Pain in the intestines on the left lower abdomen treatment. Premature detachment of the placenta. Causes of pain in the intestines

Any pain in this area of ​​the abdomen is called pelvic pain, since they are characteristic of diseases of the internal organs located in the pelvic girdle. Depending on which side the pain is and what its nature is, one can make an assumption about a possible disease of one or another organ.

If there is pain in the intestines on the left lower abdomen, this can be a sign of not only problems with the intestines, but also diseases of the kidneys, spleen, female organs or hip joint. This can be preliminarily determined by the following pain sensations.

Nagging pain

This type of pain may herald the onset of severe kidney disease, or it may simply be a disorder of certain bowel functions. In most cases, this is due to irritable bowel syndrome.

But under any circumstances, it is necessary to carry out treatment, since such a condition can drag on for several weeks. It is worth noting that this syndrome is characterized by a change in the frequency of bowel movements.

If this symptom is present, then it is imperative to consult a doctor for proper treatment, as the disease may worsen. There are cases of sudden disappearance of symptoms for a while, but then the pain returns with even greater intensity.

Cutting pains

Cramps in the intestines are often felt with increased gas formation. But this kind of pain can also speak of acute inflammation. genitourinary system.

When a ligament, ovary or fallopian tube is torn, cutting pain is also felt

The same pain occurs during the passage of uralitis through the urethra.

It is possible to correctly determine the pathology only when clinical examination patient and related tests.

Stitching pains

When the pain in the intestines on the left lower abdomen has a stabbing character and is accompanied by swelling, this may indicate the use of low-quality food or a large amount of spices. In this case, food that irritates the intestines should be abandoned for a certain time.

Stinging pain may indicate problems of the genitourinary system. And this is a more serious disease that should be treated immediately. In any case, you can find out about this only after diagnosis and examination by a doctor.

Note! Diseases of a more serious nature, in addition to stabbing pain, can cause fever and nausea. With such symptoms, you should immediately call an ambulance, since the situation can be quite complicated.

Perhaps the formation of a cyst or the presence of some other disease, where treatment will not do without urgent surgical intervention. In this case, self-medication is life-threatening.

What other diseases can pain in the lower abdomen indicate?

Every sixth person on our vast planet at least once in his life felt pain in the intestines on the right or left lower abdomen. Doctors have hundreds of diseases accompanied by pelvic pain. Common causes of this problem may be as follows.

Spleen disease

These include oncology, blockage or twisting of the splenic arteries and veins, infectious diseases with acute or purulent inflammation, and cysts.

Small intestine

In this side of the lower abdomen are loops of the jejunum. It is this department that is often the culprit for pain in inflammatory processes, blockage or swelling due to intolerance to certain foods.

Colon

The main problems of pain are various kinds of inflammation or disorders secretory functions intestines. Common diseases of this organ include irritable bowel syndrome, hereditary disease Hirschsprung, Crohn's disease, inflammation of the intestinal wall or neoplasms.

genitourinary system

In women, this kind of pain can talk about diseases of the female reproductive organs. Both women and men are also characterized by inflammatory or oncological diseases of the kidneys and bladder, which also leads to pain.

Hip joints

Violations of the functionality of the connective tissues of the hip joints over time can lead to pain when walking or even during sleep.

This indicates violations in the vessels, cartilaginous joints and lymph nodes, which ensure the normal functioning of the bones of the skeleton of the pelvic girdle.

How to identify constipation: symptoms

Another reason that causes pain in the right or left lower abdomen may be the collection of hard feces in the intestines, which leads to constipation.

The main symptoms of constipation are:

• increase in gas formation;
• a feeling of fullness in the intestines;
• urge to defecate;
• bloating;
• defecation was not performed within 2-7 days.

There are various causes of constipation, but most often it is due to malnutrition, untimely bowel movements or the use of certain medications.

Also constipation may indicate the onset of diseases such as irritable bowel syndrome and diverticulitis(inflammation of the sacs on the walls of the large intestine, called diverticula). But such diseases often, in addition to pain, show other symptoms - diarrhea, fever.

If constipation is not accompanied by any other symptoms (vomiting, fever, bleeding from the anus, etc.), then it will be enough to massage the abdomen or take a laxative.

If emptying has not occurred within a few hours, the pain has increased or the above symptoms have appeared, in this case it is worth consulting a doctor. If after a bowel movement the pain still remains and does not go away long time This is also a reason to see a doctor.

At frequent constipation it is necessary to identify the cause of this disease, which can only be diagnosed by a doctor based on stool tests and other types of examination.

If constipation occurs systematically and is associated with food consumed, it is necessary to change the diet and stick to a specific diet prescribed by your doctor. For other types of diseases, accompanied by difficulty in defecation and pain in the intestines on the left or right side of the lower abdomen, are prescribed medications and certain diets.

The frequency of bowel movements per week can vary from person to person.

Some may walk several times a day, while others may go 1-2 times a week. Constipation is not indicated by the frequency of bowel movements, but by the consistency of the stool and discomfort or pain in the abdomen.

Pain associated with the female reproductive organs

To consider female diseases, as a result of which pain in the left lower abdomen is manifested.

We can distinguish the following main gynecological pathologies:

• ectopic pregnancy;
• rupture of the fallopian tube;
• various kinds of inflammation of the appendages;
• malignant tumors;
• ovarian rupture;
• ovarian cyst, etc.

It is necessary to determine the gynecological pathology in the event of pain syndromes.

To do this, pay attention to the presence of the following symptoms:

• Delayed menstruation - often indicates an ectopic pregnancy.
• Adverse history - chronic inflammation of the appendages, recent uterine surgery or ectopic pregnancy.
• Abnormal discharge from the vagina - pus, foul-smelling mucus, blood.

Diseases can be acute and chronic. In the first case (acute disease of the appendages), it is necessary urgent hospitalization. You can suspect an acute form if you feel sick, there is vomiting and the temperature rises in conjunction with the above symptoms. The pain will be cutting or cramping.. With purulent inflammation, throbbing pain is more often observed.

What to do if the intestine hurts on the left and when do you need to call an ambulance?

When there is pain in the intestines on the left lower abdomen, on its own Taken measures can help only in the absence of serious pathological diseases. But to determine the presence of such pathologies is possible only by the method diagnostic procedures and the delivery of analyses.

With mild pain and the absence of other accompanying symptoms (fever, vomiting, bleeding), you can independently come to a medical facility to see a family doctor. He will direct you to the examination and give the necessary recommendations.

And if the pain is cutting, severe, there is at least one of the symptoms listed above, you need to urgently call an ambulance. Self-medicate if available similar signs not worth it.

It's important to know! The presence of cutting and stabbing pains in the left iliac region may indicate the development of acute surgical disease which may require surgery to treat. If you do not seek help from a doctor in time, there can be serious consequences.

Can I take pain medication?

With pain in the intestines, especially in the lower abdomen, localized on the right or left, doctors strongly do not recommend taking any painkillers until the diagnosis is made. general action. Because they have a large number of contraindications associated with the gastrointestinal tract.

Moreover, in the case of a serious pathological disease, it is much more difficult to detect its signs with mild pain sensations reduced by analgesics.

After a medical examination and confirmation of a specific diagnosis the doctor may prescribe antispasmodic drugs, such as No-shpa, Papaverine, Dibazol and others.

Most pains in the lower abdomen are somehow associated with certain pathological diseases intestines, spleen, or urinary tract. Therefore, you should not self-medicate, but it is better to contact a specialist in time to diagnose the disease. And in certain cases, you should immediately call an ambulance.

Why does it hurt in the right lower abdomen? Watch this helpful video review:

Pain as a symptom. What hurts in the right hypochondrium? Find out in the following video:

Self-diagnosis: how to identify an inflamed appendix? Tell the video story:

It is widely believed that pain in the intestines is necessarily associated with some disease of this organ. However, this is not quite true.

Pain in the intestines in men and women may appear due to the irritating effect of certain foods and certain medications, prolonged hunger, and motor disorders.

How can the intestines hurt?

When discomfort in the abdomen begins, it is not always possible to immediately understand that the intestines hurt, and not some other organ located in the abdominal cavity.

Pain in the intestines can be of a different nature.

Depending on the cause that caused them, the pains are divided into:

1. cramping - discomfort occurs abruptly and can overtake at any moment;
2. continuous.

The pain may be:

• cutting;
• stabbing;
• pulling;
• aching;
• dull;
• acute.

According to the degree of intensity, strong, moderate and weak pain sensations are divided.

The first sign that the intestine hurts, and not another organ, can be considered a weakening or increase in discomfort during or after a bowel movement.

If the discomfort in the abdomen decreases after the passage of gases, then it is most likely that the intestines are also the cause.

Bowel pain differs from stomach pain in that there is no traceable association between discomfort and eating. An exception would be transverse colon lying directly under the stomach.

If it is inflamed, then the pain after eating appears precisely in the intestines, due to the fact that the full stomach presses on this area.

If the intestines hurt, then a change in body position can help. It is enough to find a comfortable position, for example, lie prone and bend your knees to your stomach, as the pain “under the spoon” stops.

It is not necessary to take this particular position - it can be anything.

The main thing is that it can be used to neutralize the pressure on the walls of the intestines of gases and feces - these are the most common causes of pain in the intestines.

Gases not only burst the walls of the intestine, but also put pressure on neighboring organs.

Soreness and discomfort in the abdomen is what lies on the surface, but the real symptoms intestinal diseases can only be detected after a hardware examination and testing.

The nature of the pain can tell the doctor what other symptoms to look for in order to make a diagnosis.

Sharp cramping pains at the bottom are symptoms of IBS, colitis, enteritis, and bacterial infections.

Constant aching pain dangerous symptoms especially if they do not stop within a few hours.

They may indicate volvulus of the intestine, tumors, massive helminth damage. If you notice such symptoms, you should immediately contact a medical institution.

Continuous sharp pains in the abdomen are symptoms of life-threatening diseases, so you should immediately call a doctor at home.

Symptoms such as sharp, acute and "dagger" pain to the left of the navel or lower abdomen indicate the following pathologies:

• in women - for ectopic pregnancy;
• obstruction of the ureter;
• attack of appendicitis;
• perforation of the intestine or stomach.

In these cases, the patient needs urgent surgery.

Causes of pain in the intestines

To understand why the intestines can hurt, you need to know how this organ works. For the appearance of pain, spasms and compression of nerve endings are needed.

The causes of spasms can be mechanical or autonomic. There are few nerves in the intestines, but they are enough for the organ to signal with pain to problems that arise in it. Nerves permeate all layers of the intestine, from muscular to submucosal.

Common causes of pain syndrome are inflammation of various parts of the intestine. Why does the body react to inflammation with pain?

The fact is that during inflammation, the blood rushes to the sore spot, the tissues swell, nerve endings are squeezed.

The causes of soreness may be damage to the intestinal mucosa. The mucous layer itself is devoid of nerve endings, otherwise a person would feel how the feces move through the intestines.

But in the submucosal layer below it, there are nerve endings and react to any sufficiently deep damage to the intestine from the inside.

Causes of mucosal damage:

• helminthiasis;
• ulcerative colitis;
• polyps and tumors.

The very place where discomfort is felt can indicate the causes of the disease:

• spasms around the navel indicate a helminth infection;
• spasms on the right side, radiating to the leg and groin, speak of appendicitis;
• diffuse pain without a specific localization can be a symptom of a lesion small intestine(enteritis, food poisoning);
• causes of pulling pain below, in the anus and anus - hemorrhoids and rectal fissures.

