Lower Abdominal Pain Guide For Possible Reasons

Pain in the lower abdomen is a sign of many possible diseases and conditions. Some of them are relatively safe, while others can cause death. This is a complex and interdisciplinary problem, which is solved by the joint efforts of doctors of several specialties at once.

According to medical statistics, such complaints account for about 40% of visits to a gastroenterologist and 15% of visits to a urologist. These are pretty big numbers. What pathologies can we talk about?

Pain in the lower abdomen in men can indicate many diseases and make a diagnosis only on this basis will not work

Classification Brief

There are three reasons for the classification:

    • Localization. Anatomically, the lower abdomen is represented by three parts: left, central and right.
    • The nature of the pain syndrome. The pain can be aching, pulling or sharp.
    • Concomitant symptoms. They are not allocated to a separate category; the issue is considered within the framework of the two previous classification criteria.

By localization

Pain on the left

Represented by a number of nephrological diseases (not to be confused with neurological), urological and gastroenterological profiles.

    • Sigmoiditis. It is an inflammation of the sigmoid colon. In men, the described condition is somewhat less common, since the described anatomical structure is somewhat shorter than in the fairer sex. It is a special case of a more common pathology – colitis. According to statistics, about 60% of all cases of intestinal inflammation account for sigmoiditis. This is due to the increased load on this site: it is here that the formation of stool occurs. “Eye” to distinguish sigmoiditis from cancer of the sigmoid colon is not possible. The point in question is colonoscopy. Typical symptoms include: pain, a feeling of incomplete bowel movement after visiting the toilet room, tenesmus (false urge to defecate), painful bowel movement, bleeding (discoloration of feces). There is an alternation of constipation and diarrhea. Dyspeptic symptoms in the form of bloating and increased production of intestinal gases are possible.
    • Colitis of a different origin. They represent an inflammatory lesion of other parts of the large intestine, in particular overlying. More often in the clinical picture, spastic constipation, which can last for weeks, prevails. Colitis localized in the lower parts of the large intestine is characterized by intense diarrhea: this is a dangerous condition that can cause dehydration.
    • Pyelonephritis. A kidney disease characterized by inflammation of the renal pelvis. For such a condition, intense lower back pain, radiating to the left ileal region, is pathognomonic. In this case, we are talking about the defeat of the left kidney. In addition, there is polyuria (increase in daily urine output to 3 liters or more), frequent urge to visit the toilet room. In the later stages, polyuria is replaced by oliguria – the reverse process. Possible discharge from the urethra of whitish mucus or pus. For a differential diagnosis with sexually transmitted infections, a smear from the urethra and its culture on culture media are indicated.
    • Nephritis. A disease characterized by damage to the renal parenchyma and glomerular filtration disorders. This is the most dangerous disease, quite capable of ending in severe acute renal failure, if treatment is not started in time. A visiting card of jade is pain in the lower back from the lesion with radiation to the left iliac region, oliguria is noted (less than 500 ml of urine per day). A few days after the start, the formation of imaginary well-being is possible.
    • Pancreatitis Gastroenterological disease. It is an inflammation of the pancreas. The pathognomonic signs of such a difficult ailment are: pain in the left abdomen, radiating to the epigastrium, left iliac region, nausea, vomiting, in the acute course of the process, the body temperature rises to febrile marks (38-39 degrees). This is a potentially fatal pathology, which in 15% of cases ends in pancreatic necrosis. The treatment is strictly operational. In chronic course – conservative.
    • Gastritis. It gives pain in the lower abdomen relatively rarely. It is determined by damage to the gastric mucosa. It may be a secondary involvement in the process of the duodenum (gastroduodenitis). Symptoms include: pain, heartburn, nausea, vomiting is possible, a change in the frequency of the stool, its consistency. When affecting the small intestine, a change in the nature of digestion (indigestion) is observed.

