Weak pain in the lower abdomen in men. Diagnosis based on additional symptoms. Symptom classification

As a rule, the lower abdomen hurts more often in women than in men. For representatives of the beautiful half of humanity, such discomfort can be periodic. As for men, they often do not notice such pains at all. Remember that when it comes to health, attention should be paid to every little thing. As soon as you feel pain in the lower abdomen, immediately go to the hospital.

Summary of the article

The symptoms that appear may be symptoms of some urological disease. Also, diseases of the musculoskeletal system and gastrointestinal tract, pathologies in the prostate are not excluded.

The nature and localization of the pain

Only knowledge of the specifics of the pain syndrome will help the specialist determine why a man has a stomachache. Important data about localization, prerequisites and sensations that took place even before the onset of pain.

Most likely, the doctor will ask you to describe in detail what you feel. The pain can be stabbing, cutting, sharp and dull. It is important to note that pain sensations can proceed in different ways: at a pulsating pace, in the form of contractions, very sharply. In certain cases, pain is given to the rectum, penis and perineum. If the pain appeared suddenly, then pathology is not excluded. In general, your diagnosis in cases of this kind can be the most unpredictable: from small digestive problems to organ rupture.

If the dull pain gradually increases, then it is quite possible that there are some inflammatory processes in your body. They may be sluggish. If the pain pulsates, then it can be assumed that pressure rises in the genitals (this is true, for example, with obstruction of the urinary canals or intestines). For pathological processes in the peritoneum, attacks of pain are also very characteristic signs.

Pain can be given to the lower abdomen when sneezing, bending over or during physical exertion. Accompanied by fever, nausea and other unpleasant symptoms. The doctor must know about all this. The therapist will definitely refer you to a traumatologist, proctologist or urologist.

Diseases that cause pain in men in the lower abdomen

In certain cases, discomfort appears after drinking too much or poor quality food. The same can be said for drinks. Chemicals or overdose quite often become the causes of poisoning of the body. In this situation, the diagnosis will not take much time. You will feel nausea, weakness, pain, and also suffer from diarrhea.

In case of poisoning, you should be prescribed complex treatment. It is necessary to wash the stomach, and also take Activated carbon or some other absorbent. Antibiotics are prescribed only in the most difficult cases. After recovery, such patients are prescribed drugs that help restore the intestinal microflora.

Diseases that are accompanied by pain in the lower abdomen can be chronic. Pain in this case can be both on the left and on the right. The most interesting thing is that in the first stages you may simply not feel any discomfort. As a rule, pain is caused by certain disorders that relate to the work of the genitourinary system of the body.

If you have chronic cystitis initial stage then urination may be difficult. After that, the disease goes into an acute stage. An inflammatory process begins in the bladder. A dull pain covers the lower abdomen. Over time, the pain becomes more and more acute.

If discomfort is associated with the inguinal region, then remember that in this case one of the causes of pain may be inflammation of the appendix. The pain is aching. It is located in the lower abdomen. However, in some people, the appendix is ​​located closer to the middle. Be sure to consider this factor. There may be nausea. An increase in temperature is also possible.

Calling an ambulance for such symptoms is something mandatory. During an attack of appendicitis, it is forbidden to take painkillers. Some "experts" in such cases even apply a hot heating pad to the man's stomach. This cannot be done! If you have bowel obstruction, you may experience similar sensations. Pain can be caused by varicocele disease. With this disease, the veins of the spermatic cord expand. As a rule, physical activity is the cause of such pain.

Also, do not forget about the inguinal hernia. You can easily identify infringement by a number of external signs. The groin area will swell. The asymmetry of the sides of the inguinal region is not excluded. AT lying position the bulge may not be as obvious. The pain in the described situation will be aching in nature.

As for oncological diseases, in such cases, pain in the lower abdomen appears extremely rarely. As an exception, only a tumor in the intestine can be imagined. In this case, the tumor exerts a certain pressure on neighboring organs.

Pain with prostatitis

Pain in the lower abdomen, which are pronounced, may be the result of prostatitis. The inflammatory process in the prostate at the initial stage may not manifest itself in any way. As a rule, such pains are pulling. They occur when there are clinical signs of the disease.

For inflammation of the prostate gland, pain in the scrotum and perineum is characteristic. She is given to groin. When inflammation develops, discomfort may also appear in the lower back and lower abdomen. Problems with the localization of pain may arise due to the fact that it is vague.

If the treatment of prostatitis is not carried out, then the pain that once appeared in the lower abdomen will definitely become more acute. Now discomfort will accompany you during trips to the toilet. With regret, we have to state the fact that under such conditions, sexual functions can decrease even in a young guy.

A neglected disease can result in the development of prostate adenoma. The prostate, which is enlarged, puts pressure on the urethra. In this case, aching pains cannot be avoided. The general condition of the patient becomes worse.

If the prostatitis is chronic, then the pain will not be so pronounced. They will only appear from time to time. Such pain can be exacerbated by alcohol abuse, overwork, etc.

Prostatitis becomes chronic due to the following reasons:

• The appearance of an infection in the prostate;
• Sedentary lifestyle;
• Too frequent use of alcoholic beverages;
• Problems with sexual life;
• Hormonal and metabolic imbalance.

Acute and chronic sharp pains from time to time are supplemented by a feeling of nausea and a decrease in pressure. If you have any of these symptoms, go to the hospital right away.

Immediate measures for severe pain in the lower abdomen

Special measures must be taken in the following cases:

1. The pain is aggravated by coughing or body movements;
2. If the abdomen is tense and the pain does not subside within 60 minutes;
3. Kal became black. It may have blood clots;
4. Before the onset of symptoms, some difficulty with bowel movements was recorded;
5. There is a pre-fainting state;
6. The pain is accompanied by nausea, decreased pressure, sweating and increased heart rate.

Do not rely on your knowledge. In any case, you cannot independently cause the appearance of pain in the lower abdomen.

That is why, when symptoms of this kind appear, you should immediately call ambulance.

However, before the arrival of the doctor, you can take the following measures:

1. Place a heating pad filled with ice on the patient's abdomen. If there is no heating pad, then a bottle that is filled with cold water. Keep a heating pad or bottle on the patient's stomach should be no more than an hour;
2. A man should take two no-shpa tablets;
3. Do not use enemas, laxatives, and pain medications on your own;
4. Don't eat or drink. If the thirst is too strong, then simply moisten the tongue and lips.

Any pain that appears in your lower abdomen may be a sign of some serious illness. If symptoms of this kind appeared in children, then your reaction should be immediate. We are talking about an urgent trip to the hospital or calling an ambulance.

Women suffer from pain in the lower abdomen, so their occurrence in the body of a representative of the stronger sex can cause confusion. Many diseases of a chronic nature are found in this way, and some are considered purely male ailments.

Symptom classification

Often, men do not pay due attention to pain in the lower abdomen, attributing everything to indigestion, drinking alcohol, and overeating. However, discomfort can signal much more. serious problems with health. It is worth listening to the nature of sensations because:

1. Sudden pain attack accompanies acute development pathological processes. This occurs when ruptures of organ tissues, diseases of the genitourinary and digestive systems. For example, with acute pain, manifestations of obstruction of the urinary organs, intestines, and pathological exacerbations in the peritoneum are not uncommon.
2. Gradual, increasing pain may also indicate the presence of inflammatory process, obstruction. Often, such sensations signal that the disease has a sluggish course.
3. Pain of a rhythmic, pulsating nature occurs with an increase in intracavitary pressure in the internal organs.
4. Prolonged, continuous pain in the lower abdomen often accompanies inflammatory processes.

Pain happens when various pathologies who have other symptoms, so you should listen to your body more carefully so as not to wait for complications.

