Acute cramps in the lower abdomen in men. Diseases of the digestive system in men. Acute prostatitis and exacerbation of chronic prostatitis

As the ancients said, "Pain is the watchdog of health." If something hurts, even if not severely or sharply, then the body is trying to tell the owner that he needs help. The task of a person is to find out and eliminate the cause that causes this syndrome, called "enteralgia". This should be done with the help of a doctor - a person who has devoted almost a decade to studying how each of our organs works and what is observed when the functioning of one of them deteriorates. Here we will consider the causes that cause pain in the lower abdomen in men in order to guide you which specialist should be contacted for one or another localization of enteralgia. We will also tell about the dependence of the diagnosis on the nature of the pain syndrome (pulling, cutting and other types), as well as accompanying symptoms.

What is in the lower gastric regions in men

But pains on the sides of the lower abdomen of men occur not only with the disease of one of the organs located on the right or left. It will also disturb in cases where a tumor or inflammation has arisen in one of the structures that communicate with the lower gastric regions in the form of branches of nerve trunks.

What can hurt

The causes of pain in the lower abdomen may lie in a tumor or inflammatory disease of one of the following organs:

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

Let us analyze the etiology (causes) of the pain syndrome, depending on its location and nature.

Both in the lower gastric region and in the lower back

Enteralgia in the lower abdomen and lower back most often indicate a pathology of the urinary system, prostate or spine.

Renal colic

This is the name of the syndrome that develops when there is a violation of the passage of urine through the ureter. It appears if at some interval from the place where the ureter exits the kidney to the area where it flows into the bladder. Most often, this "tube" carrying urine is blocked by stones (especially when a person loves on his own, without examinations and recommendations to "clean" the kidneys). But also the ureter can become impassable in some area due to its inflammation or tumor. Moreover, the latter can grow both in the organ itself and in the tissues surrounding the ureter.

Acute enlargement of the spleen

Although this hematopoietic organ, in which red blood cells are born and “die”, is located under the left rib, if its volume increases, pain occurs in the left side of the lower abdomen.

The reasons for the expansion of the spleen are either inflammation or a decrease in the lumen of the venous vessels through which the blood flowing from this organ flows.

The symptoms of this condition are:

• enteralgia, localized below and to the left;
• nausea, vomiting;
• increase in body temperature.

Spleen infarction

When the lumen of an artery or its branch (thrombus, atherosclerotic plaque, fat) that fed the spleen is blocked, part of the organ dies - a heart attack occurs. Arise:

• sharp pain that descends from the left hypochondrium to the left lower abdomen;
• the intensity of the pain syndrome increases with deep breathing, coughing, movement;
• heat.

Abscess of the spleen

The purulent process that develops in the body can be complicated by the absorption of bacteria into the systemic circulation. Then they are carried throughout the body and can form in one or another organ. An abscess (or several abscesses) can also form in the spleen.

This is accompanied by:

• enteralgia in the left hypochondrium, which gives to the left half chest and left lower abdomen;
• rise in temperature;
• growing weakness;
• nausea, vomiting.

Volvulus of the spleen

This is a condition where torsion of the splenic artery occurs. The reason for this may be either a congenital condition of the ligaments of the mesentery, or an injury that occurred on the left hypochondrium.

Signs of a volvulus of the spleen include:

• bloating;
• constipation;
• the pain descends from the left hypochondrium to the lower abdomen, on the left;
• vomit;
• worsening condition.

Chronic myelo- and lymphocytic leukemia

Polyposis

If the descending sections of the large intestine or sections small intestine those lying on the left often became inflamed, polyps develop in them over time - peculiar mushroom-shaped growths of the mucous membrane, which narrow the lumen of the intestinal tube and can become malignant. .

Nonspecific ulcerative colitis

This is a disease in which, for an unknown reason, the entire membrane of the large intestine is affected (ulcers appear on it). It begins with the rectum, whose projection falls on the lower left zone of the abdomen. Further, it affects more higher departments.

NUC appears:

• rise in temperature;
• tingling or squeezing in the left lower abdomen - on initial stage;
• bloating, especially pronounced in the lower abdomen;
• general weakness;
• diarrhea or constipation.

Atypical location of an inflamed appendix

The disease begins suddenly, sometimes with pain around the navel, which later move to the left side. Initially, enteralgia is moderate, then it grows more and more, it becomes cramping, but it can also be pulsating.

In addition, nausea appears, there may be 1-2 times vomiting, sometimes diarrhea, which is associated with irritation of the peritoneum, enveloping and inflamed appendix, and the stomach with intestines. The body temperature rises.

diverticulitis

This is a disease in which the intestinal wall becomes a source of protrusions, similar to small hernias. This pathology develops most often in old age. May be asymptomatic, showing up on x-ray with contrast done for another reason. Also, diverticula, becoming inflamed, can cause enteralgia of any localization, including the left lower abdomen of a man. In addition, constipation, chills appear; the temperature rises.

Pain in the hypogastrium on the right

Pain in the right lower abdomen is typical for:

1. Inflammation of the right kidney or ureter. The symptoms are identical to those described for the left-sided lesion.
2. , with a typical location of the inflamed process (the signs are similar to those with an atypical location).
3. Crohn's disease. Its symptoms may resemble appendicitis.
4. Nonspecific ulcerative colitis, in the progression stage.
5. diverticulitis.
6. Diseases of the spine.

Pain syndrome in the suprapubic region

This symptom is typical for the following pathologies.

Acute prostatitis and exacerbation of chronic prostatitis

The pain is usually stitching, extending to the perineum, groin and testicles; can give to the sacrum and anus. With the next exacerbation of this disease, the syndrome acquires a pulling character, alcohol intake, overwork, and hypothermia can provoke its appearance.

In addition to enteralgia, other symptoms appear:

• pain in the abdomen when urinating;
• erectile dysfunction;
• urinary retention;
• frequent trips in a small way;
• erectile dysfunction.

Cystitis

This is called inflammation of the bladder. It is characterized by the following symptoms:

1. pain during urination, which does not allow to complete the process of emptying the bladder;
2. frequent urination;
3. blood in the urine;
4. aching pain over the pubis;
5. urine becomes cloudy;
6. the temperature may rise;
7. in severe cases, nausea and vomiting develop.

bladder cancer

BPH

At first, urination becomes more frequent, and the urge to go to the toilet begins to wake the man at night. Increasing in size, the prostate impairs the outflow of urine from the bladder into the urethra, which is accompanied by aching pain and pain during urination, urinary retention and lumbodynia.

Stagnation of urine in the bladder leads to frequent infections - cystitis. If the infection spreads higher, it may even develop. .

Prostate cancer

When the tumor reaches a fairly large size, or develops in the place where the urethra leaves the bladder, the first symptoms appear. It:

• pain in the perineum;
• frequent desire to go "a little";
• blood not only in the urine, but also in the semen;
• "weak stream"

Later, with metastasis or tumor decay, there are:

1. weakness;
2. weight loss;
3. malaise;
4. heaviness in the chest;
5. soreness in the bones: hips, pelvis, spine;
6. weight loss.

Vesiculitis

This is the name of the inflammation of the seminal vesicles - a paired organ located near the prostate. The disease manifests itself:

• pain that radiates to the sacrum. It is aggravated by defecation or a full bladder;
• painful erection and ejaculation;
• blood in semen
• difficulty urinating;
• malaise;
• possibly - the release of pus with urine or semen.

Diagnosis by the nature of the pain syndrome

Diagnosis by associated symptoms

We discussed the symptoms of the main pathologies above. Here we give only the names of diseases that can be grouped according to a sign that is common with pain.

Pain associated with an event

Pain in the lower abdomen of men after urination speaks of cystitis.

If this syndrome occurs after hypothermia, this indicates in favor or exacerbation chronic prostatitis or cystitis.

Pain after intercourse indicates inflammation of the seminal vesicles or prostate gland.

The appearance of pain in the lower abdomen after eating is a sign of irritable bowel syndrome. This is a disease in which it is not the structure that suffers, but the function of the gastrointestinal tract. This is manifested by the occurrence of pain and a strong urge to defecate when emotional stress, unproductive urge to defecate or feeling incomplete emptying- after it, periodic changes in the nature of the stool - constipation or diarrhea.