Pain in the intestines often occurs on the left, on the right side it rarely appears. The localization of intestinal pain is the area to the left of the navel, but sometimes it gives to the right.

This is because most of the intestine is on the left. On the left side are the main part of the transverse colon and the descending colon, the largest loops of the small intestine.

In addition to the intestines, the organs of the urinary and reproductive systems of men and women can be the cause of pain on the left.

In women, pain on the left, which gives off below, may indicate unilateral gynecological pathologies: inflammation of the ovaries, adhesive processes, endometriosis.

Similar pain on the right side indicates the same problems - this means that the pathological process has affected right side paired organs.

In women who have recently given birth, pain in the anus, on the left and in the lower abdomen can be explained by damage to the ligaments.

Additional symptoms of such a pathology will be pain during menstruation and straining.

The cause of pain in the intestinal area can be endometriosis. This disease appears only in women of reproductive age.

The pain caused by endometriosis can be observed in the lower abdomen or on the left - it depends on the location of the pathological growth.

How to respond to spasms?

What can and cannot be done if the intestines are sick? Is it possible to relieve this pain without calling a doctor at home?

When there is complete confidence that it is the intestines that hurt, and the pain is not too strong and makes it possible to move around, you need to do the following:

• drink an antispasmodic: No-shpu, Papaverine, Baralgin or any other;
• take a comfortable position and wait half an hour.

If, after the painkiller, the discomfort in the intestinal area has passed, then you can proceed to the rehabilitation of the organ.

What measures help eliminate the causes of intestinal discomfort?

1. Remember when was the last bowel movement;
2. If there has been no bowel movement for several days, then take a laxative;
3. Massage your stomach and lower back. The abdomen is massaged clockwise - this corresponds to the direction of movement of the intestinal masses. Massage will also help get rid of gas in the colon;
4. You can remove bloating in the abdomen by taking a few pills. activated carbon- This tool is always available in the home first aid kit. Instead of coal, you can drink Smecta diluted with water.

Those who are prone to intestinal pain should drink at least eight glasses of water a day. This technique normalizes motor skills, helps to get rid of constipation.

You need to drink water, not tea, coffee or compote. Unboiled cool water cleans the intestines especially quickly.

It should be drunk in the morning, on an empty stomach - after a few minutes, weak cramps in the lower abdomen will begin and you will have to visit the toilet.

To prevent spasms and pain in the intestines from reappearing, it is worth taking preventive measures:

• establish proper nutrition;
• do it regularly gymnastic exercises on the abdominal muscles and lower back to restore peristalsis.

After the cramps in the abdomen and pain in the intestines subside, it is worth going through a series of examinations.

First of all, you will have to do:

• analysis of feces for eggs of worms;
• coprogram to detect digestive defects;
• bacteriological examination of feces for dysbacteriosis.

After receiving the results of the tests, the doctor will know what you have to do next. Might need more serious hardware examination. Only after that, the gastroenterologist will make a diagnosis and prescribe treatment.

Be sure to contact health worker, if:

• colon was always emptied without problems, but in recent times persistent constipation began and pain in the intestines appeared;
• diarrhea alternates with constipation;
• constantly, even at night, the intestines hurt on the right or left;
• spasms and pain occur regardless of food;
• there was blood in feces;
• diarrhea does not stop even at night;
• for no reason, you have lost weight dramatically.

These conditions are symptoms of life-threatening diseases and require immediate treatment.

irritable bowel syndrome

The most common cause of intestinal pain is irritable bowel syndrome. This is the name of a complex of problems leading to a "rebellion of the insides."

The intestines seethe and rumble, in the lower abdomen or on the left side, spasms begin every now and then, from which the skin appears cold sweat.

The spasms are so strong that they radiate to the lower back on the left side and end in an attack of diarrhea.

What to do if these symptoms do not stop for several days, and even the usual remedies for "disorder" cannot relieve bouts of seething and diarrhea?

Treatment of irritable bowel syndrome should be prescribed by a doctor. Removing an IBS attack is not easy.

It's exhausting chronic disorder digestion, which occurs for many reasons, including poor ecology, dietary errors and stress.

Comprehensive treatment is required to get rid of IBS.

Fortunately, doctors know what treatment is needed if the patient is concerned about pain in the left side of the abdomen and systematic diarrhea.

For this use:

• medicines;
• nutritional supplements;
• psychological relaxation;
• diet with high content pectins and cellulose.

Treatment in the complex allows you to get rid of discomfort on the left side of the abdomen in a few weeks, which is not possible when using only medications.

One only drug treatment irritable bowel syndrome does not give good results.

So, intestinal pain usually occurs in the left side of the abdomen, because the descending and sigmoid colon, which most often cause pain, are located in the left side of the abdominal cavity.

But in fact, it doesn’t matter where it hurts - in the center, left or right side of the abdomen. In any of these cases, a doctor should be consulted for a diagnosis.

Only a specialist can find the real cause of discomfort and prescribe treatment.

If a discomfort rarely occur as a result of a sharp change in the usual diet or lifestyle, there is no cause for concern. When the pain in the lower abdomen becomes regular, you need to think about the causes and ways to restore health as soon as possible.

Discomfort in an adult or a child can indicate both a temporary failure and the presence of a serious pathology of the digestive system. Characteristic symptoms develop when a chaotic contraction of smooth muscle in the lower abdomen begins. As a result, lactic acid accumulates in the cells, irritating the nerve endings. This causes moderate or severe pain.

Why does the intestine hurt

Negative processes develop under the influence of the following provoking factors:

Pain in the lower abdomen often accompanies late pregnancy or becomes a manifestation of irritable bowel syndrome. In both cases, the situation can be corrected by revising the diet.

Symptoms of pain in the intestines

Discomfort in the abdomen may be different character:

1. Intense acute spasm. Short-term attacks are accompanied by poisoning, infection, appendicitis, and long-term - dysbiosis, ulcerative colitis.
2. Pain after eating.
3. Aching discomfort is inherent in sluggish chronic inflammation.
4. Spasms in the form of contractions.

Considering exactly where the intestine hurts, we can make an assumption about the causes of the pathology:

• Unpleasant sensations on the lower right indicate appendicitis.
• If you are worried about discomfort on the side in the left side, it is worth examining the sigmoid colon.
• When the lower abdomen hurts in the center, enteritis is possible.
• Spilled spasm indicates the defeat of all departments - enterocolitis.

In addition to the main symptom in the form of tolerable or acute discomfort, other signs complement the picture:

• With intestinal ischemia, there is constant uncontrolled nausea, loose stools, pressure on the peritoneum leads to increased spasm. Bleeding is not ruled out.
• If polyposis develops with growth on the walls benign formations, pain in the intestines appears already in the later stages. The stomach may ache, emptying is difficult due to regular constipation.
• In Crohn's disease, which develops against a background of chronic inflammation, the small, large, and rectum are simultaneously affected. In patients with such a diagnosis, there is no appetite, the temperature rises, diarrhea occurs, bloody inclusions and mucus are found in the feces.

In the latter case, delay in treatment is fraught not only with anemia, but also with oncology.

What to do if the intestine hurts

You can choose the appropriate methods to eliminate spasms only after identifying the cause of the discomfort. For this, a number of diagnostic measures are planned:

• Fecal analysis - coprogram. Based on the results obtained, one can understand how complete the process of digestion of food is.
• Bacteriological analysis- it is advisable if you need to determine the causative agent of the infection or understand how beneficial and pathogenic intestinal flora are distributed.
• Endoscopy. To do this, a fiber-optic tube equipped with a camera is launched through the stomach, evaluating the structure of the mucosa.
• X-ray examination- carried out using a contrast agent (barium mixture). With its help, it is possible to assess how the intestinal walls are changed, how the digested food is moving.

When it is not clear which pain medications are needed at a particular moment, before visiting a doctor or an ambulance, it is recommended:

1. Take an antispasmodic. In most cases, No-shpa gives a good effect.
2. Find the optimal body position in which the spasm subsides.
3. If the condition is restored within half an hour, they proceed to procedures that heal the intestines. You can start with a massage of the abdomen.
4. When bloating is expressed, it will not hurt to take special drugs. For example, after drinking Smecta or activated charcoal.

Separate moments are negotiated depending on the type of spasm.

acute pain

In this situation, taking painkillers at home will not give results. It is necessary to call an ambulance as soon as possible, since a doctor should prescribe therapy. Before his arrival, the patient needs complete rest.

Blunt pain

The cause of discomfort can be both minor and quite serious. Intestinal volvulus, massive helminthiasis, adhesive or tumor process are not excluded. Treatment, as in the previous case, is long and is prescribed only after a thorough examination.

Throbbing pain

As a rule, the appearance of acute spasms does not depend on eating or physical activity. A feature of the condition is the rapid relief of the syndrome and its return over time. For relief, they take antispasmodics, but when the attack repeats, they must go to the doctor.

Pain after eating

If there is a direct link between nutrition and cramps, the underlying cause negative state is an excessive load on the stomach and irritation of the mucosa. When nocturnal discomfort predominates, an ulcer may be suspected.

To smooth out the symptoms, spicy, heavy foods are excluded from the diet, they refuse dry snacks. It is also undesirable to eat too cold or hot dishes.

Constant pain

A common pathology with long-lasting spasms is. It proceeds with disorder of a chair. Both diarrhea and difficulty going to the toilet due to constipation are possible. Both conditions are accompanied by severe spasms, flatulence.

People who have an unstable nervous system and low stress resistance are susceptible to this disease. Included in the risk group and those who do not lead an active lifestyle, eat low-quality foods with insufficient fiber content. Another category is women in menopause.

What to take for stomach pain

To eliminate spasms in situations where surgery is not indicated, complex etiotropic therapy is practiced:

• Taking antibiotics - medicines are needed if an infection is diagnosed.
• Probiotics - The need for live bacteria is present when tests confirm an imbalance and there is a stool disorder.
• Immunosuppressors. They are taken by patients with ulcerative colitis, intestinal obstruction. The goal of therapy is to reduce the activity of the immune system.

At the same time, pathogenetic treatment is planned, providing correct work digestive system. The list consists of several items:

• enzymatic agents. They help speed up the digestion process, eliminating stagnation and fermentation of food. Tablets are drunk strictly following the instructions - it is important to accurately determine the dosage and observe the time intervals.
• Sorbents. Pharmacy preparations This group helps to rid the body of harmful substances. If, in the presence of spasms, the patient feels sick and skin problems are expressed (rashes, peeling appear), measures to remove toxins become a priority.

Treatment is also not complete without antispasmodics that affect the main symptoms. In addition to the traditional No-shpa, new generation myotropic agents can be prescribed. These include Duspatalin, which affects the smooth muscles of the intestine without disturbing peristalsis. When the situation is aggravated by the inflammatory process, in order to relieve pain, nonsteroidal drugs.

Diet for the intestines

If discomfort in the abdomen is regularly disturbed, nutrition is planned based on the characteristics of the functioning of the gastrointestinal tract. When constipated, the following recommendations are followed:

• It is good to eat whole grains or bran bread, but in minimum quantity.
• Fruits and vegetables should be in abundance.
• Preferred cereals are barley, wheat, barley, buckwheat.
• Meat and fish take only lean varieties. Carrots, cabbage, beets are added to the broths.
• You can drink non-carbonated purified water, fresh or dried fruit compote, diluted juices, tea.

