The state, when the sore belly and back, familiar to many people. It is due to several reasons. Most often associated with diseases of the urinary system, gynaecological pathology in women, and urological — men, disorders of the conduction system of the nerves and of the channels in the lower part of the spine.
The doctors there recognized as the term "chronic pelvic pain". Has the right, if the patient has back pain and belly 6 months and longer. Statistics show that women in 75% of cases is caused by gynecological disorders, only 25% comes from other pathology, call extragenital.
Men also suffer from back pain and lower abdominal. Prostatitis, adenoma of the prostate can cause permanent pain, pain that radiates to the back.
Why do I experience pain?
The causes of back pain and the pelvic organs are found in the inflammation or jamming the nerve trunks, the branches, pulling the capsule of the abdominal organs.
Of all the impulses from pathologically altered organs, pelvic, gallbladder, intestine, pancreas, liver, and kidneys must be in the ganglia the lumbosacral spine
Here you can switch from one segment to the other, so the man feels the irradiation in a remote area. If the disease as regards the spinal column, is the possibility of degenerative disc disease, compression of the intervertebral disc, inflammatory (ankylosing Spondylitis).
Defeat of joints, the femoral in the elderly is accompanied by pain in the lower abdomen. Consider the symptoms of the main diseases that cause pain.
What are the characteristics of lower abdominal pain affect doctor?
With the objective of clarifying the nature of the symptoms, it is necessary to understand the signs of pain, its association with other symptoms. A doctor with experience interest questions:
- of special localization of maximum pain;
- the initial phenomena and makes their experience;
- spastic type (colicy) or stupid, pain nature;
- is displayed on a background of pain, of other symptoms (vomiting, dysuria, diarrhea, constipation, blood in your urine or stools, joint stiffness);
- the availability and prescription of fever;
- the regularity of the menstrual cycle in women, the communication with the menses, climacteric manifestations;
- suspicion of pregnancy;
- the nature of the work (length of diagnosis of adenoma of the prostate have a value of "sessile" profession).
Diseases of the urinary system
The most frequent manifestation, if the backache and belly, characteristic for cystitis (bladder inflammation). They are more likely to suffer from a woman due to anatomical features of the urethra.
Pain have by pulling on the forecast, the more sore belly, but "gives" in the lower part of the back. At the same time symptoms appear dysuria (cramps, frequent urination). Severe accompanied by an increase of the temperature.
Pyelonephritis — infection of renal pelvis, it manifests itself in major back pain that radiates into the belly. The beginning of the disease is usually acute, greatly increasing the temperature, in patients chills, or dysuria.
The intensity of the pain increases as the severity of the inflammation
Kidney stones accompanied by constant stupid arching lumbar vertebra pains. Especially true when the localization of the stone in the pelvis behind, and the stagnation of the urine and the formation hydronephrosis.
If the calculation falls into the ureter, an attack on the character of renal colic. Severe pain in the scattered movement of the urinary tract in the groin to the right or to the left. The patient is agitated, torn. Condition improves after the removal of stone, there is blood in the urine.
What diseases digestion you can think of?
Back pain — frequently a manifestation of gastritis, duodenitis, duodenal ulcer, pancreatitis. The fire of sant forecasts complain about the patients with acute pancreatitis. Abdominal pain accompanied by signs of disorders of the digestive system: nausea, heartburn, resistant diarrhea or constipation, reiteration, weight loss.
Intestinal infections, in addition to diarrhea, the expressed pain in the lower abdomen that radiates to the back. Draws attention to the total of intoxication: high temperature, furred tongue, vomiting, weakness. Chair frequent, liquid, a lot of mucus, perhaps the impurities of the blood.
The symptoms and treatment of diseases of the pancreas
Chronic constipation caused by atony, care about the people of the third age. The accumulation of feces of stones, intoxication waste contribute pain to the bowel movement, swelling. Acute pain occur when the signs of intestinal obstruction.
