The condition when stomach ache and lower back, is familiar to many people. It is due to various reasons. Most often associated with diseases of the urinary system, gynecological diseases in women and urology in men, disturbances in the conduction system of the nerves and channels in the lower spine.
The doctors there recognized the term "chronic pelvic pain". He is competent when the patient has back pain and lower abdomen 6 months or longer. Statistics shows that women in 75% of cases it is caused by gynecological disorders, only 25% accounted for by other pathology, extragenital called.
Men also suffer from lower back pain and lower abdomen. Prostatitis, prostate adenoma can cause a constant aching pain radiating to the back.
Why is there pain?
Causes of pain in back and pelvic organs lie in the inflammation or pinching of the nerve trunks, branches, stretching of the capsule of the abdomen.
All impulses from diseased viscera of the pelvis, gall bladder, intestines, pancreas, liver, kidney are in the ganglia of the lumbosacral spine
Here they can move from one segment to another, so people feel radiating in the remote area. If the disease for the spine, it is worth noting the possibility of degenerative disc disease, compression of the intervertebral disc, inflammation (ankylosing spondylitis).
The defeat of the hip joints 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 the attending physician?
With the aim of clarifying the nature of symptoms it is necessary to find out signs of pain, its Association with other symptoms. An experienced physician interested in the issues:
- on the specific localization of maximum pain;
- elementary phenomena and the limitations of their occurrence;
- spastic type (colicy) or stupid, dolore character;
- the appearance on the background of pain and other symptoms (vomiting, dysuria, diarrhea, constipation, blood in the urine or stool, feeling of stiffness in the joints);
- the presence and duration of fever;
- regularity of menstruation in women, due to menstruation, climacteric manifestations;
- suspected pregnancy;
- the nature of the work (length of diagnosis of prostate adenoma are set to "sedentary" profession).
Diseases of the urinary system
The most common manifestation if a sore lower back and abdomen, characteristic of cystitis (bladder inflammation). They often suffer from women because of the anatomical features of the urethral channel.
Pains are drawing in character, with maximum pain in 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 renal pelvis, is shown the main pain in the lower back radiating to the lower abdomen. Onset is usually acute, the temperature increases a patients chills, dysuria.
The intensity of the pain increases as the severity of inflammation
Kidney disease is accompanied by a constant dull arching the lumbar pains. Especially true with the localization of stone in the pelvis, the forced stagnation of urine and the formation of hydronephrosis.
If the concretion descends into the ureter, the attack has the character of renal colic. Severe pain spreads along the course of the urinary tract in the groin area on the right or left. The patient is excited, rushes. The condition improves after the discharge of stone is blood in the urine.
What kind of diseases of the digestive system you can think of?
Back pain is a frequent manifestation of gastritis, duodenitis, duodenal ulcers, pancreatitis. On surrounding the character complain the patients with acute pancreatitis. Abdominal pain accompanied by signs of digestive problems: nausea, heartburn, persistent diarrhea or constipation, belching, weight loss.
Intestinal infectious diseases except diarrhea, pronounced pain in the abdomen radiating to the lower back. Draws the attention of the General intoxication: 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 intestines, disturb the elderly. The accumulation of fecal stones, intoxication by toxins contribute to pain during bowel, bloating. Acute pain occurs when signs of intestinal obstruction.
Diaphragmatic hernia causing cramping 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 condition worsens after eating. Similar sensations appear in a patient with cardiospasm.
If the pain arose suddenly on the background of full health, we can not rule out acute appendicitis. Atypical location of the Appendix (blind gut, on the midline of the pelvis) causes dragging pain in the abdomen and lower back, "glutino bonum est" to the bladder wall or in women to the uterus.
During exacerbation of ulcerative colitis the distribution of pain focused in the lower back, anus
Disease for men
In men, gradual hypertrophy of the prostate gland is accompanied by aching above the pubes, bestower in the sacrum and lower back. Urological 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 trauma, but more often the infection is transmitted sexually. Patients, in addition to local pain, fever, nausea, vomiting. For the treatment of specific antibacterial agents. Lavage urethral channel.
Gynecological pathology
Pain in the abdomen and lower back in women, 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 pain are cramping, "trahens" character, concerned with one side or both. Acute adnexitis complicates carried out an abortion, childbirth. Pain localized in the abdomen, with one hand. Without treatment, become very intense, can cause peritonitis.
Pain in the cyst worsens during movements
If the legs of ovarian cysts in women twisted an acute attack occurs while a stomach ache, but gives in the waist. The same clinic takes place ectopic pregnancy. 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 important to identify the disease as a complication is internal bleeding. Endometriosis, premalignant disease of the uterus, is characterized by increased pain above the pubic area during menstruation.
Gynecologists claim that half the adult female population in adolescence, suffering menstruo pain. Why pain in lower abdomen during the period before the onset of menstruation in young and healthy girls in the first three days?
Scientists have proven that the reason for cramping of the uterine contractions associated with the concentration of particular hormones, prostoglandins, inflammation or adhesions. Less common in women define a tilted uterus.
