Pain in the abdomen, extending to the lower back, are frequent complaints of patients. It is impossible to determine the cause of their occurrence by one symptom. To correctly diagnose, the doctor prescribes a full examination of the body. There are a lot of pathologies that provoke such symptoms. Some of them pose a threat to human life.
Doctors strongly recommend that those patients who experience abdominal pain, extending to the lower back, must be examined by a doctor. It is completely unacceptable to “drown out” unpleasant discomfort with painkillers.
Causes of pain in women
Most often, representatives of the weaker sex face such discomfort. It is even called "female" pain. Although an unpleasant syndrome is often observed in men.
Pain in the lower abdomen in women can occur for a variety of reasons. But most often, the source of the pathology is closely related to gynecological problems. The most common causes of discomfort are:
- Premenstrual syndrome. Such pains occur shortly before and during the cycle. Discomfort is based on changes in the uterus. It increases in size, tenses. As a result, a woman experiences aching pain in the lower abdomen. This condition is accompanied by increased irritability and nervousness. The nature of the pain can take a cramping character. This phenomenon is associated with active contraction of the uterus.
- Adnexitis . Inflammatory processes in the ovaries and tubes, which have a chronic course, also cause pain in the lower abdomen in women.
- Endometriosis Various pathologies of the uterus (bend) and inflammatory processes lead to unpleasant discomfort.
- Candidiasis, colpitis, trichomoniasis. The source of pain can be inflammatory infections in the vagina.
Often, pulling sensations cause tumors:
- ovarian cyst (polycystic);
- fibrioma;
- cervical cancer;
- swelling of the ovaries.
With the torsion or rupture of the cyst, the collapse of the fibrioma, tumor, a critical situation occurs. A woman experiences acute pain, accompanied by hyperthermia, vomiting, nausea. Such symptoms indicate the onset of peritonitis. The only way to save a life is immediate surgery.
Pain during pregnancy
Often, expectant mothers have a stomach and lower back. With such symptoms, it is imperative to consult a doctor. It can be caused by completely harmless reasons. But sometimes it signals serious pathologies.
Doctors highlight the most common sources of discomfort:
- Dangerous pathology. They arise, as a rule, in the initial stages. The presence of pain may indicate a threat of miscarriage, ectopic pregnancy. In some cases, discomfort is associated with premature detachment of the placenta.
- Bowel disease. Fetal growth puts pressure on internal organs. In this regard, a woman may encounter a variety of intestinal diseases.
- Natural causes. At the final stage of pregnancy, such discomfort indicates the approach of childbirth. Often pain occurs with false contractions.
If there is discomfort in a pregnant woman, it is imperative to inform the doctor or call an ambulance. After all, not only the life of a woman, but also the fate of an unborn baby can be at stake.
Discomfort in men
Pain in the abdomen and lower back can be observed in the stronger sex. If gynecological pathologies are very often characteristic of women, then in men such discomforts can provoke diseases of the genital area.
Sources of pain can be:
- Inguinal hernia. In the initial stages, it is easily adjusted. If infringement occurs, there is a serious health risk. The contents of the hernial sac may die. Unfortunately, intestinal loops often fall into it. In this case, obstruction may occur and peritonitis may develop. The following symptoms may indicate an infringement of the hernia: sharp pain, constantly intensifying; protrusion is not amenable to reduction, painful to feel and tense. The patient has repeated vomiting, nausea, hiccups, a complete lack of stool, non-exhausting gases.
- Prostatitis, orchoepididymitis, orchitis. Such pathologies can be provoked by an infection (mumps, scarlet fever, flu) or sexual diseases (chlamydia, gonorrhea). Ailments are accompanied by aching, unsharp pains. In case of exacerbation, the discomfort is greatly enhanced. In acute prostatitis, difficulties may occur during urination, the discharge of pus from the urethra. Such symptoms are accompanied by signs of intoxication.
Common pathologies
Pain in the abdomen, extending to the lower back, can occur as a result of diseases characteristic of both women and men:
- Appendicitis . The patient is faced with acute bouts of pain. Possible loss of consciousness. Sometimes there is nausea, vomiting.
- Kidney disease. The pain is aching in nature. With exacerbation, it becomes colic. May be accompanied by impaired urination.
- Ulcerative colitis. Pathology is combined with flatulence, bloating. In case of exacerbation, the pain resembles intestinal cramps.
- Sexually transmitted diseases. They begin acutely. The patient has hyperthermia, discharge and pain in the genital area.
- Intestinal inflammation. Severe diarrhea, vomiting appears. Blood and mucus may be present in the bowel movements.
Consider the symptoms of diseases that provoke unpleasant discomfort, in detail.
Peptic ulcer
Painful symptoms can cause an exacerbation of the pathology. The characteristic signs of an unpleasant disease are:
- Sudden sharp pain in the abdomen. She appears a few minutes after eating.
- The patient experiences nausea. Behind it comes acidic vomiting, after which the patient feels some relief.
- Discomfort often occurs on an empty stomach. Constantly night pains appear. They disappear after eating.
