Wandering abdominal pain is an unpleasant uncomfortable sensation that can move along one area of the abdomen or radiate to other parts of it. The nature, intensity and ability to migrate through the abdomen depends on the pathology of the organ or organ system, the features of their blood supply and the location of the network of nerve endings. The migration of pain also occurs due to the involvement in the process of the peritoneum, covering the internal organs, since it is this membrane that is very sensitive to the inflammatory process.
Why are there discomforts?
Experts identify the following causes of vaginal abdominal pain:
- Pain due to the onset of menstruation, ovulatory pain in women.
- Inflammatory processes in the pelvic organs. In women: adnexitis, endometritis. In men: prostatitis.
- Uterine diseases (tumors, myoma, endometriosis).
- Benign and malignant diseases of the prostate.
- Acute gynecological problems: ectopic pregnancy with rupture of the fallopian tube, rupture of the ovarian cyst.
- Inflammatory processes in the kidneys and urinary tract (pyelonephritis, cystitis).
- Urolithiasis of kidneys, stones in the ureters.
- Acute and chronic intestinal diseases (colitis, enteritis, appendicitis, intestinal obstruction, oncopathology).
- Functional bowel problems (flatulence, intestinal colic).
- Diseases of the stomach (gastritis, peptic ulcer).
- Pathology of the liver, gall bladder and biliary tract (gallstone disease, biliary dyskinesia, stones inside the hepatic ducts, hepatitis, liver tumors).
- Pancreatic inflammation (pancreatitis).
- Psychogenic pain (with depression and neurotic disorders).
Discomfort in women
Wandering pains in the lower abdomen - a frequent monthly companion of women. Normally, menstruation should not be too painful, as this is not physiological. Severe pain is experienced by women with abnormalities of the position of the uterus, an increased pain threshold, and inflammatory diseases in the female genital area. The pain of ovulation can be explained by an adhesion process in the ovary, inflammation of the appendages. Normally, ovulation occurs without pain. With the occurrence of regular pain associated with the hormonal cycle, a woman needs to visit a gynecologist. Hand over smears, ultrasound of the pelvic organs. In the presence of inflammatory processes, local and systemic antibacterial drugs are prescribed. In the absence of inflammation - general strengthening, homeopathic and hormonal agents.
In the presence of benign tumors, the question is about surgical treatment or methods of conservative therapy. It all depends on the size of the fibroids. If cancer is detected, the oncologist prescribes surgery, chemotherapy and radiation, depending on the stage of the lesion.
Ectopic pregnancy
Wandering abdominal pain on the left or on the right, spreading across the entire lower part, can be very severe, radiating to the groin. In addition to it, signs of internal bleeding appear - cold sweat, fainting, pressure drop, pallor of the skin. Diagnosed with ultrasound of the pelvis, puncture of the posterior fornix of the vagina (so in the abdominal cavity they will find blood). If the cause of the pain is an acute gynecological pathology, then you can not hesitate. Only surgery will save the patient.
Unpleasant sensations in men
Wandering pains in the lower abdomen in representatives of the stronger sex can appear with inflammation of the prostate gland. They also join difficulty and painful urination and irradiation in the rectum, buttocks and back. A visit to the urologist is mandatory in order to exclude the presence of prostate tumors, both benign and malignant. When contacting a specialist, an ultrasound of the prostate, tests of urine and blood, smears will be prescribed. In the presence of genital tract infections, antibiotics, anti-inflammatory drugs, prostate massage, physiotherapeutic procedures are prescribed. An important role in the treatment of inflammation of the prostate is played by a healthy lifestyle, including giving up alcohol and smoking, friendship with sports and special exercises to improve blood flow in the perineum.
If the cause of the pain lies in the tumor, then with benign hyperplasia, special agents are prescribed that reduce the size of the prostate. In cancerous processes, surgical intervention with radiation and chemotherapy is necessary.
Pain in kidney pathology
Wandering pain in the abdomen and back can occur with kidney disease. With inflammation of the renal pelvis (pyelonephritis), in addition to pain, body temperature rises, weakness and loss of appetite appear. Renal colic associated with urolithiasis is accompanied by severe pain in the abdomen and lower back, cold sweat, nausea. When stone or sand migrates through the ureter, pain moves with it. With kidney pathology, you need to contact a urologist or nephrologist. The doctor will conduct an ultrasound, urinalysis, and blood biochemistry to evaluate kidney function. Sometimes hospitalization, the appointment of antibiotics, anti-inflammatory drugs and antispasmodics, as well as drugs that improve blood circulation, bed rest, a diet low in salt are required.
Bladder inflammation
Cystitis occurs more often in women than in men, due to the fact that their urethra is shorter, which increases the likelihood of infection of the urinary system. In addition to cutting pains in the lower abdomen of a person, there is a burning sensation during urination and a significant increase in frequency.
The urologist watches an analysis of urine and blood, makes an ultrasound of a filled bladder, on which stones can be visible, if there is a history of urolithiasis. Cystoscopy may be needed, that is, an examination of the bladder with a thin probe inserted through the urethra. Antibiotics, herbal medicine, physiotherapy, general restorative drugs are prescribed.