Temperature rise

If a man has pain and fever, this may indicate the development of:

• vesiculitis;
• acute prostatitis;
• pyelonephritis;
• urolithiasis during renal colic;
• diverticulitis;
• Crohn's disease;
• severe cystitis;
• appendicitis;
• infarction or abscess of the spleen.

Pain on pressure

Pain in the lower abdomen in a man that occurs when pressing on the stomach can talk about:

• an abscess localized between the intestinal loops lying in the lower abdomen;
• appendicitis;
• spleen infarction;
• diverticulitis.

How is the diagnosis made?

Two specialists work on the diagnosis in the event of a pain syndrome localized in the lower abdomen in men: a gastroenterologist and a urologist. They will determine the cause of this state by:

1. a survey, when the doctor will need to find out the onset of pain and what it is associated with, the nature, intensity and localization of this sensation. It is also important to know the position of the body or situations when the pain intensifies or weakens;
2. palpation (palpation) of organs through the anterior wall of the abdomen, determining various symptoms, if necessary - the study of the prostate through the rectum;
3. additional research:
   • Ultrasound of the prostate (through the skin of the abdomen or rectum),
   • abdominal ultrasound,
   • x-ray of the abdominal organs, overview and with contrast,
   • Ultrasound of the kidneys and pancreas.

If a tumor of the prostate or bladder is detected during the study, it should be biopsied. If a we are talking about a tumor of the intestine, pancreas or kidney, a biopsy will not be performed before the operation - the remote site will immediately go for the study. Preliminary tomography will be performed - magnetic resonance or computer.

For diseases urinary tract urine tests are necessary: ​​general, as well as bacteriological culture of urine.

When prostatitis is carried out bacteriological examination prostatic juice.

Treatment

Therapy for pain in the lower abdomen depends on the diagnosed condition. So, if we are talking about acute appendicitis, an urgent operation is necessary. Also treated and spleen infarction, and an abscess localized between the loops of the intestine, and prostate adenoma.

Therapy of prostatitis, Crohn's disease, irritable bowel syndrome is carried out with the help of various medications.

Treatment of a cancerous tumor of any localization has a different tactic and depends on the stage at which the carcinoma is detected. Treatments include surgery, chemotherapy and radiation therapy.

People involved in sports, having high physical activity at work, often feel pain in the lower abdomen. Nevertheless, the main causes that cause such symptoms in most men are inflammatory, infectious diseases. What causes the occurrence pathological signs how to deal with them.

Characteristics of the pain syndrome

The appearance of pain in the lower abdomen in men can be observed at any age. When such signs appear, it is necessary to contact specialists to find out the causes. It is important to tell the doctor the nature of the pain syndrome, which can be:

• aching;
• stupid;
• sharp;
• sharp;
• stabbing;
• cramping;
• pulling;
• cutting;
• pulsating;
• regular;
• paroxysmal.

If the lower abdomen hurts in men, when describing the condition, it is necessary to pay attention to the area where the pain is given. Does this syndrome increase during movement, is it associated with food intake, how long does the attack last, in which part is it localized. To make a correct diagnosis and start treatment, the doctor must take into account the presence accompanying signs:

• urination disorders;
• increase in body temperature;
• discharge from the penis;
• nausea;
• flatulence;
• weaknesses;
• diarrhea;
• vomiting.

Why does pain appear in the lower abdomen in men

In the pelvic area there are vital organs, inflammatory processes in which may be accompanied by pain. Men often have pathologies in the lower abdomen caused by an infectious lesion. It is impossible to find out the cause of the pain syndrome on your own, so you need to contact the specialists:

• urologist
• venereologist;
• andrologist.

Pain causes disturbances in the systems located in the lower abdomen:

• Urinary. This may be a sudden renal colic, frequent bouts of burning during urination in the case of cystitis, pulsation with obstruction of the urinary canals.
• Sexual. Pain often accompanies sexual intercourse, it is acute with testicular torsion, cutting with prostatitis.
• Digestive. The nature of the pain syndrome, localization depends on the pathologies of the digestive tract.
• Peripheral nervous system. It has a character radiating down the abdomen in diseases of the spine.

Inflammatory process

If the pain sensations progress gradually over a long time with increasing intensity, this indicates the development of inflammation. In this case, in men, the cause of pain can be diseases of various organs located below abdominal cavity. These include such pathologies:

Prostatitis

Inflammation of the prostate gland in men occurs as a result of infection under the influence of many provoking factors. The disease is accompanied by prolonged drawing pains, cramps, burning during urination are not excluded. In addition to localization in the lower abdominal cavity, they can occur in the area:

• anus;
• lower back;
• perineum;
• penis;
• scrotum.

Prostate disease can be complicated by pathological processes such as:

• Adenoma- benign growth of glandular tissues. Accompanied by burning, painful sensations during urination, pain radiating to the lower back.
• Prostate cancer. The syndrome manifests itself in the perineum, pelvic bones, spine.

Pathology of the bladder

Pain in the lower abdomen is often provoked by diseases of the urinary system. They are accompanied uncomfortable sensations. Common pathologies of the bladder in men:

• Cystitis- characterized by severe aching pain, burning sensation and pain during urination.
• Urethritis- inflammation of the urethra. Symptoms are localized in the middle, in the pubic area, aggravated during sex.
• Bladder cancer. As the pathology progresses, the pain becomes constant, strong, accompanying the process of urination.

Kidney dysfunction

Acute pain in the lower abdomen in men can occur with urolithiasis, when conglomerates move along the urinary tract. It is characterized by spasms in the lumbar region, often radiating to the leg. The appearance of pain may accompany such disorders of kidney function:

• pyelonephritis- localization in the lower back, manifested at the bottom and top of the abdomen;
• kidney prolapse- is intense
• cysts, tumors- gives from lumbar, has a blunt, cramping shape.

Intestinal diseases

Among the common causes of pain in men, localized in the lower abdomen, is the pathology of the digestive system. There are differences in the nature of the manifestation of symptoms. Often, pain syndrome accompanies such intestinal diseases:

When is urgent medical attention required?

emergence painful symptoms in the abdomen can be life-threatening. There are pathologies that require urgent medical intervention. These include: acute inflammation of the appendix, testicular torsion, an attack of urolithiasis, intestinal obstruction. It is necessary to call an ambulance if a man, in addition to strong, sharp or throbbing pains in the lower abdominal cavity, has:

• urinary retention;
• hard stomach;
• passing gases;
• blood in urine, feces;
• pressure reduction;
• tachycardia;
• pre-fainting state.

How to get rid of pain

Until an accurate diagnosis is made, self-medication is unacceptable.

This can aggravate the condition of a man, provoke complications. Treatment tactics depend on the cause of the pain. The following methods can be used:

• drug therapy using antibiotics, painkillers, anti-inflammatory drugs;
• endoscopic, surgical techniques to remove neoplasms;
• physiotherapy in order to eliminate the symptoms of inflammation;
• diet therapy with pathologies of the gastrointestinal tract.

Video

Pain in the groin and lower abdomen occurs in both men and women. Some reasons are general, some are gender specific. The weaker sex is more likely to experience unpleasant feelings in the groin, but they are cyclical.

It appears somewhat less frequently, but the main problem of the stronger sex is ignoring the problem until it passes from the initial stage into a crisis. This is how guys suffer from their character.

Causes of pain

Discomfort in the lower abdomen different reasons. The concentration of organs "rolls over" in this area. Pain can be associated with the digestive system, nervous, genitourinary.

The cause can only be established with the help of professional diagnostics.

Let's take a look at each of the possible reasons. highlighting the specifics of the syndrome and the nature of pain.

Disorders of the digestive system

Part of the digestive organs is located in the pelvic area. Accordingly, if pain occurs in this place, especially after eating, spasms switch to nearby organs:

Diseases of the nervous system

Problems with the nervous system can echo throughout the body. If at a certain point the nerve endings are blocked, this leads to powerful spasm:

Problems of the genitourinary system

The previous causes of local discomfort are not the main ones. Most often, pain syndrome occurs on the basis of inflammation and pathologies of the urinary and genital organs. Men are weak. Each group of organs requires individual consideration to understand the true causes.