Diaphragmatic hernia is causing jams in the hole of the part of the stomach, of the esophagus. It may be a disorder of swallowing. Often they are full of people with no motor activity. Abdominal pain to the epigastrium in the rear. The condition worsens after meals. Similar feelings appear in a patient with cardiospasm.
If the pain occur suddenly against a background of full health, it is not possible to eliminate the acute appendicitis. Location atypical processus (blind gut, the median line of the pelvis) causes an annoying pain in the lower abdomen and back, "glutino bonum est," to the wall of the bladder, or in women with a uterus.
Exacerbation of ulcerative colitis the spread of the ill-directed in the lower part of the back, anus
Mens disease
In men, the progressive prostatic hypertrophy accompanied pain, pain above the pubis, bestower in the sacrum and lower back. Urological inflammatory disease are less frequent compared to women.
But the most common cause of urethritis and cystitis are sexual (gonorrhea, chlamydia, micoplasmosi). Painful cramps and frequent urination testify to the inflammatory process in the urethra.
Orchiepididymitis — inflammation covers the testes and the epididymis. It can be caused by trauma, but more often the sexually transmitted infection. The patients, in addition to local pain, fever, nausea, vomiting. For the treatment to apply specific antibacterial agents. The washing of the urethral canal.
Gynecologic pathology
Pain in the lower abdomen and back pain in women are usually associated with inflammation of the genital organs internal. Among the gynecological diseases of the female body most often encountered annessite (inflammation of the appendages), ovarian cysts, dysmenorrhea.
Often the pains are cramping, "trahens" the forecast, worried from one side or from both. Sharp annessite complicates the fact of the abortion, childbirth. Localized pain in the lower belly, with one hand. Without treatment they become very intense, which can cause peritonitis.
The feeling of pain in the cysts are intensified during movement of the
When the legs ovarian cyst a woman twist occurs an acute attack, with a stomach ache, but it gives in the lower part of the back. The same clinic is held during the ectopic pregnancy. The diagnosis is based on the reflect the research of the uterus and adnexa.
Gynecologists detect an increase in or painful infiltration. One of the symptoms — cessation of menstruation. It is important to detect the disease, because the complication serves an internal hemorrhage. Endometriosis disease precancerous of the uterus, characterized by an increase of pain above the pubes during menses.
Gynecologists claim that the female half of the adult population in the adult age suffers from menstruo pain. Because a sore belly in the period before the onset of menstruation of young, healthy girls, and in the first three days?
Scientists have shown that the reason for cramps reductions of the uterus, correlated with the concentration of specific hormones – prostoglandins, of an inflammatory process or tips. Less frequently, in women choose to the uterus retroverso.
A direct impact on the pain syndrome has the desire to wear in the cold season jackets with a drizzle of pork loin, cold shoes. This is the reason that leads to infertility. Needless bravado of boys completed high-load service in the army. A dangerous trend becomes the main notice-sterile marriages.
When a sore belly and back, the girls gynecologists recommend rectal candles with belladonna. They act quickly, relieve accompanying symptoms (nausea, dizziness, salivation).
Pregnant women, lower abdominal pain — a symptom alarming. The deadlines midwives suggest a threat of termination. During the third quarter, the belly pulls steadily increased in the uterus compresses the intestine, the bladder. The load on the spine grows in a significant way.
His is particularly difficult to physically move inexperienced women. Moderate pains in the first half of pregnancy are associated with stretching of the ligaments and growing uterus. In the period before childbirth signs may masquerade as braxton hicks contractions. Early detachment of the placenta is accompanied by an increase in pain, bleeding. Alterations of the foetal heartbeat.
The diagnosis has a value of surveillance for women with a physician, conduct timely ULTRASOUND.
Belly, and back discomfort in women who have undergone an abortion. Long pain, the selection, the increase of temperature indicate negative performed the surgery, the incomplete removal of the gestational sac.
Woman threat of sepsis, then you need an emergency treatment in the hospital environment. Violent sex can cause breaks in the walls and in the vault of the vagina. Pain in the lower abdomen, causing cervical erosion.
