Update: October 2018 As the ancients said: “The pain is the watchdog
health dog. If something hurts, even if not much and not sharply,
it means that the body is trying to tell the owner that he needs help.
The task of the person is to find out and eliminate the reason causing this
a syndrome called “enterralgia”. This should be done with the help of a doctor.
– a person who has devoted almost a decade to learning how
each of our organs works and what is observed when deterioration
functioning of one of them. Here we look at the reasons
causing lower abdominal pain in men to orient you towards
which specialist need to contact at any localization
enterralgia. Tell also about the dependence of the diagnosis on the nature
pain syndrome (pulling, cutting and other types), as well as
What is in the lower gastric areas in men
|Bottom right||Over pubis||Bottom left|
But the pains on the sides of the lower abdomen of men arise not only when
disease of one of the organs, located on the right or left. She is
will also be disturbed in cases when a tumor or inflammation has occurred
in one of the structures that have communication with the lower gastric
areas in the form of branches of the nerve trunks.
What can hurt
Withчины болей внизу живота могут крыться в опухолевом или
inflammatory disease of one of the following organs:
- intestines: thick and thin;
- the kidneys;
- lumbosacral spine;
- seminal vesicles.
Let us examine the etiology (causes) of pain, depending on
its localization and character.
And in the lower gastrointestinal tract, and in the lower back
Enteralgia of the lower abdomen and lower back most often indicate
pathology of the urinary system, prostate or spine.
This is the name of the syndrome that develops when the passage of urine is disturbed.
on the ureter. Appears if at some interval from
places where the ureter comes out of the kidney to the area where it is
flows into the bladder. Most often, this urine-carrying “tube”
overlaid with stones (especially when a person loves himself,
without examinations and recommendations to “clean” the kidneys). But also
the ureter may become impassable at some point due to
its inflammation or swelling. Withчем последняя может расти как в
the organ itself, and in the tissues surrounding the ureter.
Renal colic – острая боль. She is:
- occurs with seizures;
- does not allow to find a position in which it would hurt less, forcing
spinning in bed;
- gives to the external genitals, groin, the area above the pubis and
sides of it;
- often accompanied by nausea and a general disturbance
- may be accompanied by fever and urine discharge
Damage to the left kidney or left ureter may be suspected
- pain more in the lumbar region;
- decrease or increase in the amount of urine;
- blood, mucus or pus in the urine;
- increased body temperature;
- unpleasant smell that comes from urine.
Whether osteochondrosis, spondylosis or ankylosing spondylitis can
accompanied by pain in the lower abdomen (but – mostly, with one
side) and lower back. Also this syndrome has the following
- pain in one area, does not move, does not take
over time, a large area;
- usually gives up, spreading across her back
- not accompanied by nausea, vomiting, changes by
- pressure on the spine causes discomfort;
- it hurts more in the evening;
- in the morning it is difficult to turn the torso sideways or
bend, unbend, then it passes during the day;
- in one leg, goosebumps, numbness,
Pain syndrome bottom left
When the pain is left in the lower abdomen of men, this may indicate
about the development of various pathologies that we consider.
Gastritis or gastroduodenitis
ATоспаленный желудок, расположенный обычно слева под ребрами,
stretching, it can reach the lower abdomen, where
causes enteric That this section of the gastrointestinal tract is struck,
it’s hard to guess yourself (without the help of a gastroenterologist), but
indicative may be such signs:
- soreness with pressure in the area under the spoon.
Read more about the symptoms of gastritis and gastroduodenitis.
Acute enlargement of the spleen
Although this organ of blood formation, in which are born and “die”
red blood cells, and is located under the left edge, in the case of increasing its
volume pain occurs in the left side of the abdomen.
Withчинами расширения селезенки становится или воспаление, или
reduction of the lumen of the venous vessels through which blood flows,
flowing from it body.
Symptoms of this condition are:
- enterralgiya, localized at the bottom and left;
- nausea, vomiting;
Heart attack spleen
When the lumen of an artery or its branch is blocked (thrombus,
atherosclerotic plaque, fat) that fed the spleen,
part of the organ dies away – a heart attack occurs. ATозникают:
- sharp pain that descends from left hypochondrium to left
- pain intensity increases with deep
breathing, coughing, movement;
Purulent process that develops in the body may be complicated
the absorption of bacteria into the systemic circulation. Then they are spread by
body and can form in a particular organ. An abscess (or
several ulcers) can form in the spleen.