Direct influence on the pain syndrome is having the desire of ladies to wear in cold weather jackets with a naked lower back, cold shoes. This cause leads to infertility. Unnecessary bravado of young men is complemented with high-load service in the army. A dangerous trend is primary in the prevention of infertile marriages.
If pain in lower abdomen and loins, the girls 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. At the initial time midwives believe the threat of termination. In the third trimester the belly is drawn constantly, the enlarged uterus compresses the intestine, bladder. The load on the spine significantly increases.
It is especially difficult to tolerate physically untrained women. Moderate pain in the first half of pregnancy is associated with stretching of the ligaments by the growing uterus. In the period before birth symptoms can masquerade as false labor. Early detachment of the placenta is accompanied by an increase in pain, bleeding. Impaired fetal heartbeat.
The diagnosis has the value of observation of women by a single doctor, the timely implementation of ultrasound.
Belly and rump are concerned about women who have undergone abortion. Prolonged pain, discharge, increase in temperature indicate a failed intervention, incomplete removal of the ovum.
The woman in danger of sepsis, so needs urgent treatment in hospital. Rough sex can cause tears in the walls and in the vault of the vagina. Abdominal pain cause of cervical erosion.
Inguinal hernia
Hernial protrusion in the groin more often detected in boys and men. This is due to a violation of embryonic development of the genital organs and weakness of the anterior abdominal wall. Symptoms contribute to:
- weight lifting;
- injuries to the abdomen;
- cough smokers;
- ascites in liver cirrhosis;
- obesity or sudden weight loss.
Men feel pain in the groin radiating to the back, the appearance of education which sticks out at a voltage of abdominal muscles. In the supine position, the bulge disappears, is itself returned to the canal of the hernia. In violation of acute pain can cause fainting. The patient must be immediately hospitalized and operated until strinxit part of the colon does not have gangrene.
Tumors
Malignant tumors of the kidneys, lower intestine, bladder, uterus and ovaries in women are accompanied by pain in the abdomen and lower back. The differential diagnosis between them will require a full examination. Germination of neoplasms in adjacent organs and the formation of metastasis greatly complicates detection and treatment.
Chronic pain
Pain in the abdomen and lower back are 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);
- osteochondrosis of the lumbosacral causes radicular symptoms, doctors, neurologists say disturbed sensitivity in zones of innervation of the nerve plexus and branches on the anterior wall of the abdomen, thighs, buttocks;
- herniated disc — is formed by weakness of the ligaments of the vertebrae;
- osteoarthritis of the spine — a process of atrophy disrupts the shape of the contacting surfaces of the vertebrae;
- osteoporosis — a disease lowers bone density, is due to leaching from the body of salts of calcium, lack of vitamin D.
Pathological pain is considered as the Central pathology in stroke. Patients feel that "aching back" not only from long lying, but the innervation of the body.
What causes back pain and stomach in children?
Children, including adolescents, often complain about back pain. How to distinguish the important from symptoms absolutely safe? According to the observations of pediatricians, there are the following causes of pain. Untimely physical overload of the child sports, different types of control. Not all children are alike.
When the muscles ready to stretch, after training the child, pain in the lumbosacral area. They are associated with turns, radiating on the front or back of the thigh, in the groin. Stretching of the ligaments of the hip joint "responds" soreness in the abdomen.
Violation of posture, the habit of stooping can be caused by uncomfortable furniture, high chair, too soft bed
Prolonged immobility in the lesson in a sitting position, causing static strain of the abdominal muscles and back. Therefore, the right teachers who are satisfied with a short warm-up.
For the child that matters weight. Obese children get sick more often, complain of back pain and the stomach, flatulence in the intestine.
Myositis — inflammation of the in connection with the infection, draft, injury to the lumbar muscles is prolonged and painful. Often have aching in nature, radiates to the stomach. Pain appear immediately after waking up. Typically unilateral lesion.
Intestinal infections are much heavier adults. Besides diarrhea and vomiting, frequent muscle cramps, dehydration.
Diseases of the urinary tract disturbed children as well as adults. Large concretions have not have time to form, but the salts cause paroxysmal renal colic. More common in boys. During the attack there is a delay of urine, vomiting. Pain radiating in the crotch. The urine is red because of the abundance of red blood cells.
The value of diagnostic
If a person has a sore back and pulls the lower abdomen, the examination should include all possible methods for finding the true causes. Laboratory analyses of blood, urine, feces, you can exclude or confirm the presence of inflammation in the urinary organs, intestines.
Further bacteriological examination allows to set a specific causative agent and to appoint therapy.
At the review radiography of the pelvis and spine can be the judge of osteochondrosis, diagnosing hernial protrusion of the disc to see the stones in the ureter. Conducting cystoscopy allows viewing of the bladder wall and urethra, to set the symmetry of the receipt of urine from the ureteral orifices.
Ultrasound helps in case of suspicion on disease dense body (pancreas, kidneys).