Urinary tract diagnoses:

• - inflammation of the kidneys of an infectious nature.

The causative agent of the disease penetrates through the bloodstream or by throwing urine from the underlying tract. Against the background of infection, the patient is faced with hyperthermia, general weakness and depression, nausea and vomiting, and problematic urination.

The pain has a aching dull character. It does not concentrate in one place, shoots through the inguinal zone, lower and upper abdomen, lower back.

• - infectious irritation of the bladder mucosa against the background of inflammation of adjacent organs.

Contributes to the development of the disease weak immunity, mechanical damage, hormonal surges, if the body is cold as a result of prolonged exposure low temperatures. A aching syndrome occurs in the lower abdomen.

Against the background of urination, cramps are felt. It is significantly higher than the norm in frequency (up to 20 times / day), in most cases there are false urges to the toilet. Sometimes emptying does not exceed a few drops. Urine becomes cloudy, sometimes with traces of blood.

• - the formation of stones and sand in different departments urinary tract.

Solid formations are the consequences of malnutrition with a predominance of salts and protein. The aggravating circumstance is excess weight. Pain in ICD is acute, constant, not passing even at rest. The syndrome can move along the course of the stones. Urine becomes bloody.

Particularly dangerous for men are formations in the ureter. By nature, it is thin, long and sinuous. When the flow of urine is slowed down by stones, cramps occur. The pain can be given in the groin, and in the genitals, and in the lower back.

• Bladder cancer makes itself felt in the middle and late stages with a significant size of the malignant formation.

The tumor "fills" the space of the organ, prevents the normal inflow and outflow of urine. Drawing pain is concentrated in the lower abdomen and lower back.

Diagnosis of the male reproductive system:

Sexual infections lead to organ inflammation, sometimes affecting both internal and external.

The rise in body temperature, swelling, pain in the lower body are the main elements of the clinical picture.

Necessary specialists and diagnostic measures

Discomfort in the lower abdomen is a "hidden" symptom. Behind this feeling, more than a dozen diagnoses can be hidden. Some of them are quite harmless, and some, if ignored, can become threat to life and health.

Therefore, as soon as the first hints of the disease are detected, a man needs to undergo a medical examination as soon as possible.

But since organ systems are in close contact with each other, the examination needs to be diverse and complex. If something hurts, then the doctors you need to contact:

1. - a specialist in the diagnosis and treatment of problems of the urinary system;
2. andrologist - a doctor who diagnoses and treats the male genital organs;
3. gastroenterologist - a doctor whose area of ​​interest includes the treatment of the gastrointestinal tract;
4. oncologist - a doctor who treats malignant formations different type.

For staging accurate diagnosis also needed A complex approach . It is necessary to consider the disease from all angles, to take into account all possible development scenarios. A one-sided study will not give exact result. Necessary procedures:

• taking an anamnesis - asking the patient about the state of health, intensity and frequency of pain. It is important for the doctor to clarify everything, from the daily routine, diet, habits, nature of work. The andrologist will be interested in the onset of puberty, the nature of erection, the frequency of sexual intercourse;
• visual inspection. One can understand the human condition general level health, the presence or absence of obesity, which is important. The doctor also feels the affected area, determining swelling, spasm, inflammation. Redness and other signs;
• laboratory research. AT similar situation the man will take samples of blood, urine and feces, as well as seminal fluid to detect bacteria, viruses, traces of mucus or blood in the biomaterial;
• allows you to consider the structure of internal organs, evaluate changes, pathologies. Similar methods also include tomography, if necessary - x-rays.

Methods of treatment

Discomfort in the lower abdomen in men needs a mandatory professional treatment. Self-activity is unacceptable in medicine in principle, but this is especially important in the treatment of unclear diagnoses, where the genitourinary system is affected.

An illiterate approach and poor treatment are fraught with loss of sexual strength, infertility, kidney dysfunction and other terrible diagnoses.

Specific treatment is prescribed individually for each patient after the diagnosis is made and clarified. Much depends on the complexity of the situation, fortresses general health patient and his age. Permissible methods of influence:

• medical treatment. AT this case"in use" antispasmodics and analgesics. If an infection is detected, antibiotics will be needed;
• physiotherapy - exposure to currents, heat, lotions, magnetic field;
• therapeutic sparing diet. The diet should not be spicy, protein and salts - to a minimum;
• surgical intervention is required in rare cases, most often with pathologies of the structure;
• chemotherapy in oncology.

Discomfort in the lower abdomen in men is an alarming symptom that requires mandatory attention and consistent treatment. If the disease is identified in time, severe consequences can be avoided.

Why does the lower abdomen hurt in men due to problems with the intestines, find out from the video:

Predisposing factors are also:

• violation of the diet;
• insufficient intake fiber;
• sedentary image life;
• hormonal disorders due to various diseases (e.g. diabetes mellitus, hypothyroidism);
• intestinal dysbacteriosis state of microbial imbalance).

• spasms;
• bloating;
• spastic pain and discomfort in the abdomen;
• stool disorder diarrhea, constipation, or alternating diarrhea and constipation);
• feeling of incomplete emptying of the bowels.

The following can lead to the development of appendicitis: pathological conditions:

• violation of the discharge of feces and their stagnation;
• various chronic diseases abdominal organs ( e.g. colitis, enteritis), against the background of which there is an inflection of the process with cicatricial adhesions;
• some infectious diseases e.g. tuberculosis, typhoid fever), self-causing appendicitis;
• abdominal trauma;
• anomalies in the structure of the appendix;
• blockage of the gate of the appendix with undigested food particles ( for example, husk sunflower seeds, grape seeds).

• pain in the lower abdomen on the right, radiating ( giving) in the back or in the anus;
• tension in the abdominal muscles;
• nausea;
• vomit;
• change in stool diarrhea or constipation occurs);
• rise in body temperature.

The main reasons for the development intestinal obstruction are:

• mechanical blockage of the intestinal lumen due to pathological formations ( e.g. adhesions, tumors, gallstones) or due to building up in the organ of foreign bodies;
• intestinal motility associated with changes in diet ( for example, a large meal on the background of prolonged fasting, excessive consumption of high-calorie foods);
• the presence of inflammatory diseases of the abdominal cavity ( e.g. pancreatitis, appendicitis);
• long-term use some medicines (for example, narcotic analgesics, drugs for anesthesia).

• abdominal pain;
• nausea;
• vomit;
• stool and gas retention;
• asymmetric bloating;
• painful false urge to defecate;
• pallor of the skin.

Among numerous reasons The most common chronic constipation are:

• violation of intestinal motility due to ignoring the urge to defecate, malnutrition, stressful situations;
• acceptance of certain medicines (e.g. non-steroidal anti-inflammatory drugs, narcotic analgesics)
• structural disturbances large intestine ( e.g. diverticular disease, ischemia);
• irritable bowel syndrome.

• feeling of incomplete bowel movement;
• pain and feeling of heaviness in the lower abdomen;
• bloating.

Predisposing factors include:

• smoking;
• taking antibacterial drugs;
• decrease in immunity.

• cramping pain in the abdomen, aggravated after eating;
• frequent liquid stool with an admixture of blood pus and mucus;
• bleeding from the anus;
• false urge to defecate;
• increase in body temperature;
• general weakness;
• loss of appetite;
• weight loss.

Predisposing factors for the development of diverticulosis of the large intestine are:

• malnutrition (For example, consumption is predominantly flour products or animal products, insufficient intake of water and fiber);
• sedentary lifestyle;
• overweight;
• frequent constipation;
• anomalies in the development of the colon;
• ischemic colitis;
• violation of the blood circulation of the intestine;
• elderly age;
• hereditary predisposition.

In some cases(for example, when the process is running)signs of the disease can be:

• spastic pains, usually localized in the left side of the abdomen;
• bloating;
• violation of the stool, most often in the form of constipation;
• the presence of blood in the stool;
• nausea;
• vomit;
• irritability.

Among the main reasons that increase the risk of developing a malignant tumor in the colon, there are:

• hereditary predisposition;
• elderly age;
• malnutrition ( for example, insufficient consumption of plant products, the predominance of meat, fatty and flour dishes in the diet);
• frequent constipation;
• diseases of the large intestine ( e.g. polyps, colitis).