But the importance is not only the nature of the occurrence of pain, but also its intensity. It can be aching, sharp, tingling, dull. The type of sensations can facilitate the diagnosis of pathology, since each ailment has a certain type.

1. On the right side, it is often a sign of inflammation of the appendix of the caecum (appendicitis). In this case, urgent medical attention is required, since self-medication can lead to a significant deterioration in the condition and serious complications. Pain on the right can occur with an inflammatory process in the pancreas (pancreatitis) or the peritoneal region (peritonitis). In these cases, the sensations are of high intensity, they are unbearable. Required emergency appeal for medical help.
2. On the left side, they can occur against the background of an inflammatory process in the organs of the genitourinary system. In this case, the pain may be widespread and affect areas far from the lesion. For example, with inflammation of the intestine, soreness covers the entire peritoneum.

Andrology is a branch of medicine that studies typical male diseases. The complexity of diagnosis lies in the fact that the pathologies of the abdominal organs and the genitourinary system of men have similar symptoms. It is important to recognize the symptoms of male diseases in time and accurately and start adequate treatment. In this article, we will consider the possible causes of diseases and say what to do if the lower abdomen hurts in men.

Men hardly admit the idea that they may someday get sick and have to seek help from doctors. The strong sex is disgusted by the very fact that disease state deprives a person of his former activity and makes him helpless. Especially when it comes to diseases of the intimate sphere. After all, doctors will have to describe in detail the occurrence of symptoms such as diarrhea, urinary incontinence, premature ejaculation, lack of erection. Pain in the lower abdomen in the stronger sex occurs for various reasons.

Pain in the lower abdomen can be caused by various pathologies of the internal organs. Disorders in the functioning of the kidneys and intestines are accompanied not only by severe pain, but also by digestive disorders (diarrhea, constipation), impaired urination, fever, chills, and fever. It can be an intestinal ulcer, appendicitis, kidney failure, cholecystitis, pyelonephritis, etc.

Typically, male diseases develop in the area of ​​​​the internal and external genital organs. Their symptoms may resemble those of organ diseases. abdominal cavity. But inflammatory processes occur in the "male" zone (internal and external genital organs). Internals include: prostate, bladder, seminal vesicles, cavernous bodies. External - testicles, penis, urethral outlet.

Rapidly progressing male pathologies can lead to various complications, and then it is necessary to treat both the underlying disease and the concomitant one. Such "secondary" diseases include urethritis, cystitis, impotence, infertility.

Prostate adenoma

Prostate adenoma is a male disease in which a benign enlargement of the prostate gland occurs, causing a narrowing of the urethra and associated urinary disorders. These processes cause congestion in the kidneys and bladder. Symptoms increase gradually. Pain in the lower abdomen and in the groin area in a man - typical feature, signaling an inflammatory process, which in some cases leads to acute delay urine.

The disease can provoke:

• Infectious diseases affecting the genital area.
• Sedentary lifestyle.
• Work associated with a long static position of the body (drivers, office workers).
• Age-related changes in the body.
• Hypothermia.
• Availability bad habits
• Intestinal disorders (diarrhea, constipation).

The people leading healthy lifestyle life, are much more likely to avoid the development of this pathology.

With the development of the disease, pain of varying intensity in the lower abdomen in a man is felt along with other signs characterizing a certain stage of the disease:

• 1 stage. The bladder is still emptying completely, but at night the urge to go to the toilet occurs much more often. In order to feel relief, the patient has to contract the abdominal muscles. The stream of urine is weak, urination takes a long time. There is a feeling that the bladder is not completely empty.
• 2 stage. The mucous membrane of the bladder swells, urination occurs only due to the efforts of the muscles abdominals. Urine may be excreted in small portions intermittently. Upper urinary tract can be squeezed, which interferes with the outflow of urine and can cause acute, stabbing pains in the pubic area with muscle tension. The bladder is not completely emptied - after each urination, up to 100 ml of urine can remain in it. The work of the kidneys is disrupted, which provokes a feeling of constant thirst. There is a taste of bitterness in the mouth.
• 3 stage. The bladder cannot be emptied even with repeated muscular effort. Urine is excreted spontaneously in small volumes (20-30 ml). The urge to go to the toilet is constant. Since urine is not excreted, the process of intoxication of the body begins, which is expressed through severe nausea, headache. The swollen bladder is easily palpable through the walls of the abdomen.

Prostate adenoma is dangerous because it can lead to acute urinary retention, in which in some cases the only way to save the patient is an urgent surgical operation.

Pain in the lower abdomen (above the pubis and below) in a man requires an immediate and thorough examination of the body, including:

• Cystoscopy.
• Rectal digital examination.
• Radiography (urography).

If the illness is in mild form, pain different nature(aching, sharp) in the lower abdomen of a man is treated conservative way aimed at restoring the patency of the urinary outlet. In each case, the drugs are prescribed individually by the attending physician. These can be medicines that facilitate the process of urination: Alfuzosin, Finasteride, Kamiren, etc. good effect provide means, the main components of which are medicinal herbs: African Plum Bark Extract (Trianol), Creeping Palm Fruit Extract (Prostoplant)

In the absence of positive results of treatment doctors resort to radical methods: bladder catheterization (a catheter is inserted into the urethra to drain urine), epicystomy (the imposition of a bladder fistula on the suprapubic region), resection of the prostate gland.

Orchiepididymitis

Orchiepididymitis is an inflammatory process that occurs in the testicles and its appendages. Pain of an acute nature in the lower abdomen in a man requires immediate examination and treatment, otherwise the inflammation can develop into an abscess of the scrotum, dropsy of the testicle.

The following causes lead to the disease:

• Infections transmitted through sexual contact (gonorrhea, chlamydia, etc.).
• Inflammation of the urinary tract (cystitis, urethritis).
• Testicular injury.
• Postoperative complications.

Unpleasant symptoms in the lower abdomen in men increase rapidly if no treatment measures are taken in time.

The disease in the acute stage "reports" about itself:

• Unpleasant sensations on one side of the scrotum.
• Unilateral increase in the size of the testis.
• Swelling of the scrotum.
• Redness of the outer skin.
• Elevated body temperature up to 40 ° C.

Pain in the lower abdomen can be sharp, pulsating, stabbing in nature, which subside a little when the scrotum is elevated. The patient has difficulty moving. During an acute attack, the patient is shown complete rest.

At chronic form diseases:

• The pain subsides for a while, but periodically returns and becomes stronger. The pain may radiate to the groin, to the lower abdomen.
• Discomfort increases with movement, during and after ejaculation, pulsating sharp pain may appear in the genitals (if the vas deferens are compressed), erectile dysfunction appears.
• From time to time, body temperature rises for no apparent reason.

If the disease is not treated, it can become purulent form, in which an abscess of the diseased testicle occurs, then scarring begins in the affected tissues, which can cause impaired patency of the vas deferens and subsequent infertility.

To obtain accurate data, diagnostic methods are used:

• Bacteriological and microscopic examination of smears that the doctor takes from the urethra.
• Biochemical and blood tests (pain in the lower abdomen can be caused by hepatitis, syphilis, AIDS).
• Examination of the secretion of the prostate gland under a microscope.
• Checking the body's sensitivity to antibiotics by testing if the causative agent of the disease is identified.

Based on the results obtained, the doctor decides on further hospitalization of the patient and treatment using conservative or surgical methods.

In order to stop the inflammatory process, and also if the disease is bacteriological in nature, antibiotics from the group of sulfonamides, penicillins, cephalosporins are prescribed. Pain medications are used to reduce pain.

Pain in the lower abdomen is reduced through the use of a suspensorium (a special supporting bandage that lifts the scrotum). In the morning, the suspensoria is put on, and at night it must be removed. After the patient's condition stabilizes and the temperature returns to normal, the use of tight swimming trunks and underpants made of natural fabrics is allowed.