This is followed by:
- enterralgia in the left hypochondrium, which gives to the left half
the chest and the left lower abdomen;
- temperature increase;
- growing weakness;
- nausea, vomiting.
Inversion of the spleen
This is a condition where spleen artery torsion occurs.
Withчиной этого может быть или врожденное состояние связок брыжейки,
or injury that occurred on the left hypochondrium.
Withзнаками заворота селезенки можно назвать:
- pain descends from left hypochondrium to the lower abdomen,
Chronic myeloid and lymphocytic leukemia
These forms of blood cancer are manifested in the same way. It is a pain at the bottom left
belly, which initially appears only after eating or when you press
on this area. As the tumor progresses, the intensity
Specific inflammation of the intestine is manifested:
- болью в различных частях живота, в том числе внизу left;
- decreased appetite;
- joint pain.
Similar symptoms are characteristic for periods of height. They
alternated by periods of remission, when pain, diarrhea and
vomiting is not observed. More on the symptoms of Crohn’s disease.
If descending colon or small intestine
the guts on the left are often inflamed, in them over time
polyps develop – peculiar fungoid growths of the mucous
shells that narrow the lumen of the intestinal tube and can
malignantly. Read more on the symptoms of polyps in the intestines.
Nonspecific ulcerative colitis
This is a disease in which, for some unknown reason, is affected
the entire lining of the large intestine (ulcers appear on it).
It begins with the rectum, whose projection falls on the lower
left abdominal area. Further affects more overlying
Manifestations of NUC:
- temperature increase;
- tingling or squeezing in the lower left abdomen – on
- bloating, especially in the lower abdomen;
- general weakness;
- diarrhea or constipation.
Atypical location of the inflamed appendix
The disease begins suddenly, sometimes with pain around the navel,
which later move to the left. ATначале энтералгия
moderate, then more and more, it becomes cramped,
but it can be pulsating.
In addition, nausea appears, there may be 1-2 times vomiting,
sometimes diarrhea, which is associated with peritoneal irritation, enveloping and
inflamed appendix, and stomach with intestines.
The body temperature rises.
This is a disease in which the intestinal wall becomes
source of protrusions similar to small hernias. This
pathology develops most often in old age. May not have
no symptoms showing up on x-rays with contrast,
conducted on another occasion. Also diverticula, inflamed, can
cause enteralgia of any localization, including
and to the lower left of the man’s belly. In addition, constipation,
chills; the temperature rises.
Pain in hypogastric right
A pain in the right lower abdomen is characteristic of:
- ATоспаления правой почки или мочеточника. The symptoms are identical.
those described for left-sided lesions.
- Appendicitis, with a typical location of the inflamed process
(a sign similar to those with an atypical location).
- Crohn’s Disease. Its symptoms may resemble appendicitis.
- Ulcerative colitis, in stage
- Spinal diseases.
Pain syndrome in the suprapubic area
This symptom is characteristic of the following pathologies.
Acute prostatitis и обострение хронического простатита
The pain is usually stitching, extending to the perineum, groin and
testicles; can give to the sacrum and anus. With очередном обострении
of this disease, the syndrome becomes pulling,
it can be provoked by alcohol, overwork,
In addition to enterralgia, other symptoms appear:
- pain in the abdomen when urinating;
- erectile dysfunction;
- urinary retention;
- frequent hikes in the small;
- Erectile dysfunction.
Read more about the symptoms of prostatitis.
This is called bladder inflammation. It is characterized
- pain during urination, which does not completely complete the process
- frequent urination;
- blood in the urine;
- aching pain over pubis;
- urine becomes turbid;
- temperature may rise;
- in severe cases nausea and vomiting develop.
Read more on the symptoms of cystitis in men.
At the initial stages, this pathology does not manifest itself. With
as the pathology progresses, it becomes harder to urinate, and in
urine blood appears. Further symptoms resemble cystitis:
painful and frequent urination, pain in the lower back and abdomen.
But the temperature here practically does not rise, but “No-shpa”,
�”Baralgin” or “Drotaverine”, which alleviate the condition of cystitis, not
solve urinary problems due to deterioration
urine outflow. Read more on bladder cancer symptoms.