In the process of tumor growth, the patient may experience the following symptoms:

• a state of weakness and weakness;
• long blunt aching pain in a stomach;
• bloating;
• constipation;
• loss of appetite;
• weight loss;
• pallor of the skin;
• increase in body temperature.

Peripheral nervous system

For this disease, a characteristic symptom is a shooting pain that extends from the lower back to the back of the thigh. In this case, the pain can change the feeling of tingling, burning, numbness. Often the pain is localized in the lumbar region and radiates ( gives back) in the buttock, as well as the groin area.

Diagnosis of the causes of pain in the lower abdomen in men

• collection of anamnesis;
• physical examination;
• instrumental research;
• laboratory diagnostics.

Collection of anamnesis

The anamnesis itself consists of two main sections:

• anamnesis of life;
• disease history.

Medical history is a collection of information about the disease, which in this moment worries the patient. Here, the doctor needs to obtain information about how the disease began and developed, what is the dynamics of symptoms and what actions were taken by the patient himself ( visiting a doctor, taking medication).

For pain in the lower abdomen, the necessary information is:

• the onset of pain e.g. acute or gradual development of pain);
• the nature of the pain for example, dull, aching, throbbing, stabbing, or squeezing);
• pain intensity ( e.g. mild, moderate or severe intensity);
• localization and irradiation of pain ( determining the location of pain);
• duration of pain e.g., subsiding quickly or lasting several hours or days);
• the presence of factors that provoke or increase pain in the lower abdomen ( for example, eating exercise stress );
• the presence of factors that relieve pain ( for example, a certain position of the patient);
• associated symptoms ( e.g. nausea, fever, upset stool, bleeding).

Physical examination

The physical examination includes the following manipulations:

• examination of the patient;
• palpation;
• percussion;
• auscultation.

General examination of the patient Special attention given to the following indicators:

• the general condition of the patient;
• state of consciousness;
• body temperature;
• body position;
• condition of the skin and visible mucous membranes;
• condition lymph nodes.

Palpation
A manual examination in which the patient's body is felt. This method research allows you to evaluate the properties of tissues and organs - their position, shape, size, pain and topographic ratio. Normally, the abdomen is soft and painless on palpation.

Palpation examination of the abdomen is carried out in the position of the patient lying down. At the same time, the doctor presses with his fingertips on the surface of the skin to be examined and feels the internal organs in a circular motion. First, palpation begins in the left iliac region where the sigmoid colon is palpated. After that, in the right iliac region, the terminal section is examined ileum, caecum and appendix. Next, the right and left are palpated. side area, where the doctor determines the state of the ascending and descending colon. Complete palpation in the proper epigastric region. Palpation of painful areas of the body is always done last.

With an inflammatory lesion of one or another organ, there is tension in the abdominal wall and a positive Shchetkin-Blumberg symptom ( sharp increase in pain). To identify this symptom, the patient is pressed with a palpating hand on the area of ​​\u200b\u200bthe abdomen to be examined, after which the hand is quickly removed. If there is a sharp increase in pain, then the Shchetkin-Blumberg symptom is considered positive. Enlargement and soreness of the inguinal and perineal lymph nodes usually indicates the presence of an inflammatory process in the prostate gland.

Percussion
Analysis of sound phenomena that occur when certain parts of the patient's body are tapped. This study allows you to determine the topography, physical condition and function of internal organs.

Auscultation
Listening to sounds generated during the functioning of internal organs. During auscultation of the abdominal cavity, a phonendoscope is used, and with its help, bowel sounds. So, for example, a loud rumbling in the intestines may indicate increased peristalsis organ, which arose due to the existing inflammatory process.

Laboratory diagnostics

To diagnose diseases that provoked pain in the lower abdomen, the following laboratory tests are carried out:

• smear from the urethra;
• obtaining prostate secretion.

In acute prostatitis, a clinical blood test shows an increase in the concentration of leukocytes due to the population of neutrophils and a decrease in the number of eosinophils.

Blood is taken from ring finger left arm or cubital vein.

Blood chemistry
According to the results of this method of laboratory diagnostics, the functional work of internal organs is evaluated ( e.g. liver, kidneys) and systems ( e.g. digestive, urinary). The level of liver and kidney hormones is also determined and active inflammatory processes are diagnosed. For example, elevated C-reactive protein in most cases may indicate acute inflammation of the prostate gland. Blood sampling is performed from the cubital vein.

Clinical analysis of urine
A laboratory diagnostic method that allows you to explore physiochemical properties urine, as well as microscopically assess the sediment. Clinical analysis of urine is an indispensable diagnostic method for diseases of the urinary tract. For example, increased amount leukocytes in the urine or in the urinary sediment indicates the presence of an inflammatory process in the organs of the genitourinary system. The appearance of red blood cells in the sample indicates urolithiasis. With the help of a clinical analysis of urine, deviations in the functioning of the kidneys are diagnosed. For testing, a special container is used as a urinal.

Bacteriological smear from the urethra
Laboratory analysis, which allows to identify microbes and determine their number. A bacteriological smear is used to detect inflammatory processes localized in the prostate gland and urethra, as well as to detect various sexually transmitted diseases ( e.g. gonorrhea, chlamydia). Biological material is taken from the urethra with a sterile swab or a special probe.

Microscopic examination of the secretion of the prostate gland
This study allows to identify the presence of epithelial cells, erythrocytes, leukocytes, as well as various pathogens of infectious diseases of the genitourinary system in the secret of the prostate gland ( e.g. Trichomonas, gonococci).

Obtaining a secret from the prostate gland is carried out at the end of the digital examination of the prostate. With a digital examination, the patient should slightly spread the legs and lean forward. Then the doctor, putting on rubber glove, introduces the patient into the anus forefinger while holding his buttock with the other hand. Finger examination prostate begins with stroking and palpation of the septenary areas. Next, the prostate is massaged, in which the necessary parameters of the glandular organ are determined ( e.g. size, shape, texture, tenderness). With inflammation of the prostate gland, the doctor notes an increase in the prostate, its soreness and swelling. As a rule, it is hot to the touch and overly stretched. The digital examination ends with a prostate massage, after which the secret of the prostate gland is released from the urethra. All discharge from the urethra must be applied to a pre-prepared glass slide. After that received biological material sent to the laboratory for additional examination under a microscope. It should be noted that during and after the procedure, the patient may experience weakness and dizziness.

Since the main causes of pain in the lower abdomen in men are associated with diseases of the genitourinary system and pathologies gastrointestinal tract, consultation with such specialists as an andrologist, a proctologist is highly recommended. Also, a patient with abdominal pain should consult a surgeon in the first two hours after the onset of acute pain syndrome.

Instrumental research

• x-ray examination;
• endoscopic diagnostics;
• ultrasound examination;
• anorectal and colonic manometry.

So, for example, when conducting an X-ray examination of the colon ( irrigoscopy) a contrast agent is injected into the anus with an enema, through which X-rays cannot penetrate. This procedure allows you to especially clearly see all the existing defects in the colon.

Conducting irrigoscopy allows you to identify various diseases and pathological processes, for example:

• nonspecific ulcerative colitis;
• Crohn's disease;
• colon tumors;
• diverticula of the large intestine.

Depending on the organ being examined, different kinds endoscopic examination. So, for example, to examine the rectum and sigmoid colon, sigmoidoscopy is performed. If necessary, examine the bladder is appointed cystoscopy. With regard to colonoscopy, this endoscopic examination examines the mucous membrane of the colon.

Ultrasound procedure
A diagnostic method in which the human body is exposed to high-frequency sound waves. Directed to the study area sound waves tend to be reflected from inhomogeneous organs and tissues. At the same time, a characteristic image in the form of a tissue section is reproduced on the computer monitor.

At ultrasound examination the abdominal cavity, the condition of the prostate, kidneys and bladder is assessed, and various inflammatory processes and pathological formations are detected ( e.g. tumors, diverticula, calculi).

Ultrasound clearly sees only the anterior part of the internal organs of the pelvis. To obtain a complete three-dimensional picture, it is necessary to conduct magnetic resonance imaging of the small pelvis. This study is based on the measurement of the electromagnetic response of atomic nuclei. In the event that the magnetic resonance imaging procedure did not reveal any pathological formations, and the person has a pain syndrome, then it is recommended to contact a neurologist.