Further efforts of the medical staff are aimed at restoring testicular function. Various physiotherapy procedures have a good effect, such as exposure to electric and magnetic impulses, laser and ultrasound therapy, etc.

Pain in the lower abdomen, accompanied by suppuration, require surgical intervention. The abscess opens up. With dropsy, a puncture and subsequent aspiration of the fluid are performed.

During treatment, sexual activity is prohibited. Spicy, fatty, salty dishes and others are excluded from the menu. harmful products, provoking appetite and digestive disorders (diarrhea, constipation).

Another condition in men that can cause lower body pain is varicocele. The veins surrounding the spermatic cord of the testis begin to gradually expand due to the fact that the outflow of venous blood is disturbed. The diseased testicle increases in size. The pain begins to radiate to the groin area, increases with movement and can radiate to the pubic area. Left-sided varicocele is more often observed, although cases of bilateral testicular lesions are also diagnosed.

The disease is caused by the following reasons:

• Congenital anatomical features(weak vascular walls).
• Violations in the work of the venous valves that regulate the flow and outflow of blood.
• Severe physical exertion, which may disrupt the operation of the valves.
• Stagnation in the tissues caused by overheating of the testicles (the use of synthetic tight underwear that disrupts heat transfer).
• Tumor formations that disrupt blood flow, etc.

There are many reasons for the appearance of varicocele, but common to all cases are a violation of oxygen metabolism in cells, a slowdown in the outflow of venous blood, and swelling of the affected tissues.

The symptoms of the disease depend on its stage:

At stage 1, the disease manifests itself through:

• Discomfort in one side of the scrotum.
• In a standing position, enlarged veins are palpated on palpation.

At 2 stages:

• Burning, sharp pains appear in the scrotum.
• One of the testicles increases in volume (with a unilateral varicocele).

At 3 stages:

• The veins in the testicles increase so much that they are palpable in a standing and lying position.
• The asymmetry of the testicles is noticeable even to the naked eye.
• Pain can radiate to the perineum, groin, lower abdomen.

At 4 stages net venous vessels takes the form of a bunch of grapes, is easily palpable, there is a strong asymmetry of the testicles.

As a rule, the disease does not manifest itself in the early stages and is detected only after a routine examination, so it is important not to ignore such events.

Diagnostic measures are carried out both in a standing position and lying down.

• Careful external examination and palpation of the pampiniform plexus.
• Valsava test (straining of the testicle, which accelerates the filling of tissues with blood).
• Spermogram.
• Dopplerography.

Only a comprehensive examination will help to establish true reason diseases, and, therefore, prescribe the right treatment.

In uncomplicated forms, drugs are prescribed that restore blood circulation in the tissues of the testicle. If the disease progresses, then they can be prescribed operational methods treatments such as:

• Laparoscopic surgery.
• Operation Ivanissevich (vein ligation).
• Operation Marmara (transplantation of the egg vein into the supra-abdominal), etc.

In some cases, the disease may not manifest itself in any way, and the man does not even realize that he develops a varicocele. But the danger is that the increasing symptoms of the disease can lead to infertility. Therefore, if you experience pain, you should immediately consult a doctor.

Prostatitis

Prostatitis is an inflammatory process in the prostate gland, occurring in an acute form or having a sluggish, chronic character. There are non-infectious prostatitis (caused by congestion in the tissues) and infectious (it is provoked by infectious pathogens).

Why does the lower abdomen hurt with an infectious infection? Pathogenic microorganisms enter the body when:

• ignoring the rules of personal hygiene.
• infection through sexual contact, if the partner suffers from diseases of the genital organs.

Exciter through urinary tract rises higher, affecting the prostate gland.

Cutting pain can also occur with non-infectious infection, when inflammation is the result of toxic poisoning(excessive alcohol consumption) or is the result of an allergic reaction.

The disease is accompanied by congestion in the pelvis. The stomach hurts both because of prolonged sexual abstinence, and when excited. And discomfort can occur in the abdomen both on the lower left and on the right.

Some men note that after urination, not only the stomach hurts, but also the groin area. Pain syndrome can develop in the testicles and scrotum. In some cases, it irradiates to the rectum, sacrum, lower back. If the lower abdomen hurts, then at any time the disease can take on an acute character, which can cause serious complications later.

During an exacerbation:

• The pains are sharp and cutting.
• The semen may contain blood.
• When urinating, there is severe pain and burning.
• Abundant discharge appears from the urethra.
• An infectious disease may be accompanied by symptoms such as diarrhea, constipation and other intestinal disorders.

If a sick man does not go to a hospital, then the pathology from an acute form gradually turns into a chronic one.. The pain subsides for a while. Allocations are insignificant and are found mainly in the morning. Potency may be impaired. Pain syndrome occurs during defecation, during muscle tension sometimes after ejaculation. From time to time, sluggish symptoms will again develop into acute attacks.

Diagnostics consists in a thorough examination of the pelvic floor, including both the left and right areas, using:

• Digital rectal examination.
• Cystoscopy.

Also for diagnosis are used:

• Bacteriological and microscopic studies prostate secretions.
• Urinalysis, etc.

Based on these data, the doctor determines what caused problems in the abdomen from below, and prescribes a complex curative measures acceptance.

The patient is undergoing a course of treatment, including:

• Taking antibiotics.
• Taking drugs that restore the patency of the urethra.
• Taking painkillers.
• Physiotherapy.
• Urethral massage (eliminates congestion, restores a low level of male potency).

Of no small importance are the rejection of bad habits and malnutrition. Foods that in excess cause diarrhea or, as well as sedentary image life, have a very negative impact on the health and potency of men.

Vesiculitis

Inflammation of the seminal vesicles, which is chronic or acute, and in most cases is an “echo” of infectious diseases (gonorrhea, syphilis, chlamydia, etc.), is called vesiculitis. The inflammatory process can be unilateral or bilateral. In 80% of cases, bilateral vesiculitis is diagnosed.

Causes of disease:

• Prolonged and constant hypothermia of the body (work at low temperatures).
• Diseases of the genital tract caused by pathogenic microorganisms.
• Stagnation in the tissues of the genital organs.
• Sedentary lifestyle.

People at risk include those who do not follow the rules of personal hygiene, lead a promiscuous sex life, or deliberately refrain from intimate contacts.

Acute conditions are characterized by:

• Unpleasant sensations in the vulva, aggravated by defecation, urination, ejaculation.
• "Threads" of blood can be found in semen.
• Possible increase in body temperature.
• When probing the diseased area, a sharp pain occurs.

The sluggish form of the disease is expressed through:

• A state of general fatigue and weakness.
• Unpleasant sensations occur when the bladder is full.
• The temperature is within normal limits, but can rise from time to time.
• Strong, throbbing pains change to aching, pulling.

During the chronic course of the disease, acute attacks occur, and the time intervals between relapses are reduced over time.

To clarify the diagnosis, the doctor uses following methods diagnostics:

• Rectal examination.
• Sperm analysis.
• Ultrasound (ultrasound examination).
• A smear of secretory fluid is taken.
• If you suspect infection organisms are given blood tests.

In severe lesions, a large number of erythrocytes and leukocytes are found in the secret.

If the cause of the disease became pathogenic microflora The patient is prescribed antibiotics. Painful sensations during urination and defecation, difficult separation of urine are treated with anti-inflammatory and analgesic drugs. Also, in order to reduce pain during bowel movements, mild laxatives are prescribed. It is possible to use rectal suppositories. When the patient's condition stabilizes, hot baths and lotions, a diet, general strengthening exercises are prescribed. A good effect at the recovery stage is massage of the affected area.

In the acute period, physiotherapy and physical education are prohibited. During exacerbation, the patient must comply with strict bed rest.