Initially, urination becomes more frequent, and urging to the toilet begins
to wake a man at night. Increasing in size, prostate
the gland worsens the flow of urine from the bladder to the urethra, which
accompanied by aching pain and pain when urinating, delay
urine and lumbodynia.
Stasis of urine in the bladder leads to its frequent
infections – cystitis. If the infection spreads higher,
pyelonephritis may even develop. More on the symptoms of adenoma
When the tumor is quite large, or
develops in the place where the urethra comes out of the bladder,
first symptoms appear. It:
- perineal pain;
- frequent desire to go “small”;
- blood not only in the urine, but also in semen;
- �”Weak stream”.
Later, with metastasis or disintegration of the tumor, arise:
- weight loss;
- heaviness in the chest;
- pain in the bones: hips, pelvis, spine;
- weight loss
This is the name for inflammation of the seminal vesicles – a paired organ,
находящегося возле prostate The disease manifests itself:
- pain that gives to the sacrum. It gets worse with bowel movements.
or full bladder;
- painful erection and ejaculation;
- blood in semen;
- difficulty urinating;
- possible – the release of pus with urine or sperm.
The diagnosis of the nature of pain
|It’s a dull pain||
|Pulling pain in lower abdomen||
The symptoms of the main pathologies we discussed above. Here we give
only names of diseases that can be grouped by
joint with pain sign.
Pain associated with some event
The pain in the lower abdomen of the men after urination suggests
If this syndrome occurs after hypothermia, it is
testifies in favor or exacerbation of chronic prostatitis,
Pain after intercourse speaks of inflammation of the seminal vesicles.
or prostate gland.
The appearance of pain in the lower abdomen after eating is a sign of the syndrome
irritable bowel. This is a disease in which not
structure, but the gastrointestinal tract function. This is manifested by the occurrence of pain and
strong urge to defecate with emotional stress,
unproductive urge to defecate or feeling incomplete
emptying – after it, periodic changes in the nature of the chair –
constipation or diarrhea.
Если у мужчины есть боли и температура, это может
testify to the development of:
- acute prostatitis;
- urolithiasis during renal colic;
- Crohn’s disease;
- severe cystitis;
- heart attack or abscess spleen.
Soreness with pressure
Pain in the lower abdomen of a man that occurs when you press on the stomach,
can talk about:
- an abscess localized between the intestinal loops lying in
- myocardial spleen;
How is the diagnosis made?
Over diagnosis in the event of pain,
localized in the abdomen, there are 2 specialists working for men:
Gastroenterologist and urologist. Set the cause of this state
they will be by:
- a survey when the doctor will need to figure out the onset of
pain and what it is connected with, nature, intensity and localization
this feeling. It is also important to know the position of the body or
situations where the pain intensifies or decreases;
- palpation (palpation) of the organs through the anterior abdominal wall,
identifying various symptoms, if necessary – studying
prostate through the rectum;
- additional research:
- Ultrasound of the prostate (through the skin of the abdomen or rectum),
- Ultrasound of the abdomen,
- x-ray of abdominal organs review and with contrast,
- Ultrasound of the kidneys and pancreas.
If a tumor of the prostate or urinary
bladder, it should be a biopsy. If it is a tumor
intestine, pancreas or kidney biopsy will not
be carried out before the operation – the study will go immediately
remote site. Pre-tomography will be performed –
magnetic resonance or computer.
With заболеваниях мочевыводящих путей необходимы анализы мочи:
common, according to Nechiporenko, as well as bacteriological urine culture.
With простатите проводится бактериологическое исследование
Therapy for pain in the lower abdomen depends on
diagnosed condition. So, if we are talking about acute
appendicitis, urgent surgery is necessary. Also treated
and spleen infarction, and abscess located between the loops
кишечника, и аденома prostate
Therapy of prostatitis, Crohn’s disease, irritable syndrome
the intestine is carried out with the help of drugs of different
Treatment раковой опухоли любой локализации имеет отличающуюся
tactics and depends on the stage at which carcinoma is detected. AT
therapies are used: surgery, chemotherapy and
Автор: Кривега Мария Салаватовна врач-реаниматолог