Pain on the right

    • May be associated with appendicitis. This is an inflammation of the blind process of the intestine (acts as a kind of rudiment). It occurs quite often, with untimely treatment, the risk of peritonitis is high. It is treated promptly, with a mild course, conservative therapy is possible. Pathognomonic are sharp, stitching pains in the right iliac region, vomiting, nausea, pallor of the skin, an increase in body temperature (especially in the rectal region).
    • Diseases of the urinary system. These are the nephritis, pyelonephritis and other pathologies already described.
    • Crohn’s disease. Systemic autoimmune lesion of the mucous membranes of the digestive tract. Extremely dangerous and serious illness. It manifests pain in the right or left iliac regions. Severe dyspepsia, the formation of symptoms of increased gas formation in the intestines, and intense diarrhea are typical. At the same time, body temperature remains normal. This is a genetically determined disease.
    • Diverticulitis. The formation of special protrusions in the intestinal wall. Such herniform structures are called diverticula.
    • Intestinal tumors. They are relatively rare. At a young age, almost never. The main category of patients is people over 40 years old. It is almost impossible to distinguish a tumor of intestinal structures from colitis in the early stages. An analysis of feces for occult blood, a colonoscopy. An alarming symptom is a tape or pencil-shaped feces. The shape of the stool changes due to the passage of masses through the occluded colon, the lumen of which has narrowed.
    • Hepatitis. Inflammation of the liver. May have toxic, medicinal, infectious genesis. In children, it may be a primary disease called jaundice. For an ailment, pain in the right hypochondrium radiating to the right lower abdomen, nausea, vomiting, change in stool color to yellowish, clay or white, frequent diarrhea are typical (read more here).
    • Cholecystitis. Another disease of the gastrointestinal tract. Pathognomonic are strong, dagger, cutting pains in the right hypochondrium, radiating to the iliac region. The hallmark of cholecystitis is painful diarrhea. The pain can be of a zoster nature (read more here).
    • Pain on the right and left can be caused by banal flatulence. In this case, the nature of the discomfort is aching, pulling or sharp. The condition weakens after the exhaustion of the gases. Discomfort often has a diffuse character without a clear localization.

Pain in the center

    • In addition to the diseases already mentioned, cystitis is most common. This disease is considered in vain to be female. Men really suffer from inflammation of the bladder at times less, however, the pathology is “universal.” Observed pollakiuria (frequent false urge to urinate), pain in the suprapubic region.
    • Prostatitis. It is characterized by a degenerative lesion of the prostate gland. Symptoms include: erectile dysfunction, pollakiuria, problems with urination, secondary infertility and pain in the suprapubic region, radiating to the anus, penis, lower back.
    • Proctitis. Inflammation of the rectum. May produce symptoms similar to those of colitis.
    • Hemorrhoids. It is the immediate cause of proctitis. Especially when it comes to the internal form of the disease, when hemorrhoidal nodes occur in the middle sections of the rectum. Pain radiates to the lower abdomen, lower back, buttocks, genitals.
    • Acute bowel obstruction. It is rare. The pains are sharp, strong, shooting. Accompanied by a delay in stool and gas. The abdomen is firm, tense, muscles are spasmodic.

By the nature of the pain

Aching pains

Meet with the following diseases:

    • Prostatitis.
    • Prostate hyperplasia (proliferation of prostate tissue, indistinguishable by symptoms from prostatitis).
    • Vesiculitis. Inflammation of the seminal vesicles. “Goes” in combination with prostatitis and creates a typical clinical picture with it.
    • Cystitis.
    • Pyelonephritis.
    • Nephritis.
    • Sigmoiditis.
    • Colitis.

Pulling pains

Most characteristic for:

    • Cystitis.
    • Urinary tract problems.
    • Colitis.
    • Orchitis and testicular problems. Including cryptorchidism, testicular torsion, epididymitis (inflammation of the appendages).
    • Hernias of the intervertebral discs (give symptoms with radiating pain in the lower abdomen, incontinence of urine, feces, gases, problems with motor activity).

Sharp pain

Develop with:

    • Appendicitis.
    • Pancreatitis
    • Cholecystitis.
    • Flatulence (less commonly).
Regardless of the nature of the pain syndrome, it is not possible to make an accurate diagnosis, based only on the data of the patient’s oral questioning and history taking. The doctor pays close attention to a whole range of objective data, including laboratory and instrumental studies.

Pain in the lower abdomen is found in many diseases. It is impossible to figure it out on your own. Examination and diagnosis is the prerogative of the doctor. Spending time on empty guesses is not worth it; it is recommended to contact a specialist.