If the patient's condition worsens, surgical intervention is required. The seminal vesicles are opened, their contents are removed, then they are washed antiseptic solutions. If necessary, seminal vesicles are removed completely.

Conditions Requiring Emergency Medical Care

Men do not like to talk about their problems, especially if they wear intimate nature. Therefore, many of them prefer to endure the pain in the lower abdomen, stoically withstanding the increasing symptoms. Unfortunately, such independent decisions can lead to dangerous conditions.

Consider in which cases you should immediately call an ambulance:

• A sharp (in a few hours) increase in body temperature to extreme values ​​​​(40 ° C).
• Severe soreness of the tissues on palpation, their increasing swelling.
• Chills, feverish condition.
• Pain shock, in which the patient may experience temporary clouding of consciousness.
• Inability to move (any attempt to change the position of the body causes "hellish" pain).
• Pain in the lower abdomen aching, pulling quickly change their character and become sharp, stabbing, pulsating, and then continue to grow.
• Acute urinary retention (there is an urge to urinate, but it is impossible to go to the toilet due to an attack of pain).
• Blood threads in urine or secretory fluid.

If a man has even a few of the above symptoms, you need to urgently call a doctor at home. Before his arrival, the patient must be laid on a horizontal surface, the lower part of the body should be freed from clothing (if a man is shivering, then he can be covered with a light blanket or blanket from above). It is possible to reduce the intensity of the pain syndrome with the help of an anesthetic drug that is in the home medicine cabinet. If the patient experiences intense thirst, this desire cannot be prevented.

Prohibited before the arrival of the doctor:

• Give strong drugs prescribed by a doctor's prescription.
• Make warming lotions, applications, compresses.
• Massage the affected area.

At serious illnesses Much depends on the correct actions of the victim and his loved ones. Another important point: the sooner the patient goes to the doctor, the less likely that the situation will have irreversible consequences. And the last thing: you can’t self-medicate, because the result of such an intervention may be an increase in symptoms, and precious time will be lost.

Do you still think that curing the stomach and intestines is difficult?

Judging by the fact that you are now reading these lines, victory in the fight against diseases of the gastrointestinal tract is not on your side yet ...

Have you thought about surgery yet? It is understandable, because the stomach is very important organ and its proper functioning is the guarantee of health and wellness. Frequent abdominal pain, heartburn, bloating, belching, nausea, stool disturbance... All these symptoms are familiar to you firsthand.

But perhaps it is more correct to treat not the consequence, but the cause? Here is the story of Galina Savina, about how she got rid of all these unpleasant symptoms...

Medicine knows many pathologies that are accompanied by pain in the abdomen. The etiology of spasms in women and men differs significantly. This is due to the physiological features of the structure of organisms. Therefore, pain in the lower right abdomen in men is more often provoked by some causes, and in women by others. You also need to take into account that discomfort in this area does not always indicate pathologies of nearby organs or systems. Many diseases begin with pain in the right side of the abdomen and then cover other parts of the body. A man at any age can face this unpleasant symptom.

Aching and pulling pain

According to the localization of sensations, you can determine the source that caused the discomfort. It will also tell a lot about the cause of the nature of the discomfort. For example, aching pain in the lower abdomen on the right in men most often indicates the development of prostatitis. Discomfort occurs not only in the peritoneum, but also extends to the perineum, groin and testicles.

Also, this disease is accompanied by other manifestations. A man suffering from this ailment has abdominal cramps and difficulty urinating. In addition, erection problems may occur. If urination and bowel movements are accompanied by a sharp pain in the abdomen, radiating to the anus and sacrum, this indicates acute prostatitis. If you do not take therapeutic measures, then the disease flows into chronic stage- prostate adenoma. In this case, there is erectile dysfunction and there is a dull, pulling, aching pain in the lower abdomen on the right in men.

These are not all the reasons that cause pain in the lower right abdomen in men. It is almost impossible to determine the true source on your own. Requires qualified medical assistance.

Pain in the lower abdomen in men does not occur just like that. In almost all cases, they indicate the development of some kind of ailment in the internal organs and require an immediate trip to the doctor. Often, pain in the lower abdomen in men is accompanied by additional symptoms that will allow the specialist to make an accurate diagnosis.

Features and causes of pain

Pain in men in the lower abdomen is different in intensity: pulling, sharp, cutting, dull, with spasms. In some cases, it is concentrated only in the lower abdomen, while in others it spreads to the left or right side, to the testicles, penis, inguinal region, and intestines. Pain may be exacerbated by walking, exercising, urinating, or having a bowel movement. It is strictly contraindicated to self-diagnose and even more so engage in treatment without prior consultation with a doctor. Any delay in going to the hospital can lead to serious consequences and even cost the sick person their life.

What can cause pain in the lower abdomen?

Most often, this unpleasant symptom appears with pathologies such as:

• prostatitis;
• cystitis;
• inflammatory processes in the testicles and their appendages;
• intestinal obstruction;
• appendicitis;
• infringement of an inguinal hernia;
• sigmoiditis;
• kidney disease;
• prostate cancer.

Diseases of the urogenital area

When pain in men covers the lower abdomen, it most often indicates the development of inflammatory processes in the organs of the genitourinary system. Among the most common ailments of the stronger sex is prostatitis - inflammation in the prostate gland, which can manifest itself in acute and chronic forms. The disease is characterized by pain in the suprapubic zone, which sometimes radiate to the perineum, scrotum, penis or anus and are accompanied by frequent and difficult urination.

In acute prostatitis, pain can be both weak and unbearably strong. The chronic form of the disease is characterized by drawing pains in the lower abdomen, accompanied by heaviness. Often, with inflammatory processes in the prostate gland, men complain of a decrease in potency. If left untreated, prostatitis can lead to acute urinary retention, and the only way out of the situation is urgent surgical intervention.

Drawing pains in the lower abdomen are characteristic of cystitis - inflammatory processes in the bladder that occur as a result of hypothermia or infection with sexual infections. Pain in cystitis covers the lower abdominal cavity. Against its background, there is a feeling of constant fullness of the bladder and an increase in the number of urges to the toilet. Urination with cystitis is accompanied by increased pain and strong burning sensation. With severe inflammation of the bladder, the patient may have a slight fever. Treatment for this disease is prescribed by a urologist.

Unpleasant sensations in the lower abdomen, which are accompanied by pain in the testicles, indicate the development of orchitis (inflammation of the tissues of the testicles) or epididymitis (inflammation of the epididymis). For these ailments of the male genitourinary sphere, in addition to acute arching pains, swelling, redness, and then blueness, of the scrotum are characteristic. There is also an increased temperature in the testicles. The increase in symptoms in orchitis and epididymitis occurs in a matter of hours. The advanced forms of these diseases are difficult to treat, so a man should go to the urologist as soon as possible after the first symptoms appear.

Abdominal pain: bowels

The lower abdomen in men can hurt with intestinal obstruction. The disease is indicated by a delay in bowel movement, in which the urge to defecate persists. Intestinal obstruction is characterized by dull pain in the lower abdomen, accompanied by spasms. In the course of the disease, a person experiences dizziness, weakness, fever, nausea and vomiting of fecal masses accumulated in the body. If you suspect intestinal obstruction, you should immediately contact a surgeon.

If it hurts in the lower abdomen with right side maybe it's appendicitis. This ailment begins with the onset of pulling or dull pain in the central region of the abdominal cavity, which gradually intensifies and is localized in the lower part of the right side. Acute pain is not the only symptom of appendicitis, it is characterized by fever, stool retention, nausea and vomiting. The treatment of the disease is carried out surgically, therefore, it is by no means possible to wait for the pain to go away on its own. If the patient is not operated on in time, he may die.