Wandering abdominal pain with intestinal pathology
Colitis and enteritis - inflammatory diseases of the large and small intestines of various origins and severity - can cause pains that migrate throughout the stomach. Intestinal pathology is manifested by impaired stool (constipation, diarrhea, also alternating them), bloating, increased gas separation, rumbling in the intestine. The pain can be spastic in nature, be aching, sharp. If the pain is intense, and the stool has not been more than three days, you should think about intestinal obstruction and consult a doctor without delay. For diagnosis, x-rays (irrigoscopy), colonoscopy (examination with a probe), and blood tests are indicated. Ultrasound is uninformative due to the fact that the intestine is a hollow organ and contains a lot of gas. Treatment of intestinal obstruction should be carried out in a hospital, where if it is impossible to cleanse the intestines with enemas, they will perform an operation.
Appendicitis
Wandering abdominal pain in the lower right is a dangerous sign of inflammation of the appendix of the cecum. With appendicitis, the pain can migrate, developing in the beginning in the epigastric region, and then goes to the lower right corner. May give to the right leg when walking. In addition to pain, a person experiences nausea, loss of appetite, fever. In order not to miss the disease and prevent pus from getting into the abdominal cavity, you should immediately consult a doctor. A competent specialist will prescribe tests, conduct an examination of the abdomen, make an ultrasound appendix. Upon confirmation of the diagnosis, surgical treatment is indicated.
Abdominal discomfort
The cause of vaginal pain in the abdomen and stomach may be inflammation of the mucosa, called gastritis. This is a frequent companion of modern man, whose life is replete with irregular snacks, bad habits and products that irritate the walls of the stomach. Pain can be of varying intensity and nature (aching, cutting, stitching, heaviness) in the navel and under the spoon. In addition, there is nausea, heartburn, loss of appetite, vomiting is possible.
A more formidable disease of the stomach is an ulcer. This is a deep lesion of the mucosa up to a complete violation of the integrity of the wall of the stomach when its contents enter the abdominal cavity. In addition to perforation, an ulcer can lead to bleeding, the strength of which depends on the diameter of the vessel, which fell into the radius of the ulcer defect. Pain with peptic ulcer is sometimes comparable to a knife, can radiate to the back, shoulder blades, shoulders. In patients with ulcerative bleeding, stool blackens due to the effect of hydrochloric acid on the blood.
With vaginal pain in the stomach, you need to contact a therapist or gastroenterologist, undergo a fibrogastroscopy procedure (examination through a probe), and take tests. With gastritis and an ulcer without complications, treatment is carried out in a clinic. A diet, drugs that heal the mucosa, enveloping agents are prescribed. In some cases, when the cause of the ulcer or gastritis lies in the infection, a special course of antibiotics is indicated.
Wandering pains in the abdomen and hypochondrium with pathology of the liver, gall bladder and biliary tract
Pain in the right hypochondrium often occurs with inflammation of the gallbladder. Cholecystitis can worsen with or without stones. In the presence of inflammation, the pain is acute, extending to the right shoulder, collarbone and scapula, accompanied by nausea, vomiting and fever. The patient must be hospitalized, a blood test and ultrasound done. If antibiotic therapy and anti-inflammatory drugs are not productive, as well as with a large number of stones, the gall bladder is removed.
Liver diseases of various nature (infectious, metabolic, alcoholic, autoimmune) can cause vaginal pain in the abdomen and hypochondrium, as well as weakness, impaired appetite, yellowness of the skin (yellowing of the skin). Contact your gastroenterologist or therapist as soon as possible. For diagnostics, a general, biochemical and blood counts are examined for markers of viral hepatitis, ultrasound of the abdominal organs. Treatment depends on the cause of the disease and includes dietary nutrition, giving up bad habits, prescribing drugs that improve the functioning of liver cells, symptomatic and restorative agents.
How stomach ache with pancreatitis
Wandering pain in the abdomen on the left, in the epigastric region, spreading to the navel, accompanied by nausea and vomiting, may indicate damage to the pancreas. Pancreatitis can develop after overeating fatty foods, poisoning spoiled foods, as well as alcohol abuse. The therapist or gastroenterologist will look at ultrasound, blood and urine tests to determine the treatment tactics. Severe pancreatitis is a life-threatening condition. Hospitalization is often required for active treatment using intravenous infusions of drugs that relieve inflammation of the gland, restore its function, as well as antibiotics, restorative agents and a strict diet.
Psychogenic pain
With depression and neurotic disorders, patients are often haunted by pain sensations that wander throughout the body. Often the pain appears in the abdomen. It is necessary to strictly distinguish between psychogenic pain and pain in organ damage. For this, the patient should be examined from head to toe. If no methods have revealed a disease corresponding to the sensations, the patient should be shown to a psychotherapist or psychiatrist. Properly prescribed sedatives and antidepressants will improve the quality of life of such a patient, relieving him of pain.