Anorectal and colonic manometry
functional diagnostic study, at which the pressure in the colon is recorded. With the help of anorectal and colonic manometry, the motor ability of the large intestine is assessed, the tone of the anal sphincters is determined, and the actions of all parts of the large intestine are coordinated. Before starting the procedure, a multifunctional water-perfusion catheter is installed in the patient's gastrointestinal tract.

What to do with pain in the lower abdomen in men?

So when providing first aid to a patient with symptoms acute abdomen it is strictly forbidden to administer analgesics ( painkillers) and narcotic pain medications, as their use may mask true reason the occurrence of pain. It is also unacceptable to eat food and water, wash the stomach and intestines, take laxatives and apply heat to the affected area. In this case, the patient is urgently hospitalized in the nearest surgical department.


For pain in the lower abdomen in men, the following therapy may be indicated:

• drug treatment of pain syndrome;
• antibiotic therapy;
• endoscopic treatment;
• surgery;
• physiotherapy treatment;
• diet therapy.

Medical treatment of pain syndrome

Antispasmodic drugs have the following pharmacological actions:

• reduce the tone of internal organs and smooth muscle;
• have a vasodilating effect;
• produce an analgesic effect.

• buscopan;
• duspatalin;
• papaverine;
• no-shpa;
• spasmomen;
• meteospasmil.

For pain in the lower abdomen, the patient may be prescribed the following non-steroidal anti-inflammatory drugs:

• ibuprofen ( take one 200 mg tablet two to three times a day);
• dexalgin ( take one 25 mg tablet two to three times a day);
• diclofenac ( take one 75 mg tablet twice a day);
• nimesulide ( take one 100 mg tablet twice a day).

It should be noted that exceeding the dose of the drug prescribed by the doctor may cause the development of unwanted side effects:

• ulcerative defects of the gastrointestinal tract;
• toxic effect on red bone marrow;
• nausea and vomiting;
• stool disorder diarrhea);
• hepatotoxicity;
• nephrotoxicity.

With pain in the lower abdomen caused by malignant tumors ( e.g. colon cancer, bladder cancer), a man may be prescribed potent or narcotic analgesics ( e.g. morphine, tramadol).

Antibiotic therapy

To date, various groups of antibacterial drugs have been developed and are successfully used. chemical structure. Before choosing the optimal antibacterial agent, the doctor should prescribe to the patient bacterial analysis to identify an infectious agent and determine its sensitivity to antibiotics. To obtain information about the microbe that provoked the inflammatory process, for example, in the prostate gland, the patient must pass the secret of the prostate. In this case, the secret is obtained with the help of a finger massage of the prostate gland.

• second generation cephalosporins e.g. drugs cefuroxime, cefaclor);
• nitrofuran derivatives ( e.g. furazolidone, furaltadone, nitrofural);
• phosphonic acid derivatives ( the drug fosfomycin);
• inhibitor-protected aminopenicillins ( e.g. drugs augmentin, amoxiclav, sulbacin).

Endoscopic treatment

With the help of cystoscopy, the following therapeutic manipulations are performed:

• removal of small tumor-like formations;
• fragmentation and removal of small stones from the bladder cavity;
• cauterization of a wound defect of the bladder mucosa;
• stop bleeding.

Surgery

Appendicitis
When diagnosing acute appendicitis, the patient needs to perform an operation to remove the inflamed appendix as soon as possible.

The operation to remove the appendix is ​​performed in two ways:

• traditional appendectomy ( removal of the appendix) - using a scalpel, a small incision is made in the right iliac region, the appendix is ​​removed and excised;
• laparoscopic appendectomy- several punctures are performed in the abdominal wall, and the appendix is ​​removed using endoscopic equipment.

Testicular torsion
Testicular torsion is an urgent indication for surgical intervention, since irreversible changes in the organ develop very quickly in this disease. With the help of the operation, the testicle is untwisted. The goal of surgery is to preserve the organ as much as possible. However, when irreversible changes occur, for example, testicular necrosis, the organ has to be removed.

Physiotherapy treatment

• darsonvalization;
• inductothermy;
• UHF ( ultrahigh frequency) is therapy.

This method of treatment is effectively used in men with prostatitis, cystitis and urinary incontinence ( e.g. prostate adenoma).

Darsonvalization has the following therapeutic effects:

• improves blood circulation and tissue nutrition;
• has a bacteriostatic and bactericidal effect;
• reduces spasm of blood vessels and sphincters, which leads to a decrease in pain.

• mushroom;
• scallop-shaped;
• ear;
• gingival;
• strip.

With urinary incontinence, darsonval exposure is superficial in the pubic and inguinal region.

Contraindications for darsonvalization are malignant tumors, cardiovascular insufficiency, individual current intolerance, as well as a tendency to bleed.

inductothermy
Physiotherapeutic method, characterized by the impact on the body of an electromagnetic field of high and ultrahigh frequency. With inductothermy, inductor disks and cables are used.

Inductothermy has the following therapeutic effects:

• promotes the expansion of blood vessels, which leads to an improvement in blood flow in them;
• has an anti-inflammatory effect;
• reduces tissue swelling;
• contributes to the resorption of the inflammatory focus.

UHF therapy
With this method of treatment, the human body is affected by an alternating electromagnetic field of high and ultrahigh frequency. UHF has two components - thermal and non-thermal.

UHF produces the following therapeutic effects:

• has an anti-inflammatory effect in diseases in the acute and subacute stage);
• stops the growth and reproduction of bacteria;
• increases local immunity;
• improves tissue healing.

diet therapy

Features of pain in the lower abdomen in men

Why do men have pain in the lower abdomen on the left?

The lower abdomen on the left in medicine is called the left iliac region. Topographically, the sigmoid colon and the left ureter are projected in this part. The resulting pain in the left iliac region may indicate the presence of a pathological process in the above organs.


Among existing pathologies sigmoid colon and ureter pain in the lower abdomen on the left can cause the following diseases:

• sigmoiditis;
• diverticulosis of the sigmoid colon;
• irritable bowel syndrome;
• Crohn's disease;
• intestinal obstruction;
• cancer of the sigmoid colon;
• urolithiasis disease.

In addition to the pain syndrome, sigmoiditis is manifested by a change in the nature and frequency of stools, as well as a violation of the general condition.

Diverticulosis of the sigmoid colon
A disease in which pathological saccular protrusions, diverticula, form in the wall of the sigmoid colon.

The main predisposing factors for diverticulosis are:

• constipation arising from the increased consumption of flour dishes and meat or due to a decrease in the amount of plant foods in the diet;
• obesity;
• abundant gas formation;
• long-term use of laxatives;
• past intestinal infections e.g. dysentery).

irritable bowel syndrome
A complex of functional digestive disorders in the intestine, lasting more than three months. This disease is characterized by impaired contractions of the muscular wall of the intestine, chronic abdominal pain and bloating. In this case, the disease is not associated with an organic lesion of the intestine itself.

Crohn's disease
Chronic inflammatory disease that affects any part of the gastrointestinal tract. Crohn's disease is characterized by granulomatous formations in the form of transverse fissures and deep ulcerations. Most often, the disease involves the intestines in the inflammatory process, in particular the terminal section of the small intestine and the large intestine. At the same time, the patient has severe pain in the lower abdomen on the left, nausea, vomiting, there is a violation of the stool in the form of diarrhea, it is noted sudden loss in weight. Common symptoms diseases are fever, fatigue and weakness.

Intestinal obstruction
A syndrome characterized by partial or complete disruption of the movement of intestinal contents in the direction from the stomach to the rectum. The main cause of intestinal obstruction is the motor dysfunction of one or another part of the intestine or a mechanical obstruction that interferes with the passage of feces. With intestinal obstruction, the patient usually complains of bouts of cramping pain in the lower abdomen ( mostly on the left). There is also a delay in stool and gases, bloating and asymmetry of the abdomen, repeated vomiting.