When a person has pain in the lower abdomen on the left, he often does not understand what it could be. If it hurts on the left, there is a possibility of developing sigmoiditis - a lesion of the sigmoid colon. Abdominal pain in a man, depending on the severity of the disease, can be of varying degrees of intensity (from pulling to fairly strong), spread to left leg and lumbar region. In the process of defecation and movement, the pain syndrome increases. The causes of sigmoiditis can be different: it can be provoked by intestinal infections, dysbacteriosis, insufficient intestinal circulation, radiation sickness and much more. The doctor prescribes treatment to the patient, based on the cause and characteristics of the course of the disease.

If a man has pain in the lower abdomen, this may be the result of an infringement of the inguinal hernia, when a spasm occurs in the area of ​​​​the hernia gate, and it comes out. With this pathology, there is a sharp pain in the suprapubic region and in the hernia itself. The patient's pulse quickens, constipation, weakness, nausea, and vomiting appear. Attempts to correct the protrusion lead to nothing. If an inguinal hernia is infringed, its contents may die off, which will lead the patient to death. The sooner the operation is done to a man, the more chances he has to avoid unpleasant and life-threatening consequences.

Pain in the lower abdomen in men can occur with kidney pathologies: pyelonephritis, urolithiasis, renal colic. Occasionally, pain manifestations in the suprapubic zone bother a person with cholecystitis. Pain can also occur with prostate cancer. As you can see, pain in the lower abdomen will not occur without a reason. They always indicate a serious illness and require a visit to the doctor.

Pain in the lower abdomen in men is associated mainly with inflammatory processes in the organs of the urogenital tract and digestive disorders. Men pay less attention to their diet, make mistakes in nutrition, which affects the condition gastrointestinal tract. A sedentary lifestyle, the use of large doses alcohol, smoking, chronic stress. Non-compliance with personal hygiene, hypothermia, unprotected sex can lead to disturbances in the functioning of the bladder, kidneys, and urinary canal.

The nature of the pain of such localization can be different. With intestinal pathologies, the pain syndrome is most often pulling, caused by spasms of the intestinal walls. With infectious lesions of the bladder and organs of the reproductive system, pain is usually sharp, stabbing, accompanied by cutting and severe burning. To determine exactly what caused the discomfort, the man will have to undergo an examination. In most cases, you may need to consult highly specialized specialists: andrologist, urologist, gastroenterologist. In the presence of blurred symptoms, a man will be offered an examination by a proctologist and an oncologist-surgeon.

In almost half of the cases, the appearance of pain in the lower abdomen on the right side is associated with acute or chronic inflammation prostate. The prostate (or prostate gland) is a tube covered with alveolar tissue and consisting of glandular fibers. The prostate gland is located between the bladder and the pelvic diaphragm and is responsible for the production of a special secret - one of the main chemical components of the ejaculatory fluid.

Inflammation of the tissues of the prostate gland is called prostatitis. It can be acute or chronic. Acute inflammation of the prostate is very rare - most often the pathology has a chronic asymptomatic course with periodic periods of exacerbation that occur 1-2 times a year under the influence of negative factors.

Signs of pathology in a chronic course include:

• moderate pulling pain just above the pubis, with right-sided localization;
• cramps, burning and discomfort when emptying the bladder (less often similar symptoms appear during defecation);
• constant desire to go to the toilet;
• disorders of the sexual sphere (weak potency, premature ejaculation, difficulty achieving orgasm).

Very often, pain in the lower abdomen is accompanied by acute pain in the groin, scrotum, penis. At infectious lesion pain can be given to the anus, lower back and sacrococcygeal zone.

Important! If you ignore the symptoms of prostatitis and delay treatment, it is possible to develop severe complications, for example, prostate adenoma - a benign formation resulting from the pathological growth of the organ. About 30% of men without treatment of the disease further experience impotence and infertility.

Urolithiasis in men

Urolithiasis is a pathology in which stones form in the kidneys and bladder. Calculi are dense formations in the form of stones, mainly consisting of organic salts. If a man is diagnosed with right-sided urolithiasis (the medical name for the disease), he will feel sharp and cutting pain in the right side of the lower abdomen.

Other signs of urolithiasis in men are:

• pain during intimacywhen the man is on top;
• nausea that appears at any time of the day and does not depend on food intake;
• frequent and painful urination;
• attacks of renal colic;
• drawing pains of high intensity in lumbar region and gluteal muscles.

Any factors can provoke an exacerbation of urolithiasis, but most often such symptoms are caused by malnutrition with high content salt and animal fats, exercise, certain medications, or alcohol abuse.

Important! Similar symptoms are characteristic of other disorders urinary system such as cystitis and pyelonephritis. With glomerulonephritis - inflammation of the renal glomeruli of an infectious, allergic or autoimmune nature - pain may be accompanied by swelling lower extremities, increase blood pressure and decreased daily diuresis.

Pain with inguinal hernia

Inguinal hernias occur in about 11% of men. In most cases, pathology arises and is detected in childhood and adolescence, but with an asymptomatic course and too small size protrusion inguinal hernia can be detected only at an older age. Conservative treatment on the this stage will be ineffective, so the use of various fixing dressings and bandages in adult men does not give any therapeutic result.

Hernias can usually occur due to weakness of the ligamentous and muscular apparatus in the abdominal area or, conversely, with constant tension of the abdominal muscles (for example, during sports or work associated with regular heavy lifting). Inguinal hernias are usually located in the inguinal canal - an anatomical region not exceeding 6 cm in length, in which the spermatic cord is located in an adult male. In boys, the testicles descend into the inguinal canal during fetal growth.

If the protrusion has big sizes, it can be seen visually. With small sizes, a hernia of the inguinal canal can be suspected by the following signs:

• pulling pain in the right side of the abdomen, which occurs during physical exertion;
• increased pain during coughing or sneezing;
• swelling of the tissues of the scrotum.

Treatment of hernias of the groin and scrotum is always surgical.

Note! If the above symptoms are accompanied sharp rise body temperature, soreness when pressing on the protrusion, reddening of the skin in the area of ​​​​the localization of the formation, acute pain during urination and emptying the intestines, it is urgent to call an ambulance. This clinical picture is typical for infringement of a hernia - dangerous state, at which there is a narrowing of the hernial ring. If the patient is not promptly provided with surgical care, hernial contents may escape into the peritoneum (acute peritonitis) and blood poisoning.

Pseudotuberculosis: how does pain manifest itself in this disease?

Pseudotuberculosis is an infectious disease that always has acute course and is called Yersinia. These are gram-negative bacteria belonging to the family of anaerobic enterobacteria, having the shape of a rod. medical name the disease is yersiniosis. Outwardly, the disease is very reminiscent of scarlet fever, often accompanied by systemic fever and red punctate rash.

Pseudotuberculosis in men most commonly affects cells in the liver and small intestine. The signs of the disease are:

• a rash in the form of small red dots on the legs, abdomen, buttocks and inner thighs;
• temperature rise to 39°-40°;
• fever;
• chills;
• pain in the lower abdomen (if the liver is affected, the pain syndrome will be determined on the right side);
• severe intoxication (nausea, vomiting, headache).

Important! Treatment of pseudotuberculosis should be carried out in a hospital setting. Unlike a true tuberculosis infection, the patient does not need to go to a tuberculosis dispensary and be observed by a phthisiatrician: therapy is selected and carried out in the infectious diseases department of a conventional hospital.

Where does it hurt with colorectal cancer in men?

Pain in the lower abdomen can also occur with some intestinal disorders and diseases. Most often, it appears in the presence of polyps or inflammatory processes in the caecum. Benign tumors of the intestine can also cause moderate pain of a pulling nature in the lower abdomen on the right, if they have a right-sided localization. If the pain syndrome appears regularly, it is important to consult a doctor, since in some cases it is periodic mild pains (pulling or cramping) that are the first sign of an oncological process.