Under the ban are sweets with gelatin, jelly, pastries from premium flour.

Bowel disease can present with pain in any area of ​​the abdomen. Localization in the suprapubic zone often indicates lesions in the large intestine. These include the sigmoid, rectum, caecum with the appendix. However, a thin section can also be a provocateur - with lesions of the ileum.

How does the intestine hurt?

The degree of intensity and nature of pain in the intestines depend on the nature of their provocateur. Functional disorders are more often manifested by spasms (colic), neoplasms - by aching and dull pains, inflammatory lesions - by cutting and stabbing sensations. Perforation of the intestinal wall provokes a sharp "dagger" pain.

Accompanying symptoms provide additional information about the disease. With intestinal lesions, flatulence, a feeling of heaviness, and fullness may occur. Serious pathologies are accompanied by nausea and profuse vomiting, up to the exit of feces through the oral cavity. Inflammatory lesions are accompanied by fever and syndrome general intoxication(weakness, apathy, lack of appetite). With lesions of the lower intestine, the stool changes. It may contain impurities of blood, pus and mucus, particles undigested food. Neoplasms in the intestine can provoke obstruction. Malignant diseases lead to general depletion of the body, weight loss. Absorption in the intestines and dysbacteriosis are accompanied by active seething in the abdomen.

When to See a Doctor

The intestines can remind of themselves with pain in the lower abdomen due to bloating, overeating, constipation. As a rule, such discomfort does not last long and quickly disappears after taking symptomatic drugs(enzymes, laxative, antispasmodics). Relatively harmless pain associated with food intake and stool regularity. They build up gradually and cannot be too intense.

You should consult a doctor in such cases:

• severe pain came on suddenly;
• after an injury to the abdomen (shock, fall), the intensity of discomfort increases;
• pain do not allow a person to move normally;
• the abdomen is asymmetrical;
• pain is accompanied by abnormal discharge from the anus and genitals;
• the patient feels sick and vomits (vomit is brown, with a fecal odor);
• there is an increase in body temperature;
• there was no stool for more than 3 days;
• in a patient severe diarrhea or tenesmus (false urge to defecate).

Acute abdomen syndrome requires special attention and immediate emergency call. The condition is accompanied by intense cramping or constant pain, excessive stress front abdominal wall and its soreness on pressure.

What can cause pain

If the pain is not provoked by malnutrition and lifestyle, then it indicates a developing disease. The most common colitis is an inflammatory lesion of the walls of the large intestine. Provoke it:

• helminth infestations;
• intestinal infections;
• malfunctions of the upper gastrointestinal tract;
• activation of conditionally pathogenic microflora.

A gastroenterologist will be able to accurately determine the provocateur. To identify the nature of the problem, the patient must pass blood, urine and feces for analysis. In some cases, an ultrasound or radiopaque examination of the intestine is performed.

Pain in the lower abdomen, provoked by colitis, is accompanied by various symptoms:

• with helminthiasis - loss of body weight, itching in anus, pale skin, lack of appetite, chronic fatigue;
• with intestinal infection - nausea, vomiting, fever, diarrhea, tenesmus (with dysentery), dehydration;
• with other disorders of the gastrointestinal tract (diseases of the stomach, pancreas, bile) - bloating, heaviness, irregular stools;
• with dysbacteriosis - prolonged constipation or diarrhea, a feeling of fullness and pressure in the lower abdomen, bubbling after eating food, liquids, and also at night.

Some other bowel diseases can be a source of pain in the lower abdomen:

• non-specific ulcerative colitis - a genetically determined autoimmune lesion of the intestine, in which its mucosa is covered with ulcerations, accompanied by sharp intense pain, in advanced cases leads to bleeding;
• diverticulitis - inflammation of protruding structures on the intestinal mucosa due to chronic congestion and activation of pathogenic microflora, provokes aching pains in the lower abdomen;
• proctitis - inflammation of the rectum due to the penetration of infection into the mucosa, may be accompanied by tenesmus, anal bleeding, sharp pain during defecation and constant discomfort in the lower abdomen, radiating to the groin;
• Crohn's disease is an idiopathic lesion of the intestine, in which granulomas form on the surface of the mucous membrane. They can bleed, increase in size, causing narrowing of the intestinal lumen or its complete obstruction. The disease is accompanied by dysfunctions of all parts of the gastrointestinal tract;
• enteritis is an inflammation of the small intestine. It develops against the background of infection, violations of the secretion of pancreatic juices, as well as intolerance to certain nutrients (lactose, gluten).

Life-threatening conditions

Pain in the lower abdomen can manifest pathologies that threaten life. These include inflammation of the appendix of the caecum - appendicitis. Pain usually occurs in the suprapubic region, migrates to the right iliac zone or umbilical region. The intensity increases to constant and strong discomfort. Accompanied by fever, nausea, bouts of vomiting, diarrhea.

No less a threat is intestinal volvulus. Pain in the lower abdomen is manifested by torsion of the blind, sigmoid or ileum. The sensations are strong, at first cramping, then constant. The patient does not pass gases, there is no defecation. Developing severe vomiting with the release of feces through the mouth. With the accumulation of gases and liquids in the twisted area, the abdomen protrudes, its asymmetry is clearly visible. On the surface of the skin, intestinal peristalsis is visible.

Intestinal obstruction is another rather dangerous provocateur of intestinal pain. Occurs due to narrowing or complete blockage of the intestinal lumen. Provoke obstruction can be helminthiasis, the growth of neoplasms (polyps, cysts, tumors), impaired innervation of individual parts of the intestine. Symptoms are similar to those of intestinal bloat. The development of a vivid clinical picture is preceded by regular constipation.

A negative consequence of all these conditions is peritonitis. The complication develops against the background of damage to the intestinal wall and the ingress of its contents into the abdominal cavity, followed by the spread of bacteria throughout the body, the development of sepsis and multiple organ failure.

Intestinal cancer is a consequence of chronic inflammatory processes in the mucous membrane. The localization of malignant tumors in the rectum and sigmoid colon prevails. It is manifested by gradually increasing aching pains in the lower abdomen and under the navel. It is accompanied by loss of body weight, a violation of the general condition - weakness, apathy, drowsiness, irritability. It can develop asymptomatically for a long time and manifest itself only in the later stages. In this case, the spread of metastases and the involvement in the process of the deep layers of the intestine, the lobe of the serous membrane of the abdominal cavity, and the organs of the small pelvis are likely.

How to get rid of pain in the lower abdomen

The large intestine is made up of smooth muscle. Pain is most often provoked by its spasms. In this case, a single dose of antispasmodics (No-Shpa, Buscopan, Mebeverin, Spazmomen) is acceptable. Painkillers from the group of non-steroidal anti-inflammatory drugs are not effective for intestinal pain. They can be harmful - aggravate the inflammatory process or blur the clinical picture.

In case of inflammatory lesions, complex treatment is prescribed, which includes sorbents (Atoxil, Smecta, Enterosgel), enveloping and astringent agents (for example, flax infusion), herbal remedies (intestinal preparations, homeopathic medicines), hormonal and immunosuppressive drugs. Neoplasms may require surgery, chemotherapy and radio wave therapy. In case of obstruction and intestinal volvulus, surgical intervention is performed, the cause of obstruction is eliminated, and the pathological loop is straightened.

Diet is a necessary part of bowel treatment. It is important to consume enough food, fiber in the form of vegetables and cereals, easily digestible meat and fish dishes. Refractory fats, coarse alimentary fiber, sour, sweet and gas generating products excluded from the diet.

The intestine is a vital organ for humans, therefore pain attack- a reason to consult a specialist. Treatment of intestinal diseases is more effective in the early stages of the development of pathology. In advanced forms, surgical removal of the affected parts of the colon may be required.

This can give an idea of ​​what disease the doctor is dealing with at the stage of taking an anamnesis, which allows accurate confirmatory studies to be ordered and treatment to begin. Colic, or stabbing pains, is one direction that feels different from many. They have a special origin, and they indicate a number of specific diseases of certain organs.

Colitis on the left lower abdomen

When the pain is stabbing

Significantly narrowing the "circle of suspected" diseases in the diagnosis allows pains of a stabbing nature, if the patient feels them in the lower abdomen on the left. It is enough to know that colic occurs at the time of spastic contractions, when smooth muscle fibers in the composition of the muscle membranes of certain internal organs begin to contract.

Stitching pains in the left lower abdomen

When this occurs in the lower abdomen, it is worth remembering what is located there in order to begin the process of making a diagnosis.

By the way. The lower abdomen in patients of both sexes is occupied by the intestines and ureters, and in women, the fallopian tubes with the uterus.

Although these organs perform different functions, their histological structure is the same: the walls of each consist of three membranes, one of which is muscular. It is in it that the contraction occurs, causing colic pain.

Radiating pain can also have similar characteristics under certain circumstances. Therefore, if it hurts in the side, it is necessary not to ignore the attack, which can be weak and transient, but to conduct an examination and find out the cause of the colic.

Pain in the side is a good reason to visit a doctor

Why can prick the left side below

Pain in this segment of the human body can be indicators of numerous diseases and pathological conditions.

1. This may be an inflammation of the appendix, when an operation is urgently needed to remove it, despite the fact that the organ is located on the right.
2. In addition, it is almost certain that colic will cause indigestion.
3. Irritable bowel syndrome is also on the list of causes.
4. It can stab the bottom of the left side if the patient is supercooled, frozen, “chilled” the internal organs located in the lower abdomen.
5. Pain syndrome can cause kidney problems (left kidney).
6. Sharp weight loss, stress or physical activity also give rise to tingling in the lower abdomen, including on the left side.

Typical symptoms of irritable bowel syndrome

Advice. Paying attention to the localization and nature of the pain, given the gender of the patient, you can determine what caused it. There are cases when colic is not dangerous and does not require treatment, but if the pain recurs, even without an identified cause, it is worth visiting a doctor to rule out serious problems in the future.

Colic in men

The difference in the anatomical structure of men and women is concentrated, including in the lower abdomen. Therefore, it is necessary to consider separately the reasons why men and women, as well as women during pregnancy, can experience stabbing pains.

Pain in the lower abdomen in men

The pain syndrome that occurs in this area can be both temporary and permanent. In the first case, this means temporary violations, in the second - about a serious developing pathology.

1. Often this syndrome is a harbinger of prostatitis, especially if it increases with urination, and problems begin with it.
2. Colic may indicate the presence of a hernia.
3. Inflammation of the testicles is also suitable.
4. There are cases when it hurts in the lower abdomen on the left for problems with the pancreas (not only in men).
5. Also, not only in men, it can be problems with the left kidney, intestines or appendicitis.

Classification of orchitis - testicular inflammation

Colic in women

Female patients, in addition to common pathologies with men, causing colic on the left in the lower abdomen, may have their own. For example, inflammation of the ovaries, adhesions, obstruction of the fallopian tubes, cystitis, fibroids and others.

By the way. Colic must be differentiated if a woman experiences them during menstruation. This is absolutely normal (if the pain is not unbearable) and does not require diagnostic measures.

Pain in the lower abdomen during menstruation

When a woman is pregnant, stabbing pain signals different problems, depending on the period.

1. On the early dates tingling is associated with embryo implantation and is considered normal.
2. Closer to the middle of the term, it may be pricked due to an increase in the tone of the uterus.
3. There may be insufficiency in the cervix.