Cancer of the sigmoid colon
A malignant tumor that develops from the cells of the mucous membrane of the sigmoid colon. Risk factors contributing to the development of sigmoid colon cancer include hereditary predisposition, the presence of chronic inflammatory diseases of the large intestine ( e.g. diverticulosis, Crohn's disease), sedentary lifestyle, alcohol and nicotine abuse. In the early stages, the disease is usually asymptomatic.

The first manifestations of sigmoid colon cancer are:

• pain in the left iliac region;
• dyspeptic disorders ( e.g. belching, nausea, vomiting);
• intestinal disorders ( eg, bloating, loose stools);
• the presence of pathological impurities in the feces ( e.g. pus, streaks of blood).

Predisposing factors for kidney stones include:

• malnutrition ( for example, excessive consumption of spicy and acidic foods);
• lack of vitamins that enter the body with food;
• bone injuries and skeletal diseases ( e.g. osteoporosis, osteomyelitis);
• chronic diseases of the gastrointestinal tract ( e.g. peptic ulcer, gastritis, colitis);
• other diseases of the urinary system ( e.g. pyelonephritis, prostatitis).

Why do men have pain in the lower abdomen on the right?

Also, pain in the lower abdomen on the right can occur due to the following pathologies:

• ileitis;
• Crohn's disease;
• urolithiasis disease.

Ileith
Inflammation of the small intestine. The disease is most common in men between the ages of twenty and forty. In most cases, the occurrence of ileitis is associated with penetration into the body pathogenic microorganisms (bacteria, viruses, worm infestations).

Acute ileitis is characterized by the following symptoms:

• pain in the right iliac region;
• bloating;
• nausea;
• vomit;
• frequent ( up to twenty times a day) loose stools.

Crohn's disease
Chronic nonspecific disease gastrointestinal tract. Crohn's disease is characterized by a granulomatous inflammatory process that can form in any part of the digestive system. With the defeat of the initial part of the colon, the patient has severe pain in the right iliac region. In addition, the characteristic symptoms are also diarrhea, nausea, vomiting, weight loss, fever.

Urolithiasis disease
A disease in which stones form in the organs of the urinary system. In the presence of stones in the right ureter, the patient feels dull aching pain in the lower abdomen on the right. As the stones move down the ureter, the pain usually moves to the groin, then to the genitals. Along with renal colic, a patient with urolithiasis has hematuria, as well as nausea and vomiting.

What are the most common causes of lower abdominal pain in men?

The existing causes of prostatitis can be divided into two groups:

• infectious causes - caused by various bacteria, viruses or fungal diseases;
• non-infectious causes - causes leading to stagnation of prostate secretion ( e.g. sedentary lifestyle, reduced immunity, hypothermia).

• intense pain in the lower abdomen;
• urination disorder ( painful, aggravated, difficult);
• slight discharge from the urethra.

Causes of pain in the lower abdomen, radiating to the leg in men

• urolithiasis disease;
• appendicitis;
• inguinal hernia;
• sigmoiditis.

Appendicitis
Nonspecific inflammatory disease of the appendix of the caecum. The main cause of appendicitis is a blockage of the appendix, which is preceded by various factors ( for example, spasm of the colon, fecal stones ). Appendicitis is considered the most common surgical disease. The main signs of acute appendicitis are reduced to the presence of pain in the right iliac region. However, at the beginning of the disease, pain may appear in other parts of the abdomen ( e.g. in the epigastric region). Pain in acute appendicitis is distinguished by its diversity - from aching moderate intensity to cutting strong. In addition to pain in acute appendicitis, there may be an increase in body temperature up to thirty-eight and a half degrees. However, it often remains normal. Other symptoms of acute appendicitis are nausea and vomiting.

Clinical manifestations of appendicitis largely depend on the localization of the appendix in the abdominal cavity and its relationship with the parietal peritoneum. So, for example, in the retrocecal position, the process is located behind the rectum. In this case, the pain is felt in the lumbar region and lower abdomen and radiates ( gives back) in the perineum, external genitalia, right leg.

Inguinal hernia
Violation of the integrity of the aponeurotic wall and protrusion of the peritoneum, sometimes together with internal organs ( e.g. intestines big omentum ) through the wide inguinal canal. The main factor provoking the occurrence of an inguinal hernia is the anatomical feature of the abdominal wall, in which the muscular-aponeurotic layer is poorly developed. Clinically, the disease is manifested by swelling in the inguinal region or in the scrotum, while the resulting protrusion has no clear boundaries. It is also noted to be painless on palpation. A complication of a hernia is its infringement, which occurs due to muscle contraction. With a strangulated hernia, the patient has pain in the inguinal region, radiating ( giving) in leg. The disease can also be manifested by discomfort and burning in the groin, constipation and frequent urination, nausea and belching.

Sigmoiditis
It is characterized by isolated inflammation of the sigmoid colon. Sigmoiditis can occur against the background of other inflammatory diseases or occur as an independent process. In both cases, the main predisposing factor to the development of the inflammatory process is the anatomical structure and functional features sigmoid colon. The structural feature of the sigmoid colon is its tortuosity, and its main function is the final formation of feces. All this creates the prerequisites for the occurrence of inflammation.

The main symptoms of sigmoiditis are:

• pain in the left iliac region, which is intense, often radiating ( bestowing) in the leg or lower back;
• change in the frequency and nature of the stool - frequent urge to defecate, diarrhea, less often constipation;
• general fatigue;
• loss of appetite;
• weight loss.

Causes of pain in the lower abdomen, radiating to the lower back in men

• Renal colic in urolithiasis. Pain syndrome, which is often observed in diseases of the urinary system, in this case with urolithiasis. For renal colic, cramping increases in pain in the lumbar region with frequent irradiation are characteristic ( bestowal) down the abdomen, into the genitals, and also into the leg.
• Cystitis. A disease in which the inflammatory process is localized in the bladder. Cystitis is characterized by piercing pain in the lower abdomen, which increases with urination. At the same time, irradiate ( give away) pain can be in the lower back, rectum, and also in the inguinal region.
• Appendicitis. Inflammation of the appendix of the caecum, in which the characteristic symptom is pain in the right side of the abdomen. Often, appendicitis pain radiates to the lower back or radiates ( gives back) in the groin.
• Inguinal hernia. Blowing out the internal organs of the abdominal cavity under the skin through the inguinal canal. An inguinal hernia may present as a painless protrusion or be accompanied by pain. In this case, a sharp and gradually increasing pain in the groin region often spreads to the lumbar region.
• Sigmoiditis. A disease characterized by inflammation of the sigmoid colon. A characteristic symptom of sigmoiditis is pain in the left iliac region, often radiating to the lower back or leg.
• Prostate adenoma. A disease in which there is an increase in the glandular tissue of the prostate. It is manifested by frequent urination, urinary retention and a feeling of incomplete emptying of the bladder. Urinary retention subsequently leads to the development of such complications in a man as cystitis and pyelonephritis, which are manifested by pain in the lower abdomen and lower back.
• Orchitis. It is characterized by inflammation of the testis. In an acute course, the disease manifests itself severe pain in the testicle, which irradiate ( give away) in the lumbar region, groin and perineum. There is also an increase in the size of the testicle and its appendages, swelling, hardness and redness of the scrotum.

Why can there be pulling pains in the lower abdomen in men?

All existing reasons prostatitis can be divided into two large groups:

• non-infectious causes;
• infectious causes.

• decreased immunity;
• hypothermia;
• sedentary, sedentary image life;
• alcohol abuse;
• prolonged sexual abstinence.

Infectious causes of inflammation in the prostate gland include:

• sexually transmitted infections ( e.g. gonorrhea, chlamydia);
• chronic infectious diseases of the urinary system;
• inflammatory processes in other organs ( e.g. inflammation of the palatine tonsils, maxillary sinuses, kidney disease).

The main symptom of prostatitis is a pulling pain in the lower abdomen. At the same time, irradiation ( reflection) pain can be very diverse. Pain may radiate to lower part back, lower back, groin, scrotum, anus.

