Compaction in the lower abdomen is a common occurrence in people of any age. This is understandable because there are many organs and systems in the space behind the peritoneum (stomach, spleen, colon, gall bladder, ileum, small intestine, upper region of the ureter and kidneys, large omentum, urinary and digestive systems). Each organ may fail, which will manifest itself by swelling, soreness, swelling, as well as compaction of a certain part of the abdomen.
This is not dangerous if it is caused simply by muscle strain. However, the protrusion may not be so harmless, it is quite possible that the body gives a signal that urgent measures are required to avoid complications and bad consequences. The seal is most often located on the right side. Consider the main causes of lower abdominal pain and the formation of compaction from several points of view.
On right
A little higher than the middle abdomen on the right are the ascending colon, the right kidney. A seal in the lower abdomen near the navel on the right, discomfort and pain can occur due to provoking factors such as:
- Appendicitis. When trouble occurs, the appendix becomes inflamed and moves to the right. Most often causes acute pain discomfort, accompanied by nausea and fever. Patients urgently need to consult a surgeon for further treatment.
- Lipoma, as a result of blockage of the sebaceous glands or a benign wen. A soft-touch tumor can increase in size and roll slightly under a layer of skin. Surgeon intervention required.
- Atheroma in the form of a cyst with a diameter of up to three centimeters, tightly in contact with the skin. A black dot may appear in the middle of the abdomen, indicating a blockage in the gland. Atheroma has an inflammatory nature, so the symptoms are soreness of the area, hot to the touch. Surgical intervention required.
- Fibrosarcoma is a malignant tumor with a diameter of up to 2-15 millimeters. It looks like a smooth tubercle (scar) on the skin, painful and mobile. The area in the middle part of the abdominal square is tense, atrophies over time and can become covered with erosion, crust. Surgical repair required.
- Diverticulitis is a type of hernia, characterized by an accumulation of intestinal contents as the process of inflammation develops. Pathology can also cause lower abdominal pain. Provocateurs are a hereditary factor, infection with worms, decreased muscle tone and malnutrition. Symptoms: stool with blood particles, defecation disorder, soreness of the area with inflammation and fever. Treatment: surgery or antibiotics.
What else can hurt in the lower abdomen?
In the middle
In the middle of the abdomen near the navel, compaction is observed in the following cases:
- pinched hernia;
- rupture of diverticular walls;
- protrusion of the intestine sigmoid;
- inflammation of the pelvic organs in women;
- bowel obstruction in the lower sections; increased gas formation in the large intestine;
- the location of the tumor in the intimate organs of a man.
A seal in the lower abdomen in the middle can provoke:
- intestinal inflammation;
- IBS;
- squeezing nerves (they depart from the spinal column);
- movement along the ureter down the stone from the kidneys.
Women's issues
In women, the causes of compaction in the lower abdomen often have a gynecological affection. Experts advise not to wait for severe inflammation and other signs of pathology, for example, blood discharge, nausea, but immediately contact a medical institution.
A seal in the lower abdomen on the right provokes in patients:
- adhesions in the uterine cavity;
- torsion of the appendages, in which there is a seal on the right and left side of the navel;
- there are additional vomiting, nausea, throbbing pain, and you can’t do without surgical intervention;
- ovarian cyst, compaction is observed as the tumor reaches a significant size;
- menstrual irregularities.
In this case, the treatment will depend entirely on the size and type of neoplasm: either conservative or surgical.
Seams after cesarean section
Often, seams harden after a cesarean section in women. Naturally, not in all cases, a seal indicates a disease. However, cesarean section is a complex operation, and with it, doctors are forced to cut tissue in the abdominal region, then fasten with medical materials and stitch the tissue with a ligature. During the restoration, the sutures are covered with scar tissue, but in some cases there is a growth in the abdominal region due to an autoimmune reaction, the use of low-quality materials, the appearance of an abscess under the skin and tissue infection. It is suppuration that can become a very dangerous phenomenon if subcutaneous tissues were damaged, cells died, dead tissues mixed with dead skin particles. Bacteria can penetrate, which can cause tissue tightening, structural modification and infection. Additionally, there is a burning sensation, itching, and an anemone in the abdominal middle square.
What can hurt the lower abdomen is interesting to many.
Dissection of the lymph channels
Dissection of the lymph channels during the intervention can also cause a seal to appear above the suture. If the disturbed lymphatic channel does not grow, fluid moves, its penetration into the free space in the abdominal cavity filled with lymph.
This phenomenon can be noted after laparoscopy if the operation was poorly performed on the uterine appendages. In any case, dissected tissues in the abdominal cavity are fastened and sutured with threads. With the inexperience and negligence of the surgeon, the lack of quality of the operation, complications appear, the development of bacteria, infection of sutures and wounds. Under the skin, at best, scar tissue will appear, and in the worst case, cells will actively proliferate in this area, a keloid scar will form due to the infection and the development of inflammation.
All women need to carefully monitor the sutures after surgery: follow preventive measures and follow medical instructions, regularly treat the sutures with antiseptic solutions (zelenka, Fukortsin), and attach a patch to the surface of the suture.
Alarming symptoms should be the reason for a speedy visit to the gynecologist: colic and severe pain in the area of the incisions, an anemic oozing from the wound, a serous putrefactive odor, an increase in local temperature, swelling and redness in the stapling area, unpleasant bleeding from the vagina with pain, burning and itching . An examination is required, mainly in case of suppuration - cleaning of the seams.
Pregnancy
There is a compaction of the lower abdomen and during pregnancy.
The skin of women with the growth of the baby during this period stretches more and more, but a certain tension of the peritoneum is not particularly dangerous. This is often due to excessive tension and underdeveloped abdominal muscles. But in some cases, the reasons are as follows:
- appendicitis with pain and colic;
- gastroduodenitis with pain in the upper abdominal square;
- cystitis with characteristic pains and burning during urination, stagnation and urinary retention;
- a common occurrence in the postpartum period is an umbilical hernia with a seal.
Even if the protrusion does not cause pain and special discomfort, you need to consult a specialist.
Urachus cyst
It is a partial non-closure of the urinary embryonic duct or urachus with the formation of a cystic cavity in its middle part, filled with mucous secretion. When pathology is infected, a palpable compaction occurs in the lower abdomen, dysuric disorders, pains, general intoxication, fever appear. Urachus cyst when abscessed can break into the abdominal cavity, bladder or out through the front wall of the peritoneum with the formation of a navel fistula. The diagnosis includes an ultrasound of the bladder, cystography, CT. If an exacerbation occurs, physiotherapeutic and antibacterial treatment is prescribed. When the inflammation subsides, the cyst is excised according to indications.
When compaction of the lower abdomen in women and men what to do
Which doctor should I go to?
Depending on the alleged reasons, you need to choose a narrow specialist. The right decision would be to visit a therapist who will conduct an initial examination and give a referral to a gynecologist, oncologist, etc.
Treatment
Treatment methods should be selected only by the attending physician. Medications may be prescribed based on diagnostic results, tests, urine and blood tests, and other tests. For example, when diagnosing a hernia, editing is necessary, that is, surgical intervention. The most important thing is not to start the pathology and fight it on time.