Changes in the cervix during pregnancy

cystitis in women

Important! Obviously, if colic bothers, does not go away, recurs or intensifies, a visit to the doctor is necessary.

Pain classification

Pain can be not only of a certain nature, but have many different characteristics. It is important to classify them in order to more clearly describe the symptom.

Table. Classification of stabbing pains.

Pain in the left side of the abdomen below: causes

Dull, sharp, aching or stabbing pain on the left side in the lower abdomen usually disturbs and alerts a person. Indeed, many vital organs are located in this area, and discomfort can indicate a variety of diseases and conditions - including potentially life-threatening ones that require immediate hospitalization. What are the most common causes of left-sided pain in the lower abdomen and what to do when they appear? This is worth looking into in more detail.

The stomach hurts at the bottom left: possible causes

The abdominal cavity contains many vital human organs. In particular, on the left side is the spleen, large and small intestines and the organs of the genitourinary system. And each of these organs can fail - they become inflamed, injured, deformed, tumors develop on them, etc. Most of the diseases and conditions that give left-sided pain in the lower abdomen require urgent treatment.

Spleen

The spleen produces and utilizes blood cells. Any pathology of this organ can give left-sided pain in the lower abdomen. In particular, we are talking about such diseases and conditions of the spleen as:

• Acute enlargement of the spleen - pathology can occur as a result of inflammation or a violation of the outflow of blood, in any case, the patient will be disturbed by pain in the lower abdomen on the left, the appearance of symptoms in the form of nausea, vomiting, fever is not excluded.
• Spleen infarction - blockage of the artery and the formation of a necrotic focus surrounding the thrombus; sharp pain appears in the left hypochondrium and goes down, its intensity increases with movement, coughing, and even deep breathing, the patient also has a high body temperature (about 39 degrees).
• Volvulus of the spleen - sometimes (most often due to congenital structural features of the mesenteric ligaments of a person or due to injury), the splenic artery is twisted, thereby causing pain in the left side to gradually descend; the pain is also accompanied by symptoms such as bloating, constipation, vomiting, deterioration in general well-being.
• Spleen abscess - large abscesses are potentially life-threatening: opening into the abdominal cavity, they cause diffuse pain, which may well be felt in the lower abdomen on the left.
• Lymphatic leukemia and myeloid leukemia (chronic forms) - oncology of the hematopoietic organs begins painlessly, but as the tumor grows, the pain increases: at first they appear after eating and on palpation.

Intestines

From the side of the intestine, left-sided pain in the lower abdomen can occur for various reasons - from banal flatulence to much more serious conditions and diseases:

• Malabsorption - is the inability of the mucous membrane of the small intestine to perceive certain product(or group of foods), such as fruit or milk; proceeds with bursting pain in the lower abdomen on the left (due to the accumulation of gases) and cramping pain in the same area (as a result of spasm of the vessels and muscles of the intestinal walls).
• Crohn's disease - nodular inflammation of the gastrointestinal tract is manifested not only by left-sided pain in the lower abdomen, but also by vomiting, diarrhea, general fatigue, loss of appetite.
• Irritable bowel syndrome - accompanied by pain, which can disturb the left lower abdomen, as well as flatulence, diarrhea or constipation. The disease is characterized by periods of remission and exacerbations.
• Nonspecific ulcerative colitis - occurs with morphological changes in the walls of the intestine, accompanied by paroxysmal colic of varying intensity.
• Polyposis - the appearance of benign formations (polyps) on the mucous membranes of some sections of the intestine can provoke left-sided pain in the lower abdomen.
• Intestinal obstruction - accompanied by severe pain, as well as accumulation of gases in the intestines and constipation, nausea and vomiting, bloating and obvious asymmetry.
• Intestinal volvulus - accompanied by severe paroxysmal pain, which completely recede for a while, and then return again, as well as vomiting.
• Oncology.

reproductive system

There are a number of reasons that provoke pain in the lower abdomen on the left in women. These include the following ailments:

• Inflammation of the fallopian tubes - in addition to a sharp pain in the groin (including localization is possible on the left), patients suffer from vaginal discharge, painful periods and high fever.
• Endometriosis - with this pathology, epithelial cells multiply outside the uterus, and their growth in the intestine is possible.
• Rupture and / or twisting of the ovarian leg is a dangerous condition manifested by pains of very high intensity and violations of the general condition of the patient: pallor of the skin, pressure drop, fever, vomiting. In this case, the patient needs emergency help.
• Adnexitis and salpingoophoritis - inflammation of the appendages is accompanied by sharp pains in the lower abdomen, which are aggravated by probing.
• An ectopic pregnancy is a life-threatening condition for a woman, manifested by cramping pains, the intensity of which gradually increases; in the event of a rupture of the fallopian tube, the pain becomes unbearable, and the patient needs urgent medical care.
• Allen-Masters syndrome - occurs due to rupture of the ligaments of the uterus due to difficult or rapid childbirth, abortion, etc.

Another of the many causes that provoke left-sided pain in the lower abdomen in both men and women from the genitourinary system is the expansion of the renal pelvis.

Classification of pain: what it can be

Left-sided pain in the lower abdomen can have a different character, according to which it is possible to suspect the development of a particular disease.

Dull pain usually accompanies unilateral "female" diseases. If dull pain sensations are combined with fever, fatigue, general weakness, then most likely we are talking about inflammatory pathologies.

Pulling left-sided pain is usually characteristic of purulent pathologies of the pelvic organs, it occurs when sprains in the groin and strangulated hernias, and also accompanies cancer (in this case, its intensity increases with time).

Sharp pains in the left lower abdomen are caused by spasms, the passage of uralitis along the urinary tract, rupture of the inguinal ligaments, inflammation, rupture of the ovary, expansion of the renal pelvis or bladder.

Stitching pain can be a precursor of rupture of the ovary, a consequence of distension of the intestines with gases, a companion of kidney disease or ulceration of the mucous membranes of the urethra or ureters.

In any case, the presence of such pain should be the basis for seeking help from a doctor. At the same time, it is important to pay attention to the accompanying symptoms - fever, diarrhea, vomiting, pallor, lethargy, etc. They must be reported to a specialist - this information will be useful for making an accurate diagnosis.

What to do with pain in the lower abdomen on the left?

Left-sided pain in the lower abdomen cannot be ignored. They may indicate a developing acute pathology requiring emergency medical care. Therefore, taking painkillers to relieve pain in this case is not an option. The cause is not going anywhere, and dull sensations can complicate the diagnosis.

Feeling pain of any intensity and any character on the left lower abdomen, you must act as follows:

• Ensure yourself peace and take the most comfortable position in which the pain is not felt or at least does not increase.
• Assess pain from the standpoint of existing chronic diseases, the state of the body as a whole and the presence of other symptoms (pregnancy, diarrhea, vomiting, high fever, etc.).
• In the case of the initial occurrence of pain (if a person has never experienced such sensations in the lower abdomen on the left before), it is recommended to call an ambulance.
• If the pain has already declared itself earlier, the patient is able to make a decision on the advisability of seeking emergency medical care on his own - call an ambulance if the condition worsens, call the local doctor at home if the condition is stable, or go to the clinic for a referral for examination in case of a short-term attack .

It is important to remember that even if the intensity of pain in the lower abdomen on the left is not high, this sensation may indicate the development of a serious illness.

Treatment of pain in the lower abdomen on the left

Of course, the treatment itself is not aimed at relieving the pain syndrome, but at eliminating its cause. Very often, patients suffering from left-sided pain in the lower abdomen require emergency medical care and hospitalization. Treatment can be either conservative (with the help of various drugs) or surgical.

Most often, doctors of the following specialties deal with patients with left-sided pain in the lower abdomen:

As a rule, an examination and questioning of the patient is required to make an accurate diagnosis. laboratory tests blood and urine tests, liver and pancreatic enzymes, as well as radiographic, ultrasound and endoscopic studies. Based on the results of the examination for each patient, a individual plan medical activities.

Pain in the lower abdomen on the left

Causes and treatment of pain in the intestines on the left lower abdomen

Many people who turn to gastroenterologists complain of pain in the intestines. If it hurts in the left lower abdomen, this condition may indicate the development of serious pathological processes in the digestive tract, in particular in the intestines. To make an accurate diagnosis and identify the cause of the pain syndrome, specialists conduct comprehensive examination of such patients, according to the results of which drug therapy is prescribed.

Symptoms of bowel disease, in which there is pain in the lower abdomen on the left

If the patient has pain in the intestines on the left lower abdomen, then this condition can be considered as a symptom of various pathological processes:

1. Irritation of the intestines. People who experience this problem may experience both mild and acute pain syndrome. Most often, such discomfort appears after eating and may be accompanied by nausea, gag reflex, bloating, and impaired defecation processes. This syndrome can appear in men and women of different age groups.
2. Obstruction of the intestine (colon). Such a pathology develops against the background of a violation of the process of moving the contents through the intestines. Symptoms include loss of appetite, constipation, vomiting reflex, bloating, cramping pain syndrome. Patients should be alerted to this condition, as it may indicate a cessation of intestinal motility. If the problem is not eliminated in a timely manner, then intoxication of the body can occur, which often causes death.
3. Crohn's disease. With the development of this pathology, patients experience severe pain in the intestines, as well as in the lower abdomen, on the left.
4. Hirschsprung disease. As a rule, such a pathology is inherited. The male half of the population is more susceptible to it.
5. Uncontrolled eating. Many people who do not limit themselves to food often complain of pain in the lower abdomen. Such discomfort in them occurs due to impaired bowel function.
6. Stress, constant nervous, physical and emotional stress can be considered as the causes of pain in the lower abdomen, on the left.
7. Ulcerative colitis (nonspecific) is accompanied by aching and dull pains in the abdomen, which often radiate to its left side. This pathology is accompanied by the following symptoms: fever, weakness, diarrhea (there may be blood clots in the feces).

What to do if the intestine hurts in the lower abdomen?

If the patient has a pain syndrome in the intestines, he should use the recommendations given by specialists to help alleviate the condition:

1. If a person notices that pain in the intestines appears after eating, he needs to review his diet and identify which foods provoke this condition. First of all, you need to exclude all harmful products from the menu, and you should also give up addictions.
2. If the pain syndrome occurs against the background of stress, then the patient needs to normalize his psycho-emotional state. Psychotherapy sessions can help with this, as well as permitted sedatives. After the restoration of the nervous regulation of the intestines, the pain will disappear.
3. If the pain in the lower abdomen is caused by irritable bowel syndrome, then the use of semolina porridge, which is boiled in water, without the addition of salt and sugar, will help normalize the condition. To enhance its beneficial and taste properties, before use, you can add a spoonful of natural bee honey.
4. If the pain syndrome in the intestine is a symptom of pathological processes, then the patient should consult a doctor who will prescribe a medical course of treatment for him.

Diagnostic measures

When a patient addresses a gastroenterologist with complaints of pain in the lower abdomen on the left, before making an accurate diagnosis, he prescribes a comprehensive laboratory and instrumental examination:

1. The patient gives a blood and urine test. He is also sent to a coprogram (fecal analysis), which allows you to identify infections, worms and other pathogenic flora.
2. An endoscopic examination of the patient is carried out, the purpose of which is to identify inflammatory processes on the mucous membranes.
3. An x-ray is ordered. Thanks to this diagnostic method, specialists are able to detect structural changes in the intestine.