Causes of pain in the lower abdomen, radiating to the groin in men

• Urolithiasis disease. Pain syndrome, with this disease, referred to as renal colic, occurs during obstruction ( blockage) organs of the urinary system with calculi. The initial localization of pain occurs in the lumbar region. Then, as the stones pass through the ureter, the pain spreads to the lower abdomen and radiates ( gives back) in the groin and leg.
• Acute cystitis. A disease in which the lining of the bladder becomes inflamed. A characteristic symptom of acute cystitis is pain in the lower abdomen, which is aggravated by urination. Often, pain is given to the rectum and groin.
• Prostatitis. The inflammatory process localized in the prostate gland is characterized by pulling pains in the lower abdomen, radiating to the groin, lower back, and scrotum.
• Appendicitis. With inflammation of the vermiform appendix of the caecum, the patient has aching or sharp pains lower abdomen on the right, often radiating ( giving) in the groin and lumbar region.
• Intestinal obstruction. It is characterized by a violation of the promotion of intestinal contents. early symptom of this disease are cramping abdominal pain, which can also radiate ( give away) in the groin area.
• Inguinal hernia. Due to the pathological protrusion of the peritoneum into the cavity of the inguinal canal, a man experiences pain and discomfort in the abdomen, in particular in the inguinal region.
• Orchitis. Due to the development of the inflammatory process in the testicle, a man has severe pain that radiates to the inguinal and lumbar regions, as well as to the perineum. At the same time, the testicle swells and thickens, the skin of the scrotum turns red, becomes hot and swollen.

Why does a man have pain in the lower abdomen during or after intercourse?

• sexually transmitted diseases;
• prostatitis;
• prostate adenoma.

With prostatitis ( inflammation of the prostate) and prostate adenoma ( benign education) pain during or after intercourse can be localized in the groin and lower abdomen.

It should also be noted that pain may develop due to the fact that a man is allergic to certain types of contraceptives. So, for example, latex condoms or the use of spermicides by a woman can provoke an allergic reaction in a man, which will be manifested by itching, burning and soreness of the penis.

Why does a man have pain in the lower abdomen when urinating?

• Cystitis. A disease in which there is inflammation of the mucous membrane of the bladder due to the ingress of an infectious agent into it. In acute cystitis, a man has frequent and unproductive urination, acute pain and burning during urination, pain in the lower abdomen. Acute course disease also causes the patient to have an increase in body temperature and signs of intoxication ( e.g. headache, weakness, loss of appetite, nausea).
• Prostatitis. Inflammatory disease prostate. The reason for the development of prostatitis is the penetration of pathogenic microorganisms into the gland. This can occur due to the presence of an infectious process in the urinary organs or getting into the prostate by hematogenous ( through the blood) or lymphogenous ( through the lymph) by infectious agents. Clinically, prostatitis is manifested by rapid and painful urination, severe pain in the perineum, rectum and suprapubic region.
• BPH. A benign tumor of the prostate gland, manifested in the excessive growth of glandular tissue. The reason for the development of prostate adenoma is a hormonal decline, which physiologically occurs in men in old age. At the same time, there is a decrease in the level of the male sex hormone testosterone and an increase in the level of the female sex hormone estrogen. In the initial stage of the disease, men complain of frequent urination, including at night, a feeling of incomplete emptying of the bladder, intermittency of the urine stream. Later, an increase in the size of the prostate gland leads to a violation of the emptying of the bladder and, as a result, stagnation of urine, which provokes the development of cystitis. As a result, a man joins such a symptom as pain in the lower abdomen.

Why does a man have pain in the lower abdomen after eating?

This syndrome is characterized by a functional bowel disorder. exact reason leading to the development of irritable bowel syndrome has not yet been identified. Stress is known to be a predisposing factor for its development. An exacerbation of clinical signs in a man is observed due to emotional overstrain and taking certain products food ( for example, fatty foods, alcohol intake, caffeine abuse, and overeating). These factors contribute to an increase in intestinal motility.

Men with irritable bowel syndrome may experience the following symptoms:

• pain in the abdomen;
• frequency change ( rare or frequent) and character ( liquid or solid) chair;
• straining during the act of defecation;
• flatulence;
• unproductive urge to defecate;
• the presence of mucus in the stool.

If necessary, a man may be prescribed antispasmodic drugs, antidepressants, antidiarrheals.

Pain is a symptom of trouble in the body. With this signal, he tries to communicate that some organ or organ system needs help. Therefore, pain cannot be ignored, it is necessary to find out its causes and eliminate them. Self-diagnosis can be dangerous, the doctor must deal with the detection and treatment of the disease.

Pain in the lower abdomen in a man is a very common occurrence. There can be many reasons for their occurrence. The article is intended to help understand them and orient a person to which specialist he needs to contact.

What organs are located in the lower abdomen in a man

The lower part of the abdominal cavity is filled with various organs. Knowing their location, we can assume which organ gives pain signals.

Below the abdomen on the right side are the following organs:

Appendix;

Cecum;

The final section of the small intestine;

Lower part of the right ureter.

The following organs are located in the suprapubic region:

Small intestine;

The bladder and part of the ureters;

Prostate;

seminal vesicles.

Below the abdomen on the left side are the following organs:

Rectum;

Part of the small intestine;

Sigmoid colon;

Left ureter.

Pain in the lower abdomen does not always indicate the pathology of these organs. Sometimes pain can radiate from other body systems that border on them. This is possible thanks to an extensive network of nerve fibers that permeate the entire human body.

What organ can respond with pain?

Pain in a man in the lower abdomen can occur with inflammation or tumor lesions of the following organs:

• Any part of the intestine.

  Appendix.

  Bladder or ureter.

  Prostate gland or testicles.

  The lower sections of the spinal column.

  seminal vesicles.

When the lower back and lower abdomen hurt in the center

Pain, concentrated in the center of the abdomen in its lower part, most often indicate certain disorders in the functioning of the organs of the urinary system, the prostate gland or the spinal column.

Renal colic. When the outflow of urine through the ureter is disturbed, a person develops renal colic. The ureter is a thin tube that runs from the kidney to the bladder. Passage disruption most often occurs due to obstruction of the ureter by stones. Nevertheless, it cannot be ruled out that its obstruction occurred against the background of an inflammatory process, or it was compressed by a tumor neoplasm. Moreover, the tumor is able to grow both from the organ itself and from the tissues that are in close proximity to the ureter.

Pain renal colic has the following features:

• The pain is paroxysmal.

  Pain forces a person to constantly be in motion in order to find a position that will bring relief.

  The pain radiates to the groin, to the genitals, to the pubis.

  The general well-being of a person is disturbed, nausea may occur.

  There may be blood in the urine.

Pathology of the kidneys. In a man, the left ureter or kidney may be affected if he has the following symptoms:

• The pain is localized above the lumbar spine.

  The volume of urine increased, or, on the contrary, became insignificant.

  Body temperature has risen.

  In the urine there are impurities of blood, pus, mucus.

  Urine smells extremely bad.

Pathology of the spinal column. Pain in the lower abdomen and in the back area manifests itself in many pathologies of the spine: spondylosis, etc.

In this case, the person will experience the following symptoms:

• The pain does not migrate, it is localized in one area.

  The pain is not diffuse, has a clear localization.

  Pain shoots up my leg.

  The chair is not broken, there are no signs of poisoning, such as nausea and vomiting.

  In the morning, the pain hinders movement, and during the day it fades.

  lower limb on the one hand, it can lose sensitivity, sometimes there is a feeling that “goosebumps” run along it.

Causes of pain in the lower abdomen on the left side can be as follows:

Inflammation of the mucous membrane of the stomach and duodenum. If a man has exacerbated gastritis or gastroduodenitis, this will definitely be reflected in abdominal pain. They are localized in the epigastric region, radiating to the left side. It is difficult to suspect gastroduodenitis on your own, you need to seek help from a specialist. Symptoms that may suggest inflammation of the digestive organs: nausea, pain when pressing on the center of the abdomen in its upper part.

Enlargement of the spleen in size. If the spleen increases in size, it will definitely manifest itself as pain in the left side in the lower abdomen, since the organ is located under the ribs on the left. Its expansion can occur against the background of inflammation of the organ, or with spasm of the venous vessels.

Other symptoms that help to suspect an acute enlargement of the spleen in size: high body temperature, pain in the lower abdomen on the left side.