- The pain is combined with heartburn.
- With physical exertion, discomfort in the epigastric region is greatly enhanced. Sensation decreases at rest. The patient is relieved when the legs are bent and pressed to the stomach.
- Discomfort can even spread to the chest.
- The patient experiences intolerable sensations if the stomach hurts and gives to the lower back.
Perforated ulcer
This complication is a fairly rare occurrence. With pathology, a rather specific symptom is observed. The patient simultaneously has a stomach and back pain. The discomfort in the stomach is combined with the “plank-like” surface of the peritoneum.
In addition to such specific symptoms, a perforated ulcer is characterized by additional signs:
- Unbearable pain that arose suddenly. Patients, describing it, compare discomfort with a knife stab in the stomach.
- The patient freezes in a certain position. He tries not to even breathe.
- The occurrence of pain is most often observed in the right side or in the central part above the navel.
- Unpleasant discomfort spreads very quickly throughout the abdomen. The patient experiences acute back pain. Discomfort can be localized under the shoulder blade, in the right shoulder, under the collarbone.
Muscle tension of the peritoneum is observed. The abdomen becomes extremely hard. It is characterized as "plank-like."
Pancreatitis
In case of acute inflammation of the gland, the patient experiences abdominal pain that radiates to the lower back. Discomfort appears as a result of an acute attack of pancreatitis. With this pathology, pancreatic tissue is destroyed. The proximity of the gland and lower back causes discomfort in the lower back.
The main symptoms that manifest pancreatitis are:
- girdle pain;
- vomiting that does not bring relief to the patient;
- the occurrence of nausea;
- dry mouth
- belching;
- hiccups;
- rapid pulse;
- hyperthermia;
- increase in pressure;
- dyspnea;
- sticky sweat;
- integuments become pale;
- the face is pointed.
Hepatic colic
With pathology, the symptoms are extremely bright. At the initial stages, the patient cannot always determine why specific discomfort arose. A person feels that pain in the lower abdomen gives back to the lower back. Very often, the patient tries to cope with this phenomenon on his own. Taking pathology for pain in the stomach, he uses a variety of drugs to treat gastrointestinal ailments. This approach is completely wrong. In order to timely recognize the pathology, you need to know the main signs that accompany hepatic colic.
An unpleasant condition often causes the following symptoms:
- There is nausea, which is replaced by repeated vomiting. She does not bring relief to the patient.
- Suddenly sharp pain appears. Initially, it is localized in the right hypochondrium. Discomfort quickly spreads to the right shoulder, neck, back, shoulder blade, covers the entire abdomen.
- The skin becomes pale and moist. To this symptom, mild yellowness of the epidermis and sclera can be added.
- The patient has a dark shade of urine, discolored feces.
- The patient feels bloated. The phenomenon is accompanied by acute pain during palpation. The muscles of the peritoneum are very tense. For this pathology, a specific symptom of Ortner is often characteristic. Tapping a palm edge along the lower right ribs causes a sharp increase in pain.
Acute cholecystitis
The symptomatology of the pathology is very similar to hepatic colic. The patient complains that the lower abdomen hurts, gives to the lower back.
Doctors identify specific signs that make it easy to determine the presence of acute cholecystitis:
- Symptom of Ortner . Swinging the edge of the palm along the right costal arch provokes a sharp increase in pain discomfort.
- Symptom Kera. Deep palpation of the gallbladder area, carried out on inhalation, causes a sharp increase in pain.
- Frenicus is a symptom. Unpleasant discomfort occurs during pressure on the area of the sternocleidomastoid muscle.
- Symptom Obraztsova. When lifting the fully straightened right leg, the pain increases significantly.
Kidney stone exit
If the pain appeared suddenly and reaches such a strength that the patient rushes about in bed, not finding a place, groans, that is, the probability of calculus movement. A person has a sharp stomach ache and pulls.
Such symptoms are accompanied by the following features:
- discomfort extends to the lumbar region, gives to the perineum;
- frequent urination;
- the culprits of the condition are often overeating watermelon or drinking plenty of mineral water.
Neurological reasons
Sometimes it is not possible to find out the reason why there is pain in the abdomen and lower back. Complex biochemical analyzes, MRI, ultrasound do not determine the disease. However, a person experiences severe discomfort.
In such cases, the neurological nature of the syndrome is suspected. The patient is sent for a consultation with a neurologist.
The causes of discomfort often lie in the following pathologies:
- intoxication;
- helminthic infestations;
- injuries
- herpes;
- epilepsy.
Diseases of the musculoskeletal system
Drawing abdominal pain can be triggered by various pathologies. Sometimes discomfort is based on diseases:
- Crick;
- osteochondrosis;
- intervertebral hernias localized in the lumbosacral region;
- scoliosis of this department.
Conclusion
The causes of discomfort in the abdomen and lower back, a great many. Understanding them yourself is extremely difficult. Improper therapy can seriously worsen a patient's condition. The only right decision in case of pain is to seek the help of doctors.