Medical therapy

After the doctor conducts a set of diagnostic measures, he will be able to detect the cause of the appearance of pain in the intestine. The patient is individually selected drug therapy, while taking into account the severity of the development of the pathological process, the general condition of the body and a number of other factors:

1. A medicine is prescribed for pain in the intestines in the lower abdomen, for example, No-shpa tablets, Papaverine, Spasmalgon, Metoclopromide.
2. If the pain syndrome is accompanied by diarrhea, then patients are advised to take an absorbent, for example, Enterosgel and or activated charcoal.
3. Etiotropic therapy is carried out, which allows you to eliminate the cause of the development of pathology.
4. A course of antibiotics is prescribed, which will be able to cope with the identified infection.
5. To restore the microflora in the intestines, probiotics are prescribed.
6. If the cause of the pain syndrome is ulcerative colitis, then patients are prescribed immunosuppressants.
7. Non-steroidal drugs are prescribed to stop inflammatory processes.
8. When diagnosing intestinal obstruction, surgical treatment is performed.

Patients who have pain in the intestinal area can use time-tested "grandfather" methods in parallel with drug therapy:

1. Infusion from watermelon rinds. To prepare this healing drink it is necessary to make powder from watermelon peels. After that, 3 tbsp. place spoons of watermelon powder in a glass container and pour 0.5 liters of boiling water. You need to use this remedy about 1 teaspoon before each meal.
2. If the patient has been diagnosed with irritable bowel syndrome, it is recommended that he introduce roast pumpkin and beans into his daily diet.
3. Infusion of aloe leaves and bee honey. To prepare this healing remedy at home, you need to melt 300g in a water bath natural honey and add to it three crushed leaves of the plant (you need to remove all the spines). It is necessary to insist such a mixture for 24 hours, after which it is ready for use. It is necessary to take a healing remedy 60 minutes before eating food in a warm form.
4. Herbal decoction. In the pharmacy, you should purchase a collection that includes the following plants: St. John's wort, oak bark, sage, yarrow, mint and motherwort. In a glass container, you need to put 2 tablespoons of a mixture of herbs, pour 0.5 liters of boiling water over them and simmer for 2 hours. After that, everything is filtered, cooled and can be used for medicinal purposes.

Pain in the intestines on the left

The pain that occurs in a person on the left side of the intestine indicates that he is developing certain diseases in the body, require recognition and action to help eliminate discomfort and pain. Why do painful spasms occur in the abdomen, what can be the reason that a person has a sore intestine on the left side, what diagnostic measures will help identify the disease, and what kind of treatment is indicated for patients?

By the location of pain in the intestines, you can navigate in the diagnosis of specific diseases.

The nature of sensations

In the left region of the peritoneum are the organs of the female reproductive system (ovaries), spleen, pancreas, intestines, left area stomach. With the appearance of pain spasms under the left rib, it can be assumed that the functioning of the intestine is impaired, there was a malfunction in the cardiovascular system, Myocardial infarction is also the cause of pain on the left. The nature of the pain is:

1. sharp painful spasms under the ribs happen suddenly, a person can become ill from this, he loses consciousness;
2. dull painful spasms do not go away for a long time, exhaust the patient, do not have a specific location, spread to neighboring organs;
3. aching pains in the side under the ribs exhaust the person, with serious illnesses intensify at night, making it difficult to rest, give in the back;
4. acute are concentrated in a specific area, cause an oppressive feeling.

Cause of illness

Gynecological problems

For problems with reproductive system may hurt on the left side of the lower abdomen. This makes itself felt inflamed ovary. The pain increases when the woman is exercising exercise while walking. It may also be a cyst formed on the ovary, the woman has a fever, nausea, and weakness appears. The reason why it hurts on the left is heavy menstruation, in this case, you need to consult a gynecologist, as this may mean that there are inflammatory processes in the female reproductive organs. Ovulation is also the reason that a woman is worried about pain in her left side under the ribs.

Bowel disease

Spleen problems

Thanks to the spleen, human blood is cleansed of harmful toxins and poisonous decay products. If an organ malfunctions, it increases in size, becomes inflamed and puts pressure on nearby organs. This causes a feeling of discomfort, pain in the side under the ribs, deterioration of well-being. The spleen can also be damaged through mechanical action, a cancerous tumor develops in the organ, the process of inflammation. Pain in the left side appear due to:

Pain in the left side of the abdomen may indicate an illness in the spleen.

1. Infarction of the spleen, which provokes sharp, aching pains that radiate to the back, the patient is ill, nauseous, bouts of vomiting appear. If medical care is not provided in time, suppuration may develop, which will enter the abdominal cavity, causing an abscess.
2. An abscess provokes the development of dull pain, urgent medical attention is needed, since this complication can cause death.
3. The formation of tumors of various etiologies causes sharp, prolonged pain, they spread throughout the abdominal cavity and into the back, with the growth of the neoplasm it is not possible to eliminate painful spasms with the help of painkillers.
4. Mononucleosis causes changes in the structure of the spleen, increasing its size. The organ becomes loose, loses elasticity, and any movement or awkward position cause pain in the side and back.

Pancreas

If painful spasms in the left side of the peritoneum bother a person after a heavy meal, drinking alcohol, this means that the pancreas is prone to inflammation. This organ secretes specific enzymes that are involved in digestion, and produces hormones that are responsible for metabolism. Painful sensations in the pancreas are manifested due to diseases such as:

• Pancreatitis, in which the inflammatory process of the tissues of the organ occurs, digestion is disturbed. The patient does not feel well, his temperature rises, the stool is disturbed, nausea and bouts of vomiting are disturbing. If you do not seek medical help in time, paralysis of the limbs occurs, the person loses his sight.
• The metabolic process is disturbed when a person eats junk food, abuses bad habits.

Diseases of the stomach

Diseases of the stomach also cause pain in the left side of the abdomen. A disease such as gastritis provokes abdominal pain, poor digestion, heartburn, reflux. If such symptoms bother a person regularly, food restriction does not bring results, then you need to see a doctor, as this ailment flows into a stomach ulcer.

• The symptoms of an ulcer are similar to gastritis, but burning attacks are more common, pain appears immediately after eating, a person loses weight, and the protective functions of the body are disrupted. At peptic ulcer you can not pull, because untimely treatment leads to the formation of stomach cancer.
• Erosion also causes painful feelings left abdomen. Erosions at the initial stage of development shallowly affect the mucous membrane and their timely treatment eliminates the problem.

Diagnostics

There are many causes of pain in the left side of the abdomen. To make an accurate diagnosis, the doctor collects all the information from the patient: what pains he has, how long the attack lasts, in which place the discomfort (near the navel, in the lower abdomen, left or right), whether the occurrence depends unpleasant feelings from certain foods. When the doctor received answers to questions, then, depending on the nature of the development of the disease, he directs the patient to diagnostic study.

• a blood test that shows if there is inflammation in the body;
• analysis of urine and feces will show if there are problems with the intestines or the genitourinary system;
• Ultrasound of the abdominal cavity;
• bacterial analysis for the presence in the vagina and excretory system pathogenic microorganisms and fungi;
• MRI, CT or X-ray examination, when suspicions relate to the development of pathology in the digestive organs.

First aid

If the patient has a sharp attack of pain in the lower abdomen, his condition is rapidly deteriorating, then you need to call an ambulance, as this may be a rupture of the appendicitis, ovary or other dangerous disease. In such cases, painkillers should not be used, as it muffles the symptoms and it will be difficult for the doctor to determine the cause of this condition during the initial palpation. If the pain is tormenting for a long time, there is heartburn, problems with digestion and bowel movements, you need to see a doctor, as delay can cost a person his life if he develops a tumor process. Pain in the lower abdomen, which appeared initially, for example, after a plentiful evening meal, is eliminated by a restriction for a day or two in the diet, it will be useful to take sorbents. In this case, the problem does not pose a threat to human life and medical assistance is not required.

Treatment of intestinal pain on the left

Depending on why the pain appeared, appropriate treatment is prescribed. If the patient has stomach problems, the doctor prescribes drugs that normalize acidity, help digestion, and improve the motility of the stomach and intestines. In case of inflammatory processes in the pancreas or spleen, the doctor prescribes antibacterial and supportive therapy. When drug treatment has not brought results, the issue of performing an operation is being decided.

Painful sensations that occur during menstruation are eliminated with the help of drugs that eliminate cramps and pain. You yourself cannot take such medicines, they are prescribed by the attending physician, who, after examining and evaluating the results of the tests, reveals the disease. With inflammation of the ovaries, a course of antibiotics is prescribed, but when such therapy has not brought results, an operation is performed.

Prevention

So that abdominal pain does not bother a person, first of all you need to adjust your diet. Exclude from the menu all harmful foods, alcohol, beer. Follow the diet, eat at the same time, often, but in small portions. Eat a lot of fiber, which is found in vegetables, fruits, cereals. Fermented milk drinks help to cope with intestinal problems, they populate the body with beneficial bacteria, and normalize digestion.

It is also necessary to establish a drinking regime, drink clean water, at least 1.5 liters per day, exclude coffee and tea, soda. When the disease worsens, then, in agreement with the doctor, mineral water is used, herbal teas, infusions and decoctions. In order not to get sick dangerous disease, you need to pass on time medical examination follow the recommendations of the doctor, lead a healthy lifestyle.

Questions

What is the reason for the pain in the lower abdomen on the left?

Topographically, the sigmoid colon (department of the large intestine located in front of the rectum), the left ureter, through which urine flows from the left kidney to the bladder, and the left uterine appendages are projected onto the left iliac region (a section of the anterior abdominal wall located below and to the left of the navel). among women. Therefore, most often pain in the lower abdomen on the left indicates damage to these organs. In order to determine which organ is affected, it is necessary, as doctors say, to detail the pain syndrome. It is necessary to assess the nature of the pain (stabbing, cutting, aching, pulling, cramping), its severity, connection with physical activity, acts of urination and defecation, body position, etc.

In addition, the presence of other symptoms (diarrhea, fever, vaginal discharge in women), as well as history data (whether there were similar attacks in the past, what caused them, what treatment was carried out) should be taken into account.

Pain in the lower abdomen on the left with damage to the sigmoid colon

The disease begins acutely as gastroenteritis (nausea, vomiting, diarrhea without pathological impurities, cramping abdominal pain without a clear localization), occurring with a significant increase in temperature (up to degrees) and pronounced signs of intoxication (weakness, drowsiness, headache). Only on the second or third day the disease takes on the character of a typical acute sigmoiditis.

If you suspect dysentery, you should contact an infectious disease specialist, since the absence adequate treatment can lead to the development of complications or the transition of the disease to a chronic form. Chronic dysentery prone to a persistent recurrent course, when periods of relative well-being are replaced by periods of exacerbation of the pathology in the clinic, resembling acute sigmoiditis. Chronic non-ulcerative sigmoiditis is a polyetiological disease (a pathology caused by several reasons at once), in the occurrence of which a hereditary predisposition, a tendency to allergic reactions, the presence of other diseases of the gastrointestinal tract and malnutrition (lack of a normal diet, lack of vitamins and rough diet) play an important role. fiber with an excess of easily digestible carbohydrates and fats of animal origin, abuse of spicy foods, salt and alcohol).

