The condition when the stomach ache and lower back, is familiar to many people. This is due to different reasons. Most often associated with diseases of the urinary system, gynecological diseases in women and urology in men, disturbances in the system of conduction of the nerves and channels at the bottom of the spine.
Doctors recognize the term "chronic pelvic pain". Is competent if the patient has back pain and the lower part of the abdomen 6 months or more. Statistics show that women in 75% of cases is caused by disorders gynecological, only 25% are for other pathologies, extragenital called.
Men also suffer from the back pain and the lower part of the abdomen. Prostatitis, adenoma of the prostate can cause a constant pain pain radiating to the back.
Why is there pain?
Causes of pain in the back and pelvis bodies are found in the inflammation or pinching of the nerve trunks, branches, stretching of the capsule of the abdomen.
All the impulses from diseased viscera of the pelvis, gallbladder, intestine, pancreas, liver, and kidneys are in the ganglia of the spine lumbosacral
Here you can move from one segment to another, so people feel radiant in the remote area. If the disease to the vertebral column, it should be noted the possibility of degenerative disc disease, compression of the intervertebral disc, inflammation (ankylosing spondylitis).
The defeat of the joints of the hip in the elderly is accompanied by pain in the abdomen. We consider the symptomatology of the main diseases that cause pain.
What are the characteristics of pain in the abdomen are interested in attending a doctor?
With the aim of clarifying the nature of the symptoms, it is necessary to find out the signs of pain, its Association with other symptoms. Experience as a medical doctor interested in the questions:
- in particular the location of maximum pain;
- elementary phenomena and the limitations of their occurrence;
- ulcerative type (colicy) or stupid, dolore character;
- the appearance on the background of pain other symptoms (vomiting, dysuria, diarrhea, constipation, blood in your urine or stools, feeling of stiffness in the joints);
- the presence and duration of fever;
- the regularity of menstruation in women, because of menstruation, climacteric manifestations;
- the suspicion of pregnancy;
- the nature of the work (length of diagnosis of adenoma of a prostate is set on "sedentary" profession).
Diseases of the urinary system
The most common manifestation if a back pain and abdomen, characteristic of cystitis (inflammation of the bladder). Often women suffer because of the anatomical characteristics of the urethral canal.
Pains are drawing in character, with the maximum pain in the abdomen, but the "give" in the waist. At the same time there dysuric symptoms (cramps and frequent urination). Severe accompanied by fever.
Pyelonephritis — infection of the pelvis renal, is shown in the main pain in the low back radiation in the lower part of the abdomen. Onset is usually acute, the temperature increases a patients chills, dysuria.
The intensity of the pain increases the severity of the inflammation
The renal disease is accompanied by a constant dull arching the lumbar pains. Especially true for the location of stone in the pelvis, the forced stagnation of the urine and the formation of hydronephrosis.
If the concretion descends into the ureter, the attack has the character of renal colic. Pain extends along the course of the urinary tract in the groin area, to the right or to the left. The patient is very excited, cums. The condition improves after the download of a stone, there is blood in the urine.
What kind of diseases of the digestive system that you can think of?
Back pain is a frequent manifestation of gastritis, duodenitis, duodenal ulcers, pancreatitis. On the that surrounds the character complain that the patients with pancreatitis or acute. Abdominal pain accompanied by signs of digestive problems: nausea, heartburn, persistent diarrhea or constipation, eructation, weight loss.
Intestinal infectious diseases except diarrhea, sharp pain in the abdomen radiating to the lower back. Call the attention of the General management of poisoning: fever, coated tongue, vomiting, weakness. The stool is frequent and fluid, it has a lot of mucus, possibly blood.
The symptoms and treatment of diseases of the pancreas
Chronic constipation caused by atony of the intestine, bother the elderly. The accumulation of fecal stones, poisoning by toxins contribute to pain during bowel, bloating. Acute pain occurs when the signs of intestinal obstruction.