The inguinal hernia
Hernial diverticulum groin often identify men and boys. This is due to the violation of the embryonic development of the genital organs and the weakness of the anterior abdominal wall. The event is to promote:
- lifting weights;
- injury to the stomach;
- cough of smokers;
- ascites in cirrhosis of the liver;
- obesity, or the strong weight loss.
Men feel the pain in the groin that radiates to the back, the emergence of training that leans with a tension of the abdominal muscles. In the supine position swelling disappears only to return in the channel of the hernia. When the violation is acute pain can cause feeling faint. The patient is in urgent need of shelter and work up to strinxit part of the intestine is not formed in the gangrene.
Neoplasms
Malignant tumors of the kidney, of the lower divisions the intestine, the bladder, the uterus and ovaries in women are accompanied by pain in the lower abdomen and back. The possession of a differential diagnosis between them requires a thorough examination. The germination neoplasms of adjacent organs and metastasis greatly complicates identification and treatment.
Chronic pain
Abdominal pain and lumbar region are you referring to the manifestation of chronic diseases. Among these the most common are:
- rheumatoid arthritis with involvement of the joints intervertebral (the most severe pain and stiffness the patient feels after the sleep);
- low back pain lumbosacral — causes radicular symptoms, doctors neurologists say are suffering from disorders of sensitivity in zone of innervation nervous plexuses, and the branches on the anterior wall of the stomach, hips, thighs, buttocks;
- herniated disc — is formed from the weakness of a unit that is the vertebrae;
- osteoarthritis of the spine — the process of atrophy in purple the shape of the contact surfaces of the vertebrae;
- osteoporosis is a disease that reduces bone density, which is linked to the elution of an organism of salts of calcium, lack of vitamin D.
Pathological pain is considered as the central pathology for stroke. The patients feel that "it hurts my back" not only by a long lying down, but also from the violation of the innervation of the body.
That causes back pain and stomach in children?
Children, including adolescents, often complain of back pain. How to distinguish the symptoms important to be absolutely sure? According to the observations of pediatricians, we distinguish the following causes of pain. The delays of the physical overload of the child to the sport, different types of struggle. Not all children develop at the same way.
If the muscles are not willing to stretch, after training of the child appear pain in the lumbar-sacral area. They are associated with shots of the scene, radiating to the front or back of the thigh, to his crotch. Stretching of the ligaments of the joints of the hip", he answers" pain in the lower abdomen.
Disorders of posture, the habit of the quarry can be caused by uncomfortable furniture, the height of the chair, too soft bed
Prolonged immobility in the lesson in a sitting position causes static tension in the abdominal muscles and back. So they reason the teachers, the sheets of a short warm-up.
For the child has a weight value. Obese children become sick more often, complain of back pain and the abdomen, increased flatulence.
Myositis — inflammation due to infections, draft, injury of lumbar muscles runs long and painful. This has aching in nature, radiates to the stomach. Pain appear immediately after waking up. Typically one-sided defeat.
Intestinal infections occur much more heavy adults. In addition to diarrhea and vomiting, there are cramps, dehydration.
Diseases of the urinary tract discomfort in children as well as adults. Large concretions still do not have time to form, but salt cause paroxysmal renal colic. Often it is observed in guys. For the attack to occur retention of urine, vomiting. Pain radiating to the groin. The urine becomes red due to the abundance of red blood cells.
The diagnostic value
If a person has back pain, and pulls the belly, the examination should include all possible methods for the research of the true causes. Laboratory for the analysis of blood, urine, feces, it is possible to exclude or confirm the presence of inflammation of the urinary tract organs, the intestine.
An additional bacteriological examination allows you to set a specific pathogen of the disease and prescribe treatment.
For the review x-ray of pelvis and spinal column can be judged osteochondrosis, diagnosing hernial protrusion of the disk, see the stones in the ureter. Taking cystoscopy allows us to see the wall of the bladder and of the urethra, set the symmetry arrivals urine from the ureteral holes.
Ultrasound helps in case of suspicion of the disease, dense organs (pancreas, kidneys).