In the early stages, the disease may not manifest itself in any way, but if the tumor reaches a significant size, and the process of metastasis to organs and tissues begins, the manifestations of bowel cancer will be more pronounced. These include:

• bleeding from the anus;
• pain during bowel movements;
• chronic constipation;
• mucus and uncharacteristic streaks in the feces;
• change in the color of stools (feces become dark, acquire a black color or a bluish tint);
• temperature fluctuations within 37 ° -37.5 °;
• stable increase in basal temperature;
• weight loss and decreased appetite.

Important! Colon cancer is one of the most severe types of cancer. The disease is characterized by a rapid course and an extremely unfavorable life prognosis, so it is important to seek help for any pathological changes.

Intestinal obstruction is a pathology in which intestinal motility is disturbed, and digested food cannot move to the rectum. The condition is characterized by prolonged constipation, severe intoxication, deterioration of well-being. Food, being in the intestines, begins to rot and release toxins into the blood, which affects the condition of the man: he becomes lethargic, appears increased weakness, headache.

At the same time, there are other symptoms:

• arching, sharp pain in the right side of the abdomen from below;
• a feeling of heaviness in the abdomen and a feeling of pressure on the internal organs;
• painful passage of flatus;
• intestinal colic;
• no stool for three days (or more) in a row.

Important! Prolonged constipation, accompanied by pain in the abdomen and signs of intoxication, is a reason for immediate treatment in the hospital. In most cases, intestinal obstruction requires surgical intervention, so ignoring the pain syndrome and accompanying signs can lead to dire consequences.

The nature and characteristics of the course of pain in the lower abdomen on the right in men

Important! Regardless of the localization of pain sensations, their intensity, the characteristics of the course, it is necessary to consult a doctor if a similar symptom appears periodically. Some serious illness begin with mild to moderate pain in the lower abdomen. If you undergo an examination and start treatment at this stage, you will be able to avoid many serious complications and consequences.

When does a man need emergency care?

It is very important to know in which cases the pain that occurs cannot be tolerated, since it can be a symptom of emergency conditionsrequiring emergency (often surgical) care. The indications for calling an ambulance are the following conditions:

• an attack of acute pain that does not go away within an hour;
• constipation lasting more than three days and accompanied by fever, headache and deterioration of well-being;
• a sharp deterioration in well-being, dizziness or fainting;
• anal bleeding;
• appearance of black, tarry stools.

Important! In most cases, all of these conditions require immediate medical intervention. Before the arrival of the medical team, you can not drink, eat food and take any medications (especially analgesics). Relief of pain with medication can blur the clinical picture of the disease and lead to an incorrect diagnosis. It is best to wait for the doctors in the supine position, taking the most comfortable position.

Pain in the lower abdomen in men, localized on the right side, is not so harmless symptom as many people think. In especially severe cases, it can even indicate cancerous tumors of the intestine, so you should not hesitate to contact a doctor. To determine the cause of the pain syndrome, it may be necessary to undergo special instrumental procedures, such as colonoscopy or barium enema.

The list of required studies also includes ultrasound diagnostics and radiography of the abdominal organs. A blood and urine test will help determine abnormalities in the functioning of the renal system and detect signs of an inflammatory process. If a cancerous tumor is suspected, a man will need to donate blood for tumor markers and get advice from an oncologist.

In men, pain below the abdomen occurs less frequently than in women. In women, these symptoms can be intermittent. Men often try to ignore discomfort in this area, although the causes of discomfort can be quite serious. What to do if the lower abdomen hurts, only a doctor can decide, so a visit to a specialist is required.

The symptoms that appear may indicate the development of diseases of a urological nature, diseases of the gastrointestinal tract, and the musculoskeletal system. There may be other reasons for the problems that arise. Often pain in the lower abdomen in men is associated with pathologies in the prostate gland.

The nature and localization of the pain

To determine why a man has a stomach ache, a specialist must know the characteristic features of the pain syndrome. Important information about the prerequisites, localization and accompanying pain sensations.

In order for the doctor to be able to recognize which system of the body failed and why the lower abdomen hurts, the patient needs to describe the features of pain. Pain can be characterized as dull, sharp, cutting, stabbing. It can arise abruptly, proceed cramping or at a pulsating pace. Pain can radiate (given) to the perineum, penis, rectum.

Sudden sharp pain may indicate an acute pathology. The reasons why men have pain in the lower abdomen can be different - from problems with digestion and the genitourinary system, to organ rupture.

Gradually increasing dull pain indicates the development of inflammation. The process may be slow. Throbbing pain symptoms may indicate an increase in pressure in the genitals, for example, with an obstruction of the intestines or urinary canals. Attacks of pain are characteristic of pathological processes in the peritoneum.

Pain can be given to the lower abdomen in a man in various places during physical exertion, bending over, coughing or sneezing. Accompanied by nausea, chills, or fever. All characteristic manifestations accompanying pain must be described in detail to the doctor. The therapist will determine why the man has pain in the lower abdomen and which doctor should be contacted - a urologist, proctologist or traumatologist.

Diseases that cause pain in men in the lower abdomen

Discomfort may appear after using low-quality, too rich food or drunk drink of dubious composition. Poisoning of the body can occur from exposure to harmful chemical substances, alcohol overdose, etc. In this case, it is not difficult to establish a diagnosis: lower abdominal pain, weakness, nausea and diarrhea occur at the same time.

Poisoning is treated comprehensively. Gastric lavage is carried out, absorbents (activated charcoal) are taken. In severe cases, antibiotics are prescribed. After recovery, drugs are prescribed to restore the intestinal microflora.

Diseases accompanied by pain in the lower abdomen, both on the right and on the left side, can be chronic and do not manifest themselves at the stage of development. More often they are caused by disorders in the genitourinary system of the body.

At chronic cystitis at the initial stage, urination is difficult. Then the disease goes into an acute stage, the bladder overflows, inflammation occurs in it. Blunt pain occurs in the lower abdomen and worsens over time.

One of the causes of pain in the groin is inflammation of the appendix. It's a dull pain in the lower abdomen is localized on the right side. But due to physiological characteristics in some people, their appendix may be displaced to the middle. Accordingly, acute cutting pain appears to the left. Fever and nausea may occur.

In such a situation, it is imperative to call an ambulance. You should not take painkillers during attacks of appendicitis, and even more so, apply a hot heating pad to the lower abdomen of a man. Similar sensations can also occur with intestinal obstruction, but it’s not worth the risk and the doctor’s call should not be postponed. Pain in the lower abdomen in a man can be caused by varicocele disease - an expansion of the veins of the spermatic cord. They occur after physical exertion, more often on the left side.

Another reason why a man has pain in the lower abdomen is an inguinal hernia. Damage can be determined by outward signs. There is swelling of the groin area. With an increase in the hernial sac, asymmetry of the sides of the inguinal region is observed. The protrusion may disappear in the supine position. The pain symptom is aching in nature.

The appearance of pain in the lower abdomen in a man with cancer is rare. An exception is a tumor in the intestine, at a stage when an enlarged neoplasm begins to put pressure on neighboring organs.

Pain with prostatitis

Pronounced pain in the lower abdomen in men may be the result of prostatitis. At the beginning of its development, inflammation in the prostate gland may not manifest itself in any way. Pain occurs when clinical signs appear and cause pulling sensations.

Prostatitis is characterized by pain in the perineum and scrotum, radiating to the groin. With the development of inflammation, they are felt in the lower abdomen and in the lower back. The pain may be vague, which is why it does not have a specific localization.

If you do not treat prostatitis in the initial stage, the pain in the lower abdomen of a man intensifies and passes into the groin and testicles, accompanying urination. At the same time, sexual functions are reduced even in a young guy.

A neglected disease leads to the development of another disease - prostate adenoma. An enlarged prostate gland compresses the urethra, there are constant aching pains. The general condition of the patient worsens, he is harassed frequent urges to urination.