Diaphragmatic hernia cause cramps in the opening part of the stomach, esophagus. Possibly impaired swallowing. More susceptible to overweight people with no physical activity. Abdominal pain gives from the epigastrium to the back. The disease is worse after eating. Similar sensations appear in a patient with cardiospasm.
If the pain arose suddenly in the background of full health, that you can't rule out appendicitis acute. The atypical location of the Appendix (in the caecum, along the line median of the pelvis) causes dragging pain in the abdomen and lower back, "glutino bonum est" in the wall of the bladder, or in women in the uterus.
During the exacerbation of ulcerative colitis the distribution of pain focused in the lower part of the back, anus
Disease for men
In men, the gradual hypertrophy of the gland of the prostate, is accompanied by pain above the pubes, bestower in the sacrum and lower back. Urology inflammatory diseases are less common than in women.
But the most common cause of urethritis and cystitis are sexual infections (gonorrhea, chlamydia, mycoplasmosis). Painful cramps and frequent urination indicate inflammatory process in the urethra.
Orchiepididymitis — inflammation covers the testes and the epididymis. Can be caused by a trauma, but more often the infection is transmitted sexually. The patients, in addition to local pain, fever, nausea, vomiting. For the treatment of certain agents, antibacterial. Lavage urethral channel.
Pathology gynecological
Lower abdominal pain and lower back pain in women are usually associated with inflammation of the internal genital organs. Among the gynecological diseases of the female body, the most common adnexitis (inflammation of the appendages), ovarian cysts, endometritis.
Often the cramping pain, "trahens" character, concerned with a single side or on both. Acute adnexitis complicates carried out an abortion, party. Pain located in the abdomen, with one hand. Without treatment, become very intense, it can cause peritonitis.
Pain in the cyst worsens during movements
When the legs cysts in the ovaries in women are twisted there is a strong attack, with a stomach ache, but it gives to the waist. The clinic takes out an ectopic pregnancy. The diagnosis is based on digital examination of the uterus and appendages.
Gynecologists show enlargement or painful infiltration. One of the symptoms is the cessation of menstruation. It is crucial to detect the disease, as a complication is internal bleeding. Endometriosis, premalignant disease of the uterus, is characterized by the increase of pain above the pubic area during menstruation.
Gynecologists claim that half of the adult population of women in the youth age suffer menstruo pain. Why pain in the lower part of the abdomen during the period before the start of menstruation in young and healthy girls in the first three days?
Scientists have shown that the reason for cramping of the contractions uterine associated with the concentration of certain hormones, prostoglandins, inflammation or adhesions. Less common in women define a tilted uterus.
Direct influence on the pain syndrome is the desire of ladies to wear in cold weather jackets with bare back, cold shoes. This cause leads to infertility. Unnecessary bravado of the young is complemented with a high load of service in the army. A dangerous trend is essential in the prevention of infertile marriages.
Sore lower abdomen and lower back, girls of gynecologists recommended rectal suppositories with belladonna. They act quickly, relieve accompanying symptoms (nausea, dizziness, salivation).
In pregnant women lower abdominal pain is an alarming symptom. In the initial stages midwives suggest a threatened abortion. In the third trimester the belly is drawn constantly, the enlarged uterus compresses the intestine, bladder. The load on the spine increases significantly.
It is especially difficult to tolerate without train physically to women. Moderate pain in the first half of pregnancy is associated with stretching of the ligaments to the growth of the uterus. In the period before birth symptoms can masquerade as false labor pains. Early detachment of the placenta is accompanied by an increase in pain, bleeding. Impairment of heartbeat fetal.
The diagnosis has the value of the observation of women by a single doctor, the timely implementation of ultrasound.
The belly and the rump are concerned women undergoing abortion. Prolonged pain, the discharge, the increase of temperature indicate a failed intervention, incomplete removal of the ovum.
The woman is threatening sepsis, therefore, needs urgent treatment in hospital. Rough sex can cause tears in the walls and the vault of the vagina. Abdominal pain due to cervical erosion.