Spleen infarction. If the flow is interrupted arterial blood to the spleen, then an organ infarction occurs. This is expressed by sharp pains that shoot from the left hypochondrium to the lower abdomen. When trying to make deep breath, cough or move, the pain intensifies. Body temperature rises.

Abscess of the spleen. Abscess is suppurative lesion organ. It develops when pathogenic bacteria enter it. They are able to penetrate the spleen through the systemic circulation.

Symptoms of an organ abscess are:

• Pain in the left hypochondrium. It extends to the chest and lower abdomen.

  Body temperature rises.

  Feelings are deteriorating rapidly.

  Weakness and nausea join.

Curvature of the spleen. This condition is characterized by volvulus of the artery that feeds the organ. The reason may be congenital anomaly mesenteric ligaments, or trauma to the spleen. The following symptoms indicate the volvulus of the artery: constipation and increased gas formation, vomiting, and impaired health. The pain originates in the region of the left hypochondrium and descends to the lower abdomen.

lymphocytic leukemiaor chronic myelogenous leukemia. Pain in these forms of blood cancer appears in the lower abdomen after eating. It can be felt on palpation of the area. As the disease progresses, the pain gets worse.

Crohn's disease.This disease is characterized by intestinal damage, it is manifested by the following symptoms:

• Pain that migrates throughout the abdominal cavity.

  Increased fatigue.

  Arthralgia.

  Lack of desire to eat.

These symptoms are especially pronounced at a time when the disease is exacerbated. During remission, the main symptoms do not bother the person.

Polypos.Ch Frequent inflammation of the intestine leads to the formation of polyps on its wall. These neoplasms are permeated with nerves, therefore, they can manifest themselves as painful sensations when food masses pass through the intestines. Polyps must be removed, as they are capable of malignancy.

Nonspecific ulcerative colitis (NSA). When NUC suffers colon, which is covered with ulcers from the inside. The reasons for the development of pathology have not been established to date.

Symptoms of this form of colitis:

• High body temperature.

  In the early stages of the development of the disease, pain is localized precisely on the left side of the abdomen, in its lower part.

  Violation of well-being.

  Unstable chair.

diverticulitis. In diverticulitis, the intestinal wall becomes covered with protrusions resembling small hernias. Diverticulitis affects older people. Sometimes the disease does not manifest itself in any way and it can only be detected when an X-ray is performed using a contrast agent, and the study can be performed for a completely different reason.

With inflammation of the diverticula, pain in the abdomen is observed, it develops, the body temperature rises.

Appendicitis, with an atypical location of the appendix. Appendicitis always manifests with pain in the upper abdomen, which then moves to the right side. However, when the process is located in an atypical place for it, pain can be given precisely to the left side. As the inflammation increases, the pain increases. The nature of the pain is pulsating, cramping. In parallel, nausea and vomiting can be observed, sometimes diarrhea develops. Body temperature is usually elevated.

When the lower abdomen hurts

If the pain is concentrated in the right lower abdomen, then you can suspect the following pathologies:

Diverticulitis.

Inflammation of the right kidney or ureter.

Crohn's disease.

Diseases of the spinal column.

Pain, concentrated in the lower abdomen directly above the pubis, can characterize the following disorders in the body:

Prostatitis in the acute phase. With an exacerbation of prostatitis, the pain is sharp, stabbing, covers the entire perineum, gives to the testicles and groin, to the rectum and sacrum. If the prostatitis is not exacerbated for the first time, then the pain becomes pulling. The cause of exacerbation of inflammation can be alcohol abuse, staying in the cold, overwork.

In addition to pain, a man begins to worry about urination disorders. During emptying of the bladder, there will be sharp pains in the abdomen, urges become frequent. Possible urinary retention. In addition, erection suffers.

Inflammation of the bladder.With inflammation of the bladder, a man experiences the following symptoms:

• Pain during emptying of the bladder, which prevents it from emptying completely.

  The appearance of blood impurities in the urine.

  Urine becomes cloudy.

  The pain in the pubic area becomes a pulling character.

  Body temperature rises.

  If the disease has severe course, vomiting and nausea may occur.

Bladder cancer. When the tumor reaches an impressive size, it begins to cause difficulty emptying the bladder. Blood impurities appear in the urine. Further progression of the disease resembles the symptoms of cystitis, lumbar pains, pains above the pubis join, and it is not possible to eliminate them by taking antispasmodics. Body temperature in bladder cancer rarely rises.

BPH. Urination becomes more frequent, the man begins to wake up at night to empty his bladder. The prostate increases in size, which leads to the fact that a man begins to experience pain during urination. Feelings are sharp, stabbing. In addition to urinary retention, it is observed.

Prostate cancer.When the neoplasm grows, the first symptoms of the disease appear:

• Pain in the perineum.

  Increased urge to urinate.

  Blood appears in urine and semen.

  The stream of urine loses its former pressure.

When the tumor begins to spread metastases, the person will lose weight, he will lose his appetite. Chest pains appear, weakness does not recede even after good rest. With the defeat of the skeleton, there are pains in the joints and bones.

Vesiculitis. Inflammation of the seminal vesicles is manifested by the following symptoms:

The pain spreads to the sacrum, becomes stronger during bowel movements, or when the bladder is full.

Pain always accompanies erection and ejaculation.

Blood impurities appear in the semen.

Urination is disturbed.

General well-being is disturbed.

Diagnosis based on the nature of the pain

Diagnosis based on additional symptoms

To determine the cause of pain, it is not enough just to know the symptoms, you should start from what exactly accompanied its onset.

Pain and connection with certain events. If pain occurs immediately after emptying the bladder, then this may indicate inflammation of the bladder.

If before the appearance of pain a man long time was in the cold, then his prostatitis could worsen, or.

If pain occurs after intimacy, then it can signal vesiculitis or prostatitis.

If the pain manifests itself after eating, then it may be a symptom of irritable bowel. In addition, at nervous tension the man will feel the urge to empty his bowels, and after going to the toilet there is a feeling that the act of defecation is not fully completed. This syndrome is also characterized by alternating constipation and diarrhea.

High body temperature.If, against the background of pain in the lower abdomen, the body temperature rises, then this may be a sign of the following pathologies:

• Infectious inflammation of the seminal vesicles.

  Acute inflammation of the prostate.

  Diverticulitis.

  Spleen infarction.

  Diverticulitis.

Necessary studies for diagnosis

To determine the true cause of pain in a man, which is localized in the lower abdomen, he will need to visit a doctor. It can be a gastroenterologist or a urologist.

During the initial visit, you will need to go through the following procedures:

Answer the doctor's questions about how long the man has been worried about pain, and whether there is a relationship with other situations. The doctor will be interested in how intense the pain is, what its nature is, where exactly it is concentrated.

After the interview, the doctor will begin to palpate the abdominal wall. You may need to palpate the prostate, which is performed through the rectum.

If necessary, the specialist will give the patient a referral to the following diagnostic procedures:

Ultrasound of the organs located in the abdominal cavity.

Ultrasound of the prostate.

Contrasting x-ray examination intestines.

Ultrasound of the pancreas.

Ultrasound of the urinary system.

If a tumor is found, tissue sampling will be required. A biopsy is most often performed during surgery, when after excision of the tumor, a small part of it is separated and sent to histological analysis. Before referring the patient for surgery, a number of preparatory measures are carried out, including MRI or CT.

If the doctor suspects a pathology of the urinary tract, then it will be necessary to pass urine for analysis according to Nechiporenko and for bacteriological culture.

If a patient is diagnosed with prostatitis, then it is necessary to conduct bacteriological analysis prostate juice.

Treatment

Therapeutic tactics depends on what kind of diagnosis was made to the patient. Surgery perform with spleen infarction, appendicitis, intestinal abscess, prostate adenoma.

Irritable bowel syndrome, Crohn's disease, inflammation of the prostate gland require correction with medications.

Oncological neoplasm is always removed. Depending on the type of tumor, chemotherapy or radiation therapy is prescribed, and sometimes both of these methods are combined.

Education: A diploma in the specialty "Andrology" was obtained after completing residency at the Department of Endoscopic Urology of the RMAPO at the Urological Center of the Central Clinical Hospital No. 1 of Russian Railways (2007). Postgraduate studies were completed here in 2010.