The mechanism of the development of pathology is based on a violation of the normal balance of the intestinal microflora, therefore, prolonged antibiotic therapy, past infectious diseases of the intestine, toxic infections, giardiasis, etc. can become an impetus for the occurrence of chronic non-ulcer sigmoiditis.

Pain in the lower abdomen on the left in chronic non-ulcer sigmoiditis has a bursting character, radiates to the perineum and groin, increases with sudden movements and physical activity. In this case, the pain is most often of medium or low intensity, sometimes perceived as a feeling of discomfort in the lower abdomen on the left.

The pain syndrome is accompanied by stool disorders. Chronic non-ulcerative sigmoiditis, unlike other lesions of the sigmoid colon, is characterized by constipation and / or constipation, followed by diarrhea.

The prolonged course of the disease leads to cerebrosthenia (depletion nervous system), in such cases, characteristic symptoms appear: headache, irritability, fatigue, decreased physical and mental performance, emotional lability, a tendency to phobias (obsessive fears) and depression.

Cramping pains in the lower abdomen on the left are characteristic of chronic ulcerative lesions of the sigmoid colon that are not associated with the vital activity of a specific microflora (the so-called nonspecific inflammatory lesions of the intestine). In such cases, pain occurs periodically during exacerbations of the disease and is combined with other characteristic symptoms of ulcerative lesions of the sigmoid colon, such as:

• frequent liquid fetid stools;
• the presence of visible blood in the feces;
• violation of the general condition of the body (weakness, fever, headache, etc.).

With a long course of chronic nonspecific inflammatory lesions of the intestine, chronic anemia, cerebral palsy develop, in severe cases, cachexia (general exhaustion of the body). Nonspecific ulcerative colitis is a severe chronic disease of the large intestine (mainly its terminal sections - the rectum and sigmoid colon), characterized by the formation of superficial ulcers on the mucous membrane with the subsequent development of complications, both local and general. The disease most often develops at a young age (20-40 years) and is severe. It should be noted that the main symptom of pathology is frequent liquid bloody stool. Cramping pains appear before the act of defecation and subside after bowel movement. If the pain takes on a permanent character, this indicates the development of local complications (perforation of an ulcer or toxic expansion of the intestine). Crohn's disease is a severe chronic disease characterized by segmental lesions of the gastrointestinal tract. At the same time, on the affected areas appear inflammatory infiltrates, in the place of which are formed deep cracks, and further cicatricial narrowings develop, fistulas appear, a reactive adhesive process occurs. It should be noted that the terminal section of the small intestine (another name for the pathology is terminal ileitis) is most often affected in Crohn's disease. With an isolated lesion of the terminal sections of the large intestine, the pain is localized in the lower abdomen on the left and has a typical periodic character (cramping pains appear on the eve of the act of defecation and disappear after bowel movement). With the development adhesive process in the pelvic cavity, the pain syndrome takes on a permanent character, in such cases, the pain may increase with a change in body position. Ischemic disease of the sigmoid colon develops in old age, usually in patients with other diseases associated with atherosclerosis (ischemic heart disease, intermittent claudication, insufficiency cerebral circulation and etc.). It is characteristic that, unlike other diseases, ischemic sigmoiditis occurs in isolation, since the rectum, due to the characteristics of its blood supply, is not involved in the process. Acute deficiency blood circulation leads to the formation of poorly healing ulcers on the mucous membrane, further developing a cicatricial process, leading to a narrowing of the lumen of the sigmoid colon. The clinic of ischemic sigmoiditis is in many ways similar to nonspecific ulcerative colitis. However, pain in the lower abdomen on the left with ischemic lesions of the sigmoid colon have specific features. Pain occurs when there is an increased need for blood supply, that is, after a heavy meal. The pain has a paroxysmal character, and the attacks are quite long (up to three hours). Ischemic pain is characterized by high intensity, so that patients often deliberately reduce the amount of food consumed, fearing attacks of severe pain. Pain in the lower abdomen on the left with cancer of the sigmoid colon appears most often with the development of complications, such as chronic intestinal obstruction, tumor decay with the formation of a bleeding ulcer, infection with the development of an inflammatory process. It should be noted that the development of complications in itself does not indicate the degree of prevalence of the process. Due to such features of the anatomical structure as the curvature and narrowness of the canal of the sigmoid colon, chronic intestinal obstruction develops relatively early. In this case, the pains in the lower abdomen are cramping in nature and occur against the background of constipation, often followed by diarrhea. Since the tumor of the sigmoid colon is easily injured by dense fecal masses, the addition of a secondary infection is also possible in the early stages of the disease. In such cases, pain in the lower abdomen on the left, as a rule, is combined with pathological changes in feces (the presence of pathological inclusions visible to the eye - blood, mucus and pus). Thus, the combination of symptoms such as pain in the lower abdomen on the left, the presence of blood in the feces and a tendency to constipation is always suspicious for sigmoid colon cancer. Particular attention should be paid to patients aged fifty years and older. Pain in the lower abdomen on the left can occur with left-sided renal colic - a very characteristic pain syndrome resulting from obstruction urinary tract. For renal colic characterized by unusually strong stabbing or cramping pain, not relieved at rest. Specific feature This pathology is a discrepancy between the extreme severity of the pain syndrome and the relatively satisfactory general condition of the patient. So if patients with an acute abdomen lie motionless in bed, then patients with an attack of renal colic rush around the room, trying to find a position that alleviates the attack. Pain in renal colic gives down along the ureter to the external genital organs and to the inner surface of the thigh and is often accompanied by frequent urge to urinate. Sometimes it is possible to identify soreness or discomfort in the lumbar region.

An attack of renal colic is relatively easily relieved by analgesics and antispasmodics, however, in view of the possibility of complications (attachment of infection, obstruction of the urinary tract with the formation of dropsy of the kidney, etc.), medical supervision is indicated.

When pain occurs in the lower abdomen on the left in women, the possibility of pathology of the uterine appendages (ectopic pregnancy, acute and chronic inflammatory diseases uterine appendages, ovarian apoplexy (hemorrhage in the ovary), neoplasms of the uterine appendages, torsion of the legs of the ovarian cyst, etc.). Gynecological pathology should be suspected in the presence of pain in the lower abdomen on the left in the presence of the following signs:

• menstrual irregularities (the appearance of sharp pains in the lower abdomen against the background of a delay in menstruation is always suspicious of an ectopic pregnancy);
• pathological discharge from the vagina (bloody, purulent, mucopurulent, etc.);
• unfavorable anamnesis (postponed ectopic pregnancy, surgical interventions on the uterus, the presence of a chronic inflammatory process in the uterine appendages, etc.).

At the same time, acute lesions of the uterine appendages are distinguished, occurring with signs of an "acute abdomen" and requiring immediate hospitalization, and chronic pathology, in which case it is necessary to consult a doctor in a planned manner. A sharp, sudden pain in the lower abdomen on the left requires emergency hospitalization, in cases where it is combined with symptoms of an "acute abdomen", such as:

• nausea and reflex vomiting that does not bring relief (occurs as a result of irritation of the peritoneum);
• increase in body temperature;
• soreness and tension of the anterior abdominal wall in the projection of the affected organ (in this case lower abdomen on the left)
• deterioration of the general condition of the body (weakness, cold sweat, headache, dizziness, etc.)

The clinic of an acute abdomen can cause the following lesions of the uterine appendages:

• rupture of the fallopian tube or tubal abortion with tubal ectopic pregnancy;
• ovarian apoplexy (bleeding into the ovary);
• torsion of the legs of an ovarian cyst;
• acute adnexitis ( acute inflammation uterine appendages).

Pain in the lower abdomen on the left gynecological diseases, flowing with the clinic of an acute abdomen, has a stabbing, cutting or cramping character. In the event of a rupture of the tube during tubal pregnancy, pain can be felt like a stab with a dagger (dagger pain), and with the accumulation of pus in the cavity of the tube (pyosalping), as well as suppuration of the ovary (ovarian abscess), the pain often takes on a pulsating character. In acute gynecological pathology, pain radiates to the sacrum and anus, and in case of irritation of the pelvic plexus, which often occurs when blood or pus massively enters the pelvic cavity, the pain radiates to the left hypochondrium, as well as to the left supra- and subclavian region.

With spontaneous interruption of tubal pregnancy and hemorrhage into the ovary, severe internal bleeding develops, in such cases the described symptoms of an acute abdomen are combined with signs internal bleeding, such as:

• pallor of the skin and visible mucous membranes;
• increase in heart rate and decrease blood pressure;
• weakness, dizziness.

If signs of internal bleeding appear, emergency medical attention is necessary, since delay can lead to the development of a shock reaction and death. With acute left-sided inflammation adnexa of the uterus, pain in the lower abdomen on the left is combined with purulent discharge from the vagina and develops against a background of high fever (38-39 degrees and above). In such cases, hospitalization is also indicated, since the development of purulent complications such as ovarian abscess or pyosalping is possible. Dull pulling pains in the lower abdomen on the left are characteristic of a chronic inflammatory process in the left uterine appendages. In such cases, pain is usually accompanied by the appearance of mucopurulent discharge. chronic inflammation uterine appendages most often develops as a result of an acute infectious and inflammatory disease of the uterus and / or appendages (acute endometritis, acute adnexitis, acute salpingo-oophoritis). The exacerbation of the process can be associated with both external (hypothermia, nervous or physical overexertion) and internal causes (the onset of menstrual bleeding, weakening of the body after an illness). Often, chronic inflammatory processes in the uterine appendages proceed subacutely, so that dull pulling pains in the lower abdomen that appear during menstruation or after exposure to adverse external factors may be the only symptom of the pathology. However, at any time, the process can aggravate with the development of purulent complications up to peritonitis, and with a long course, irreversible changes occur in the uterine appendages, leading to infertility. Dull pulling pains in the lower abdomen on the left can occur with neoplasms of the uterine appendages - both benign and malignant. In this case, benign ovarian cysts are accompanied by pain only when the volume of the cyst reaches a large size. Pain in fallopian tube cancer occurs at relatively early stages of tumor development and often has a cramping character. In this case, the pain is accompanied by abundant (up to 50 ml or more) watery discharge from the vagina. This pathology develops most often in the period of premenopause (after years).

Ovarian cancer, as a rule, develops later, in the postmenopausal period (after 50 years) and is often asymptomatic for a long time. So the pain syndrome occurs already with a widespread tumor process against the background of general exhaustion of the body and symptoms of cancer intoxication (nausea, headache, weakness, weight loss).

However, in some cases, pain in the lower abdomen on the left with cancer of the left ovary occurs already at the initial stage of the disease. In this case, short-term pulling and aching pains appear for no apparent reason. In the future, the pain syndrome becomes cyclical: pain occurs after 4-5 days and lasts 2-3 hours. When the tumor grows into the pelvic cavity, the pain becomes constant and can change its character depending on the degree of damage to the surrounding organs and tissues (stabbing, tearing, gnawing pains). Since pain in the lower abdomen on the left can be caused by diseases of various organs, when it appears, it is necessary to contact doctors of various specialties, whose competence includes the treatment of the pathology of the affected organ. The decision of the question of which doctor to contact, in each case, is made depending on the nature of the pain and accompanying symptoms allowing to "calculate" the affected organ.