In chronic prostatitis, pain is not so pronounced and occurs periodically. They can be aggravated by hypothermia, overwork, alcohol abuse. During remission the only symptoms the chronic course of the disease can be aching pain in the lower abdomen, in the perineum and above the pubis.

The transition to the chronic form of acute prostatitis occurs due to the same reasons as its development:

• metabolic and hormonal imbalance;
• sexual dysfunction;
• alcohol abuse;
• weak physical activity;
• infection penetration.

Chronic and acute sharp pains are periodically accompanied by a decrease in pressure and nausea. Seeing a doctor with these symptoms is inevitable.

Immediate measures for severe pain in the lower abdomen

Regardless of the gender of the patient, certain symptoms his condition is considered urgent for special measures. This applies to the following situations:

1. If a man's acute pain does not subside within an hour, the stomach is tense.
2. The pain symptom is aggravated by movement, coughing and any movement of the body.
3. Difficulty with bowel movements and bloating (intestinal obstruction) were observed before the onset of symptoms.
4. The patient's stool is black in color, blood clots are visible in it.
5. Pain is accompanied by palpitations, decreased pressure, nausea, sweating.
6. There is a pre-fainting state.

It is not possible to determine why the lower abdomen hurts and assess the severity of the situation with such symptoms on your own.

In the lower abdomen is part of the large intestine. There are many diseases and disorders that can cause varying degrees of discomfort in this area. Most often, pain in the lower abdomen in men is not a cause for serious concern and in most cases goes away on its own in a day or two. But if you experience constant discomfort, it would be wiser to schedule a visit to your doctor. Only qualified specialists will be able to assess your symptoms and make the correct diagnosis.

You should seek medical attention immediately if you experience any of the following symptoms:

• chest pain or pressure;
• fever;
• bloody stool;
• persistent nausea and vomiting;
• skin that looks yellow (jaundice);
• severe pain or discomfort when touching the abdomen;
• swelling of the abdomen.

If you feel any of these symptoms, ask your loved ones to take you to the ward immediately. emergency care. Immediate medical attention can prevent the development of life-threatening symptoms and conditions.

Appendicitis

Appendicitis is one of the most common causes of lower abdominal pain in men. appendix or appendix is a small thin tube that extends from the main intestine where the large and small intestine. When the appendix becomes inflamed, the condition is called appendicitis. Inflammation of the appendix is common cause pain localized in the right lower abdomen.

Other symptoms of appendicitis may include:

• nausea;
• vomit;
• fever;
• diarrhea;
• constipation;
• bloating;
• poor appetite.

This condition requires immediate medical attention. Therefore, if you experience these symptoms, you should immediately consult a doctor. After the doctor diagnoses the disease, he or she will either send you home with a treatment plan or you will be admitted to the hospital for further observation.

Your doctor can determine if you need surgery to remove your appendix (appendectomy) to prevent tearing and other serious complications. If your appendicitis is severe, your doctor may order immediate removal of the inflamed bowel.

If you are experiencing symptoms of appendicitis, you should not take enemas or laxatives, as they may cause your appendix to rupture. It is best to avoid any medication unless prescribed by your doctor as part of your treatment plan.

Other Common Causes

The conditions listed below are the most common reasons why you may experience pain in the lower abdomen. Discomfort can be felt both on one side - on the left or right, and in the center or over the entire surface of the lower abdomen.

Increased gas formation in the intestines

Intestinal gas is the air that can be found in everything. digestive tract. Its formation is often caused by food that doesn't break down completely until it reaches your colon.

The more undigested food present, the more gas the intestines produce. As the gas builds up, it can cause pain, bloating, and a full, heavy feeling in your abdomen. Belching and passing gas usually provide temporary relief. In fact, it is typical for a person to expel gas up to 20 times a day. However, excessive intestinal gas can be a sign of a digestive disorder such as diabetes or lactose intolerance.

Other causes for intestinal gas include:

• swallowing more air than usual
• binge eating;
• chewing gum;
• smoking.

Indigestion (dyspepsia) usually develops after you have eaten or drunk foods of inadequate quality. Pain usually occurs in the upper abdomen, although it may be felt lower down.

Symptoms of dyspepsia also include:

• heartburn;
• bloating
• decreased appetite and early satiety;
• feeling of discomfort;
• belching;
• gas formation;
• reflux of stomach contents back into the mouth.

Mild indigestion resolves fairly quickly and can be treated without a prescription. But if symptoms persist for more than two weeks, you should see a doctor to rule out a serious digestive tract disease.

Hernia

A hernia occurs when a body part or internal organ pushes through the tissue or muscle that holds it in place. There are several types of hernias, most of which occur in the abdomen. Each type can cause pain or discomfort in the affected organ.

Other common hernia symptoms include:

• swelling or swelling at the site of a hernia;
• soreness;
• pain when lifting weights, laughing, crying, coughing, or exerting;
• dull prolonged pain;
• feeling full or constipated.

kidney infection

A kidney infection can be caused by bacteria that usually come from the bladder, ureters, or urethra. The infection may affect one or both kidneys. Although pain may be felt in the lower abdomen, discomfort from a kidney infection is more common in the back, flanks, or groin.

Other symptoms include:

• fever
• chills;
• nausea;
• vomiting;
• frequent urination;
• Feeling the need to urinate even if you have recently emptied your bladder
• pain or burning when urinating;
• pus or blood in the urine;
• turbidity and a strong smell of urine.

If left untreated, kidney infections can develop irreparable complications. If you notice any of these symptoms, you should immediately consult a doctor.

Kidney stones are hard accumulations of minerals and salts that form inside the kidneys. You may not feel any pain until the kidney stones move or get into the tube that connects your kidney and bladder. When this happens, you will feel severe pain in your back and side, under your ribs, and in your lower abdomen and groin. The intensity and location of the pain may change as the kidney stone shifts and moves through your urinary tract.

Other symptoms kidney stone disease include:

• painful urination;
• change in the color of urine to pink, red or brown;
• turbidity and pungent odor of urine;
• nausea;
• vomiting;
• feeling the constant need to urinate;
• frequent urination;
• fever and chills.

irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common chronic disease that affects the large intestine.

IBS causes:

• convulsions;
• bloating;
• gas formation;
• diarrhea
• constipation;
• stomach ache;
• change in bowel movements;
• mucus in the stool.

Doctors don't know for certain what causes irritable bowel syndrome, although some factors have been identified. These include stronger than normal bowel contractions and abnormalities in nervous system digestive tract.

Inflammatory Bowel Disease

Irritable Bowel Syndrome should not be confused with inflammatory diseases intestines. The latter are a group of serious digestive disorders that cause changes in intestinal tissue and increase the risk of colorectal cancer.

They are the two most common causes of intestinal inflammation. Both chronic conditions cause inflammation in the digestive tract, which can lead to abdominal pain.

Inflammation of the intestines can also cause:

• severe diarrhea;
• fatigue;
• weight loss;
• fever
• blood in the stool;
• loss of appetite;

Inflammatory bowel disease can lead to life-threatening complications if left untreated.

Causes of pain in the lower abdomen, which appear only in men

Some causes of pain in the lower abdomen only affect men. These conditions are usually more serious and require medical attention. Localization of pain can also be different and be in any part of the lower abdomen.

Inguinal hernia

An inguinal hernia is one of the most common types of hernia. This happens when the fat or part small intestine penetrates through the weak part of the tissues in the lower abdomen. If this happens, you will notice a slight bulge in the groin area between the thighs and lower abdomen. You may also feel discomfort and pain when exerting yourself, lifting weights, coughing, or exercising.

Other symptoms of an inguinal hernia include:

• weakness, heaviness, pain or burning in the groin;
• swollen or enlarged scrotum.

