Lower abdominal pain in men: causes,treatment

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
associated symptoms.

What is in the lower gastric areas in men

Bottom right Over pubis Bottom left
  • appendix;
  • cecum;
  • the final section of the small intestine, falling into the blind
    the gut;
  • the lower third of the right ureter
  • loops of the small intestine;
  • bladder;
  • “endings” of ureters entering into it;
  • prostate;
  • seminal vesicles lying above the prostate gland
  • rectum;
  • loops of the small intestine;
  • sigmoid colon;
  • left ureter

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:болит у мужчины внизу живота

  1. stomach;
  2. intestines: thick and thin;
  3. appendix;
  4. the kidneys;
  5. Bladder;
  6. ureters;
  7. prostate;
  8. testicles;
  9. lumbosacral spine;
  10. 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.

Renal colic

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
    with blood.

Kidney disease

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.

Spinal diseases

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,
    cold snap

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:

  • nausea;
  • heartburn;
  • 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;
  • fever.

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;
  • heat.

Spleen abscess

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:

  • bloating;
  • constipation;
  • pain descends from left hypochondrium to the lower abdomen,
  • vomiting;
  • deterioration.

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
enteralgia increases.

Crohn’s disease

Specific inflammation of the intestine is manifested:

  • болью в различных частях живота, в том числе внизу left;
  • vomiting;
  • decreased appetite;
  • diarrhea;
  • fatigue;
  • 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
    initial stage;
  • 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:

  1. ATоспаления правой почки или мочеточника. The symptoms are identical.
    those described for left-sided lesions.
  2. Appendicitis, with a typical location of the inflamed process
    (a sign similar to those with an atypical location).
  3. Crohn’s Disease. Its symptoms may resemble appendicitis.
  4. Ulcerative colitis, in stage
  5. Diverticulitisа.
  6. 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
following symptoms:

  1. pain during urination, which does not completely complete the process
    опорожнения Bladder;
  2. frequent urination;
  3. blood in the urine;
  4. aching pain over pubis;
  5. urine becomes turbid;
  6. temperature may rise;
  7. in severe cases nausea and vomiting develop.

Read more on the symptoms of cystitis in men.

Bladder cancer

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

Prostate cancer

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:

  1. weakness;
  2. weight loss;
  3. malaise;
  4. heaviness in the chest;
  5. pain in the bones: hips, pelvis, spine;
  6. 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;
  • malaise;
  • possible – the release of pus with urine or sperm.

The diagnosis of the nature of pain

 Blunt pain
  • Chronic prostatitis, prostate adenoma;
  • Varicocele;
  • Inflammation or pancreatic cyst
 Acute pain
  • Renal colic with urolithiasis, tumor or stricture
  • Vesiculitis;
  • Inversion of the spleen;
  • With ущемлении паховой грыжи
 Cramping pain
  • Nonspecific ulcerative colitis;
  • Diverticulosis;
  • Prostatitis
 Sharp pain
  • Renal colic;
  • Appendicitis;
  • Prostatitis;
  • Infarction of the spleen;
  • With ущемлении паховой грыжи;
  • Testicular inflammation
 It’s a dull pain
  • Acute prostatitis
  • Acute pyelonephritis;
  • With отсутствии желания к мочеиспусканию при цистите;
  • Bladder cancer;
  • A stomach ulcer or gastritis;
  • Prostate cancer
 Pulling pain in lower abdomen
  • Chronic prostatitis;
  • BPH;
  • Diverticulitis;
  • Irritable bowel syndrome;
  • Kidney disease
 Cutting pain
  • Acute cystitis – during urination;
  • Prostatitis;
  • Prostate cancer и аденома – при попытках мочеиспускания;
  • Intestinal pathologies
 Severe pain
  • Crohn’s disease;
  • Appendicitis;
  • Renal colic

Symptom Diagnosis

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,
or cystitis.

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.

Temperature rise

Если у мужчины есть боли и температура, это может
testify to the development of:

  • vesiculitis;
  • acute prostatitis;
  • pyelonephritis;
  • urolithiasis during renal colic;
  • diverticulitis;
  • Crohn’s disease;
  • severe cystitis;
  • appendicitis;
  • 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
    abdomen area;
  • appendicitis;
  • myocardial spleen;
  • diverticulitis.

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:

  1. 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;
  2. palpation (palpation) of the organs through the anterior abdominal wall,
    identifying various symptoms, if necessary – studying
    prostate through the rectum;
  3. 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
prostatic juice.


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
radiation therapy.

Автор: Кривега Мария Салаватовна врач-реаниматолог

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