Inguinal hernia
Hernial protrusion in the groin more often diagnosed in boys and men. This is due to a violation of embryonic development of the genital organs and the weakness of the abdominal wall above. Manifestation contribute to:
- weight lifting;
- injuries to the abdomen;
- all rooms;
- ascites in liver cirrhosis;
- obesity or sudden weight loss.
Men feel pain in the groin radiating to the back, the appearance of education that stands in a tension of the abdominal muscles. In the position of supine, the bulge disappears, if it is returned to the channel of the hernia. If the violation of acute pain can cause fainting. The patient should be immediately hospitalized and remained in operation until strinxit part of the colon has not formed gangrene.
Tumors
Malignant tumors of the kidneys, lower intestine, bladder, uterus and ovaries in women is accompanied by pain in the abdomen and lower back. The differential diagnosis between them, will mean a full examination. The germination of neoplasms in adjacent organs and the formation of metastasis greatly complicates identification and treatment.
Chronic pain
Pain in the abdomen and lower part of the back are to treat the manifestation of chronic diseases. Among the most common:
- rheumatoid polyarthritis with lesions of the intervertebral joints (the most severe pain and stiffness the patient feels immediately after waking up);
- osteochondrosis of the lumbosacral causes radicular symptoms, doctors, neurologists say altered the sensitivity in zones of innervation of the plexus nerve and branches to the anterior wall of the abdomen, thighs, buttocks;
- herniated disk — is format to the weakness of the ligaments of the vertebrae;
- osteoarthritis of the spine — a process of atrophy alters the form of contact with the surfaces of the vertebrae;
- osteoporosis — a disease reduces bone density associated with the leaching of the body of salts of calcium, lack of vitamin D.
Pathological pain is considered to be the Centre of pathology of the stroke. Patients feel that "pain", not only from long lying, but the innervation of the body.
What causes back pain and stomach in children?
Children, including adolescents, often complain of back pain. How to distinguish the important from symptoms absolutely safe? According to the observations of pediatricians, there are the following causes of pain. Premature physical overload of the child sports, different types of combat. Not all children are the same.
If the muscles are not ready to stretch, after the formation of the child, pain in the lumbosacral area. They are associated with corners, radiant in the front or back of the thigh, in the groin. Stretching of the ligaments of the hip joint "answers" pain in the abdomen.
Violation of posture, the habit of stooping can be caused by uncomfortable furniture, chairs high, too soft bed
Immobility prolonged in the lesson in a sitting position causing static tension of the abdominal muscles and lower back. Therefore, the right of teachers, the organisation of short training.
For the child that matters of weight. Obese children get sick more often, complain of back pain and in the stomach, flatulence in the intestine.
Myositis — inflammation of the in connection with the infection, the draft of an injury to the lumbar muscles is prolonged and painful. Often have pain in nature, radiates to the stomach. The pain appears immediately after waking up. Usually unilateral lesion.
Intestinal infections are much more heavy adults. In addition to diarrhea and vomiting, frequent muscle cramps, dehydration.
Diseases of the urinary tract disturbed children as well as adults. Large concretions do not have to take time to form, but the salts cause paroxysmal renal colic. More common in children. At the time of the attack can cause retention urinary, vomiting. Pain radiating to the groin. The urine is red because of the abundance of red blood cells.
The value of diagnosis
If a person has back pain, and the strip at the bottom of the abdomen, the examination should include all of the possible methods to find the true cause. Laboratory analysis of blood, urine, feces, it can rule out or confirm the presence of inflammation in the urinary organs, the bowels.
In addition to bacteriological examination allows to establish a specific causative agent and the appointment of therapy.
In the review of the x-ray of the pelvis and the spine can be the judge of osteochondrosis, diagnosing hernial output of the disc to see the stones in the urèter.. The realization of the cystoscope allows visualization of the wall of the bladder and the urethra, in order to establish the symmetry of the reception of the urine from the ureteral orifices.
Ultrasound helps in case of suspicion on disease dense body (pancreas, kidneys).