First of all, you should know that it is necessary to consult a doctor on a planned basis only for diseases that do not threaten death in a short time. It is these pathologies and cases that will be discussed below. But if a person develops an emergency, that is, a disease in which the lack of medical care in the shortest possible time can lead to death, then you need to call an ambulance and go to the hospital. It is easy to recognize such urgent conditions - with them, pains in the lower abdomen on the left can be combined with pains in other parts of the abdomen, radiate to the rectum, side, lower back, pains are intense, strong, sharp, do not subside with time, are always accompanied by a sharp deterioration in well-being, possibly a single vomiting that does not bring relief, decreased pressure, weakness, headaches.

If an intense, cramping pain appears in the lower abdomen on the left, which does not spread to other areas, but is often simultaneously felt from the lower abdomen on the right and in the navel, combined with constipation, diarrhea, bloating, flatulence, rumbling in the abdomen, frequent defecation, then this indicates bowel disease (for example, colitis, enterocolitis, Crohn's disease, ulcerative colitis, diverticulitis, irritable bowel syndrome), which means you need to contact a gastroenterologist (make an appointment) or a general practitioner (make an appointment).

If a person has severe pain in the anus, rectum and lower abdomen on the left, combined with frequent urge to defecate, diarrhea and pain during defecation, then you should contact a proctologist (make an appointment) or a surgeon (make an appointment), as such symptoms are typical for proctitis and paraproctitis.

The appearance of pulling and aching pains in the lower abdomen on the left, which, with sudden movements, stress and high load, become stabbing and sharp, or intensify, are not combined with other symptoms of digestive disorders, urination, etc., indicates adhesive disease and, accordingly, requires referral to a surgeon. Adhesive disease can be assumed to have undergone surgery on the abdominal organs or inflammatory diseases of these organs (stomach, intestines, pancreas, gallbladder, etc.).

Dull, persistent, moderate pain in the lower abdomen on the left, which is combined with pain in the lower abdomen on the right or near the navel (when the whole stomach seems to hurt), characterized by the fact that it does not subside with time, accompanied by vomiting, dry mouth, loss of appetite, jumps in arterial pressure, heart palpitations (up to 100 beats per minute), frequent breathing (40 breaths per minute) and elevated body temperature, indicate mesadenitis (inflammation of the lymph nodes of the mesentery of the intestine), and require a visit to a surgeon.

Paroxysmal pains in the lower abdomen on the left, felt simultaneously or radiating to the groin and lower back, combined with urinary function disorders (blood in the urine, painful, frequent urination), forcing a person to walk restlessly continuously due to the fact that it is not possible to find a position in which the pain would be at least a little weaker, indicate a disease urinary organs(urolithiasis, blockage of the ureter with a stone) and require an appointment with a urologist (make an appointment) or a surgeon.

If the pain is felt in the lower abdomen in the center and spreads to the left, is combined with frequent, painful urination, cloudy urine or blood in the urine, then this indicates cystitis and requires an appeal to a nephrologist (enroll) or a urologist (women can contact a gynecologist (enroll) ), if the nephrologist and urologist are absent).

Pain in the lower abdomen on the left, right or in the center, which is associated with frequent, liquid / mushy, scanty chair with impurities of blood or mucus, rumbling, bloating, pain during defecation, lack of relief after defecation and sometimes nausea and vomiting, indicates an intestinal infection and requires an appointment with an infectious disease specialist (make an appointment).

Periodically appearing pulling pains in the lower abdomen on the left, radiating to the groin and leg, combined with a protrusion in the region of the left inguinal fold, aggravated or provoked by physical activity, indicate inguinal hernia and require referral to a surgeon.

Severe paroxysmal pain in the lower abdomen in women, which suddenly appears on both the right and left, and then migrates to the left, or appears after stress, hypothermia, physical activity dull pulling-aching pain in the lower abdomen on the left may indicate inflammation of the uterine appendages (adnexitis, salpingoophoritis) or endometritis and, accordingly, require a visit to a gynecologist. Both variants of pain are characterized by the spread of pain in the sacrum, lower back, groin or rectum, combined with pain during urination, irregular cycle, fatigue, irascibility, irritability, inflammatory secretions from the vagina or elevated body temperature (greenish, yellowish, grayish, with bubbles, flakes, pus, mucus, etc.).

Episodic aching pains in the lower abdomen on the left in women, often caused by sexual intercourse, combined with cycle lengthening, intermenstrual short bleeding, indicate the presence of a cystoma or ovarian cyst and require an appointment with a gynecologist.

Dull, pulling, aching pains in the lower abdomen on the left in women, which can be aggravated during menstruation, radiate to the lower back, tailbone, sacrum or rectum, are combined with bleeding, frequent urination, clots in menstrual flow, indicate neoplasms in the genital organs (for example, uterine fibroids, polyps, etc.) and, accordingly, require a visit to a gynecologist.

Pain in the lower abdomen on the left in men, radiating to the left side, perineum, lower back, combined with urination disorders (frequent urination in small portions, prolonged urination due to slow urine leakage, etc.) and erection, indicates a disease prostate(prostate adenoma or prostatitis), and therefore requires an appointment with a urologist.

When the pain in the lower abdomen on the left is persistent, does not go away for a long time, is combined with loss of appetite, sudden unreasonable weight loss, poor general health, taste perversion, persistent constipation, bloating and flatulence - this is a sign of malignant neoplasms and requires an oncologist (make an appointment) .

Pain in the lower abdomen on the left is provoked by a wide range of diseases of various organs, and therefore, when given symptom the doctor can prescribe various tests and examinations necessary to identify the affected organ and the nature of the pathology. Therefore, in each case, the doctor selects and prescribes only those tests that will reveal the existing disease of a particular organ. The choice of studies is carried out on the basis of concomitant symptoms, examination data and the nature of pain, since it is this information that allows the doctor to assume which organ is affected and which pathology. If a person has signs of intestinal diseases, in particular, pain in the lower abdomen on the left, which can be simultaneously felt in the navel, is combined with constipation, diarrhea, frequent defecation with soft feces, bloating, flatulence, nausea, rumbling in the abdomen, the doctor prescribes the following tests and examinations to identify a specific pathology:

• General blood analysis;
• Analysis of feces for worm eggs;
• Coprological analysis of feces;
• Analysis of feces for dysbacteriosis;
• A stool culture or blood test for Clostridium;
• Ultrasound of the abdominal organs (make an appointment);
• Colonoscopy (to make an appointment) / sigmoidoscopy (to make an appointment);
• Irrigoscopy (X-ray of the intestine with contrast) (to make an appointment);
• Computed or magnetic resonance imaging (make an appointment);
• Analysis of feces for calprotectin;
• Blood test for the presence of antineutrophil cytoplasmic antibodies;
• Blood test for the presence of antibodies to saccharomycetes.

Usually, first of all, a general blood test, a scatological analysis of feces, a fecal analysis for worm eggs, an ultrasound of the abdominal organs, colonoscopy or sigmoidoscopy are prescribed. Irrigoscopy and CT scan are used as additional diagnostic methods to clarify a complex clinical situation. Tests for clostridium are prescribed only after all other studies have already been done and there are suspicions that colitis is provoked by taking antibiotics. Feces for calprotectin, blood for antibodies to saccharomycetes and antineutrophil cytoplasmic antibodies are prescribed for suspected Crohn's disease or ulcerative colitis and, most often, when a person cannot undergo a colonoscopy, sigmoidoscopy or tomography.

When at the same time in the lower abdomen on the right and left, as well as in the navel or in one of these areas, a dull, mild pain appears that does not subside with time, combined with vomiting, dry mouth, loss of appetite, jumps in blood pressure, rapid heartbeat (up to 100 beats per minute) and breathing (40 breaths per minute) and elevated body temperature, the doctor prescribes a list of the following tests and examinations to distinguish mesadenitis from other diseases and identify its causes:

• General blood analysis;
• General urine analysis;
• Biochemical blood test (bilirubin, urea, creatinine, total protein, amylase, AsAT, AlAT, alkaline phosphatase, LDH);
• Analysis of feces for occult blood;
• Coprological analysis of feces;
• Mantoux test, diaskin test or blood test for mycobacterium tuberculosis;
• Blood test for antibodies to hepatitis A, B, C viruses (by ELISA method);
• Blood culture for sterility;
• Blood analysis PCR method for the presence of microbes that can cause mesadenitis (enteroviruses, Epstein-Barr virus, Yersinia, streptococci, staphylococci, campylobacter, salmonella, E. coli);
• Tests for ascariasis, enterobiasis, opisthorchiasis, giardiasis;
• Ultrasound of the abdominal organs;
• X-ray of the abdominal cavity (to sign up);
• colonoscopy;
• Computed or magnetic resonance imaging;
• Diagnostic laparoscopy (to sign up) with the collection of pieces of tissue from inflamed lymph nodes for histological examination.

As a rule, if mesadenitis is suspected, all of these studies are prescribed and performed, as this is necessary to establish the exact cause of the disease and, accordingly, the appointment effective treatment. However, they can prescribe and perform only a colonoscopy or tomography, and neglect X-rays. When paroxysmal pains appear in the lower abdomen on the left, which radiate to the groin and lower back, are combined with urination disorders (admixture of blood in the urine, pain during urination, frequent urge to urinate, etc.), make the person constantly in motion, since it is not possible to find a position in which the pain subsides at least a little, the doctor prescribes the following tests and examinations:

• General urine analysis;
• General blood analysis;
• Ultrasound of the kidneys (to sign up) and the bladder;
• Cystoscopy (make an appointment);
• Urography (X-ray of the organs of the urinary system with the introduction of a contrast agent) (to make an appointment);
• Kidney scintigraphy (to make an appointment) and urinary tract;
• CT scan.

First of all, a general blood and urine test, ultrasound of the kidneys and bladder and urography are prescribed, and only if these methods do not allow an accurate diagnosis, the doctor may additionally prescribe scintigraphy, cystoscopy and tomography.

If the pain is felt in the pubis, urethra, in the center of the lower abdomen and spreads to the left lower abdomen, is combined with frequent and painful urination, urine is cloudy or contains an admixture of blood, the doctor may prescribe the following tests and examinations aimed at detecting cystitis:

• General blood analysis;
• General urine analysis;
• Urinalysis according to Nechiporenko (sign up);
• Biochemical analysis of urine (creatinine, salts, etc.);
• Bacteriological culture of urine to identify the causative agent of the inflammatory process;
• Blood and scraping from the urethra to identify pathogens of sexual infections (gonorrhea (enroll), chlamydia (enroll), bacterial vaginosis, ureaplasmosis (enroll), mycoplasmosis (enroll), candidiasis, trichomoniasis);
• Uroflowmetry (urine flow study) (to make an appointment);
• Ultrasound of the bladder (make an appointment) and kidneys;
• Cystoscopy.

As a rule, the doctor first prescribes urine tests, bacteriological culture or scraping or blood tests for the presence of pathogens of sexual infections (sign up), ultrasound of the bladder and kidneys, since these studies are in most cases sufficient for diagnosis. Other tests from the list are assigned only as additional ones when, after performing the usual, standard research failed to achieve an accurate diagnosis.

Pain in the lower abdomen on the left, which is combined with frequent bowel movements a small amount liquid stool, rumbling, bloating, painful bowel movements, lack of relief after bowel movements and sometimes vomiting, indicates an intestinal infection. The doctor in this case prescribes the following examinations to identify the specific microorganism that provoked the pathology:

• Bacteriological culture of feces, vomit or washings;
• Blood test for the presence of antibodies to pathogens of intestinal infections (Salmonella (sign up), Shigella, Vibrio cholerae, rotavirus, etc.) using ELISA and RNGA methods;
• Analysis for the detection of DNA of pathogens of intestinal infections by PCR in feces, vomit, washings, blood;
• Colonoscopy or sigmoidoscopy;
• Irrigoscopy.

