments of the growing uterus. In the period before childbirth signs may be masked under false contractions. Early detachment of the placenta is accompanied by amplification of the pain, of blood. Violated the heartbeat of the fetus.
In the diagnostic is the value of the observation of the woman by a doctor, a timely completion of an ultrasound.
The belly and the waist bother the women who underwent an abortion. Long duration of pain, the selection, the increase of the temperature indicate correctly the procedure is performed, the incomplete removal of the fertile egg.
Woman threatens to sepsis, so you need urgent treatment in hospital. Rough sex can cause tears in the walls and in the vault of the vagina. Abdominal pain lead to the erosion of the neck of the uterus.
Inguinal Hernia
Hernial protrusion in the groin every time more common to find boys and men. This is due to the violation of embryonic development of the genital organs and the weakness of the abdominal wall. The manifestation contribute to:
- weight lifting;
- abdominal trauma;
- the cough of smokers;
- ascites with cirrhosis of the liver;
- obesity or drastic weight loss.
Men feel the pain in the groin with the irradiacin in the back, the appearance of the education which protrudes from the tension of the abdominal muscles. In prone position, the bump disappears, only to be returned in the channel of the hernia. At the expense of the acute pain can cause unconscious state. The patient urgently needs to be hospitalized, and operate up to in strinxit the part of the gut has not been formed gangrene.
Neoplasms
Malignant tumors of the kidney, lower divisions of the bowel, the bladder, the uterus and the ovaries in women accompanied by pain in the lower part of the abdomen and in the lower part of the back. The realization of a differential diagnosis between them will require a full review. The germination of neoplasms in adjacent organs and metastasis formation considerably complicates the identification and the treatment.
The chronic pain
Pain in the abdomen and lower back are belong to the manifestation of chronic diseases. Among them the most common are:
- rheumatoid arthritis with the defeat of intervertebral joints (pain and stiffness of patients experience immediately after the dream);
- the osteochondrosis lumbar-part sacred — called the root of the symptoms, doctors neurologists held the disability of the sensitivity in the areas of innervation nerve plexus, and branches in the front wall of the abdomen, thighs, buttocks;
- herniated disc — occurs by the weakness of the ligamentous apparatus of the vertebrae;
- osteoarthritis of the spine — the process of atrophy violates the contact form on the surfaces of the vertebrae;
- osteoporosis is a disease that reduces the density of the bones, is related to the leaching of the body of salts of calcium, lack of vitamin D.
Pathological pain is considered as a closing of the pathology of the stroke. The patients feel that "broke the back", not only of a prolonged residence, but also of the violation of the innervation of the body.
What causes the pain in the back and the belly of the children?
Children, including adolescents, often complain about back pain. How to distinguish the important symptoms of completely safe? According to the observations of pediatricians, the following are noteworthy causes of pain. Delay in physical overload of the child sports, different types of struggle. Not all children develop the same way.
If the muscles are not prepared for the bloating, after the training, the child has pain in the lumbar-sacral area. Related to curves, which radiates to the front or the back of the thigh, in the groin. The stretching of the ligaments of the hip joints "responds" to the unhealthy state of the lower part of the abdomen.
The violation of posture, the habit of curving can be caused by uncomfortable furniture, the height of the chair, too soft bed
The prolonged immobility of the lesson in the sitting position called static on tension of the abdominal muscles and the back. Therefore, the reason, teachers, who agree to a short warm-up.
For that the child has a value of excess of weight. Children with obesity, who often are sick, complain of pain in the lower back and abdomen, increased gas in the intestine.
Myositis — inflammation in relation with the infection, the draft, an injury to the lumbar muscles passes is long and painful. It is more common for the pain the nature, radiates to the belly. Pain appear immediately after awakening. Typically a one-sided defeat.
Intestinal infections spend much more heavy than that of adults. In addition to the diarrhea and vomiting are frequent cramps, dehydration.
The disease of the urinary tract to bother the children as well as adults. Enlargement of calculos have not yet had time to form, but salts cause paroxysmal renal colic. More common in children. During the attack there is a delay of the urine, vomiting. The pain radiates to the groin. The urine to turn red due to the abundance of erythrocytes.
The diagnostic value of the
If the person suffers from back pains and pulls the lower part of the womb, the survey should include all possible methods for the search for the real causes. Laboratory through the analysis of blood, urine, feces, can rule out or confirm the presence of inflammation in the urinary organs, the intestine.
Further investigation bacteriological allows you to set a specific causative agent of the disease and assign the therapy.
Of the review conference of the x-ray of the pelvis and the spinal column can be judged from the osteochondrosis, diagnosing hernial protrusion of the disk, see the stones in the ureter. The realization of the cystoscopy allows you to see the wall of the bladder and of the urethra, to establish the symmetry of the income of the urine of ureteral holes.
In the ultrasound of the help in case of suspicion of the disease dense the authority (pancreas, kidney).