As a rule, if intestinal infections are suspected, bacteriological culture and tests of blood, feces, vomit or washings for the presence of infectious agents are first prescribed. However, if the symptoms do not go away during treatment and there is a suspicion of more severe intestinal damage, the doctor prescribes a colonoscopy, sigmoidoscopy or barium enema.

If there are dull, pulling, aching pains in the lower abdomen on the left, spreading to the groin and leg, combined with a protrusion in the inguinal fold, aggravated by exertion, then the doctor prescribes an ultrasound scan (to be recorded), which is quite enough to detect a hernia.

If a person has pains in the lower abdomen of a pulling-aching nature, aggravated or appearing with sudden movements, stress or physical exertion, during the period of intensification acquiring an acute and stabbing character, not combined with other symptoms, present for a long time, then the doctor prescribes a general blood test, a general urinalysis, abdominal ultrasound, x-rays with contrast, or tomography to look for adhesions.

Sudden paroxysmal pain in the lower abdomen on the left (at first it can be over the entire surface of the lower abdomen, but then shifts to the left) or pain of a dull, aching nature that appeared after stress, hypothermia, physical activity in the left lower abdomen, which can spread to the sacrum, lower back, groin or rectum, associated with pain when urinating, irregular menstrual cycle, irascibility, increased fatigue or elevated body temperature, prompts the doctor to think about inflammation of the uterine appendages, and he prescribes the following tests and examinations:

• General blood analysis;
• General urine analysis;
• A smear on the flora from the vagina (to sign up);
• Analysis of blood, vaginal discharge and scraping from the urethra for genital infections (for chlamydia, mycoplasmas, gardnerella, ureaplasma, trichomonas, gonococci, Candida fungi);
• Tests for the presence of viruses - herpes virus types 1 and 2, human papillomavirus (enroll), cytomegalovirus (enroll), Epstein-Barr virus;
• Blood test for syphilis (make an appointment);
• Bacteriological culture of the vaginal discharge;
• Ultrasound of the pelvic organs (make an appointment);
• Hysterosalpingography (to sign up).

Usually, doctors do not prescribe all of the above tests at once, but only an ultrasound of the pelvic organs, a smear on the flora from the vagina, as well as a general blood and urine test, which are often enough to make a diagnosis. However, if the indicated methods failed to make an accurate diagnosis, other studies listed above are additionally assigned.

With pulling and aching pain in the lower abdomen on the left, which occurs periodically, is often caused by sexual intercourse, combined with intermenstrual bleeding or lengthening of the cycle, the doctor usually prescribes only an ultrasound of the pelvic organs and a smear on the flora. Additionally, blood tests for the concentration of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone and prolactin (enroll) may be prescribed to find out the cause of the formation of ovarian cysts.

With dull, pulling, aching pain in the lower abdomen on the left, aggravated by menstruation and load, radiating to the lower back, coccyx, sacrum or rectum, combined with the release of clots during menstruation and with frequent urination, the doctor prescribes an ultrasound of the pelvic organs, hysteroscopy (make an appointment) or, if possible, computed or magnetic resonance imaging, since these studies are needed to diagnose uterine neoplasms. In addition, the doctor may prescribe a general and biochemical analysis blood, urinalysis, coagulogram, blood test for sex hormones (LH, FSH, testosterone, etc.) to assess the general condition of the body.

When a man experiences pain in the lower abdomen on the left, combined with pain in the perineum, left side and lower back, as well as urination and erection disorders, the doctor prescribes the following examinations to diagnose prostate disease:

• General urine analysis;
• General blood analysis;
• Palpation of the prostate through the anus with a finger;
• Ultrasound of the prostate (make an appointment);
• Microscopy of prostate secretion (to sign up);
• Bacteriological culture of urine, prostate secretion and urethral swab to identify the pathogen and its sensitivity to antibiotics;
• Analysis of prostate secretion, smear from the urethra or blood for genital infections (chlamydia, candidiasis, ureaplasmosis, mycoplasmosis, trichomoniasis, gonorrhea, bacteroids);
• Blood test for syphilis;
• Blood test for the content of sex hormones and tumor markers (to sign up) (sex hormone-binding globulin, testosterone, prostate-specific antigen).

In practice, ultrasound of the prostate, palpation of the prostate, microscopy of the secret of the prostate, a smear from the urethra and general analyzes blood and urine. And only if these tests were not enough to make a diagnosis, the doctor additionally prescribes other examinations from the list.

When there is a suspicion of the presence of a tumor (persistent pain in the lower abdomen on the left, taste perversion, loss of appetite, causeless weight loss, flatulence, bloating, persistent constipation), the doctor prescribes an x-ray (make an appointment) and ultrasound of the abdominal organs, computed or magnetic resonance imaging, general and biochemical blood and urine tests, colonoscopy, sigmoidoscopy, etc., to assess the general condition of the body, and find out the exact location and size of the tumor formation. And the oncologist can additionally prescribe tests for oncomarkers, which he chooses depending on the affected organ and the type of tumor.

Pain in the lower abdomen

If a person is constantly worried about pain in the intestines in the lower abdomen, this indicates that there are pathological processes which lead to such a condition and a deterioration in the quality of life. What diseases provoke pain in the intestinal area, what to do if the disease often worries, what ways will help get rid of discomfort, and why you need to see a doctor and not self-medicate?

Reasons for the appearance

The factor that most often provokes acute pain in the abdomen on the right or left is severe and poor quality food. If you eat spicy, fatty and fried foods every day, the intestines will begin to give signs that something is not right with it. A person has abundant gas formation, colic, pain, problems in the process of emptying. Cause pain and products that the patient allergic reaction. The substances of such food are poorly absorbed by the intestines, fermentation, gas formation begins and painful sensations appear in the left or right abdomen, when a person is emptied, pain bothers, constipation is replaced by diarrhea.

Aching pain and discomfort in the intestinal area occurs and as a result stressful situations when there are problems with the spine, with infectious diseases genitourinary system and when the patient congenital anomalies organ development. Malfunctions in the work of the body also appear as a result of abuse alcoholic drinks smoking, drug use. Hormonal changes in women, they also play a role in bowel function, and fluctuations in hormones cause intestinal upset, cramps, and other discomfort.

Acute pain and cramps in the intestinal region also appear as a result of a disease of the organ itself, when inflammatory, erosive and other pathological processes occur in it, the pain is not concentrated in a specific area, it manifests itself both on the left and on the right side If dietary restrictions have not brought results , the pain intensifies, especially aching at night, this indicates that a person develops a dangerous pathology that requires identification and timely adequate treatment.

If a woman has pain in the lower abdomen, this is the first sign of pregnancy. The reason for this state of affairs is the change hormonal background when the body is rebuilt and the organs change their functions in order to bear the unborn child without complications. But if during pregnancy cramping pains appear on the right or left side of the abdomen, they are accompanied by bloody discharge from the vagina, this indicates that there are problems and you need to consult a doctor for help.

If a miscarriage occurs, then in addition to pain in the lower abdomen and bleeding, the woman's health worsens, her temperature rises, her whole body aches, and loss of consciousness is possible. In this case, you need to consult a doctor. A fragment of the fetal egg may remain in the uterus, which needs to be disposed of, if this is not done on time, then the risk of developing inflammation in the uterine cavity increases, and this severe complication which poses a threat to a woman's life.

Diagnosis of pain in the intestines in the lower abdomen

If abdominal pain bothers you regularly, the diet does not bring any result, and the person feels worse and worse, you can not pull and self-medicate. In order to exclude the diagnosis or confirm it, they seek advice from a gastroenterologist, he directs the patient to a diagnostic study, which is selected taking into account the symptoms and nature of the disease. Diagnosis of the disease includes:

• examination and palpation of the patient's peritoneum, asking about the main symptoms, when pain manifests itself, is there a pattern;
• collection of analyzes of feces, urine, general and biochemical blood tests;
• endoscopy of all parts of the intestine;
• x-ray of the intestine with the use of a contrast agent.

Diagnosis involves preparatory procedures that must be followed, according to the recommendations of the attending physician. With x-rays, the patient should not eat 12 hours before the procedure; on the eve, all foods and dishes that cause fermentation and gas formation are excluded. On x-rays, the intestines are emptied by using enemas or a laxative. All aspects and subtleties of preparation for research are voiced by the doctor. When the diagnosis is established and the cause of the pain in the intestines is known, treatment is prescribed.

What to do in the treatment of the disease?

When the results of the tests have shown the root cause of pain in the intestines, the doctor prescribes treatment. If the cause of pain in the intestines is inflammatory processes with the addition bacterial infection, a course of antibiotics is prescribed, it lasts 5-7 days, after which repeated tests are given and the doctor draws conclusions about the success and cure, or the therapy is extended until complete recovery.

If a painful symptom arose as a result of an imbalance in the intestinal microflora, prebiotics are prescribed and special diet aimed at normalizing beneficial microorganisms in the intestines. With inflammation of appendicitis or acute intestinal obstruction, an operation helps, in which the root cause of the disease is eliminated.

With severe pain, you can use No-shpu.

For pains that cannot be tolerated, the doctor prescribes drugs that can relieve pain and spasms, No-shpa copes well with this. But it must be remembered that the removal painful spasms does not solve the root cause, if pains and cramps in the abdomen often appear, you can not tolerate it, but seek help from a medical institution. To improve the functioning of the intestines, the doctor prescribes enzyme medicines, they help digestion and the functioning of the organs of the gastrointestinal tract.

The cause of pain in the intestines is also a disease of the stomach, it is an ulcer, gastritis, reflux esophagitis. These diseases affect intestinal motility, interfere with its normal operation suppress beneficial microflora. To eliminate uncomfortable sensations and symptoms, the root cause of the disease is eliminated, and accompanying manifestations pass along with it.

Treat the intestines effectively and in folk ways. Leaf green tea, which contains many antioxidants and trace elements that can improve bowel function, will help get rid of the disease. You can drink green tea with honey and lemon if the acidity of the stomach is normal. An infusion of raisins will also help to improve the functioning of the intestines. To prepare it, a handful of raisins is taken, poured with boiling water and infused for 15-20 minutes. You need to drink the infusion 2-3 times a day before meals. A mixture of honey and aloe is also used to relieve painful symptoms. For its preparation, the fleshy parts of the flower are taken, crushed in a meat grinder or blender, mixed with honey. This mixture is taken 3-4 times a day before meals.

diet therapy

In diseases of the intestines and digestive organs, it is necessary to observe medical nutrition, in which irritating foods are excluded, and sparing food is preferred, which helps to restore the mucosa and stimulates intestinal and stomach motility. Food is steamed or boiled, a small amount of salt and spices is used, and the consumption of black tea and coffee is also limited.

White should be excluded from the menu fresh bread, muffins, sweets with butter creams, chocolate, sweet soda. From drinks, it is preferable to drink fresh juices, herbal teas and infusions, fruit drinks, compotes. Set up the work of the intestines and populate it beneficial microflora sour-milk drinks will help - natural yogurt, fermented baked milk, kefir. Depending on why and how the intestines hurt in the lower abdomen, the doctor will help you make the right diet.