Torsion of the spermatic cord and testis

Torsion occurs when the testicle turns and twists the spermatic cord. This twisting causes a decrease in blood flow to the area of ​​this organ, which leads to sudden and severe pain, swelling in the scrotum. The condition also causes distant abdominal pain.

Other symptoms of testicular torsion include:

• nausea;
• vomiting;
• incorrect position of the testicle;
• painful urination;
• fever.

Torsion of the testis and spermatic cord usually requires emergency surgery.

Treatment of pain in the lower abdomen in men

Treatment may vary depending on the nature and origin of the abdominal pain, with some treatments being as simple as medicines prescription drugs, and in more severe cases, emergency surgery is required. Rational nutrition and the inclusion of regular exercise help keep the digestive system and overall health in top condition. Healthy habits can help you avoid pain and discomfort in the future. Some of these habits include:

• drinking enough clean water;
• saturating the body with vitamins with the help of fruits and vegetables;
• avoidance of overeating;
• reduced alcohol consumption;
• use of over-the-counter medicines for stomach pain in mild cases (for example, after drinking).

Although not all cases of abdominal pain require a visit to a doctor, it is often wiser to be careful and pay attention to any anxiety symptoms that you may experience. If your stomach pain doesn't get better, it's best to see a professional or go to the emergency room.

Table. Some drugs for the treatment of pain in the lower abdomen.

Video - Pain in the lower abdomen in men

When the lower abdomen hurts in men, many of them try to endure the inconvenience, hoping that everything will pass by itself. Classic: "I ate something!". Of course, pain in the lower abdomen in men can become an accident and quickly disappear on their own, but at the same time, it should be remembered that discomfort in the lower abdomen can be a symptom of a very serious pathologies that require emergency treatment. You can't be careless about your health. If the pain in the lower abdomen becomes a frequent guest, then you should not endure it - you should immediately consult a doctor. Self-treatment of such pains is a dangerous process, which, if the causes are incorrectly identified, can cause the opposite effect.

Characteristics of the disease

The lower abdomen in men is a part of the body where violations of various organs and systems are manifested, so pain in the lower abdomen is familiar to almost every person. They may have the most different etiology and development mechanism. If in women pain in the lower abdomen is almost 70% due to gynecological problems, then men's pains have a wider "geography", although they are observed much less frequently than in women.

The culprits of pain in the lower abdomen in men can be disorders of the genitourinary system, malfunctions of the intestines, renal pathologies etc. Most often, when the lower abdomen hurts, one can assume the presence of an acute or chronic inflammatory process, but sometimes discomfort is also caused by physiological causes not related to pathology. When determining the type of disorders, some characteristics of pain sensations are important.

First of all, the localization of pain in the lower abdomen in men is taken into account: in the right or left side of the abdomen, which already makes it possible to conduct primary differentiation probable causes. Importance has the character of a pain syndrome. Pain in the lower abdomen in men can have the following description: cutting, sharp, paroxysmal, tedious, pulling pain. Sharp pain in the lower abdomen can occur unexpectedly, or it can develop gradually and last for a long period. All this allows you to make a primary diagnosis.

Pain in the lower abdomen in men is most often associated with disorders urinary organs, especially with the development of inflammation of the bladder (cystitis). No less characteristic are pains in the lower abdomen caused by damage to the reproductive function: diseases and the prostate gland. The pathogenic etiological mechanism, in addition to pain in the lower abdomen, always causes additional symptoms: irradiation of the pain syndrome, impaired urination, problems with defecation, signs of intoxication of the body.

Diseases of the internal genital organs

Organs reproductive system closely related to the rectum and bladder, which causes a corresponding distribution of manifestations to the latter. When the prostate gland is damaged, it expands and stretches the capsule, which naturally causes pain in the lower part of the body. Pain in the lower abdomen in this case can be of varying intensity, and in nature it is felt as an acute bursting or dull pulling. A feature of the pain syndrome caused by the prostate gland is its long existence with its continuous, constant sensation. Only treatment that reduces the size of the prostate makes such pain in the lower abdomen disappear.

Pain symptom of prostate disease is localized closer to the perineum. However, it tends to radiate sensitively to the rectum, genitals, sacrum, and thighs.

The most common pathologies of the prostate gland are prostatitis, prostate adenoma and oncology. acute form prostatitis and adenomas are manifested by sharp pains in the lower abdomen, and cramps are given in the perineum, sacrum, anus. Quite often there is pain in the testicles. Acute pain in the lower abdomen can have different intensity depending on the type of prostatitis. Catarrhal exacerbation usually causes moderate pain, temperature of the order of 37.5 ° C, increased urination without blood impurities. More dangerous is the exacerbation of parenchymal prostatitis, in which the pain in the lower abdomen on the right becomes unbearable, and the temperature can rise above 39 ° C. At the same time, frequent painful urination and constipation appear.

The chronic form of prostatitis causes aching pain in the lower abdomen, in the area adjacent to the suprapubic area. This pain syndrome in the lower part is combined with pulling pain in the perineum and itching in the anus. With prolonged development of chronic prostatitis, erectile dysfunction and cerebrosthenic syndrome are detected.

Inflammation of the seminal vesicles, or vesiculitis, causes pain in the lower abdomen with localization in the suprapubic zone and parallel to the location inguinal fold. The pain is given most often in the testicles in the direction of the spermatic cord. Severe pain may occur when the bladder is full. Feature diseases - strong cramps in the lower abdomen, in the perineum and testicles during ejaculation (the so-called spermatic colic). And the causes of pain in the lower abdomen in this case are associated with a violation secretory function seminal vesicles. During the acute stage of inflammation, additional symptoms are observed: fever, fever up to 39 ° C, sexual dysfunction (unprovoked erection, excessive sexual excitability), painful intercourse. A complicated form of the pathology can cause suppuration of the organ, which causes a burning sensation in the lower abdomen and throbbing pain.

Localization of the pain syndrome

Pain in the lower abdomen can manifest itself in different ways. Most pathologies have a fairly clear third-party localization. When it hurts in the lower abdomen in men on the left, it can be assumed that there are problems with the intestines, left kidney or genitals. Such symptoms, in particular, are detected when the transverse colon or sigmoid colon is affected. Problems on the left side also appear when receiving a rough or fatty foods, alcohol abuse. There may be a physiological cause of intestinal irritation caused by prolonged shaking or vibration, including prolonged cycling over rough terrain.

Another direction of left-sided pathology is problems with the left kidney, a disease of the internal genital organs, a hernia. It is on the left that inflammation of the testicles, spermatic cord can appear. Diverticulitis causes lower abdominal pain with fever, nausea, and chills. When it hurts in the lower abdomen in men, and the pain is felt in the form of pain, and there is also a burning sensation in the lower abdomen, it is quite possible that a strangulated hernia has occurred.

Severe, paroxysmal pain in the lower abdomen on the right may indicate inflammation of the appendix. Appendicitis begins to manifest itself as a pain in the navel, but gradually the pain syndrome descends, and pain occurs in the lower abdomen on the right. Acute attack appendicitis is very dangerous, and self-medication is prohibited. The only option in this case is urgent hospitalization and most often surgical removal inflamed appendix.

Pain in the lower abdomen on the right may be due to intestinal diseases, which is the most common cause of right-sided pain. The most common lesions are in the caecum, lower ileum, or ascending colon. Can't be ruled out possible pathologies in the right kidney.

Diagnosis by nature of pain

The nature of the pain syndrome provides a lot of information for the initial diagnosis. Quite often it hurts in the lower abdomen in men with a feeling that something is pulling the lower abdomen. Such specific pulling pains have their own etiological features. Most often, such sensations occur in the chronic form of prostatitis or prostate adenoma. These pathologies, as noted above, are accompanied by other characteristic symptoms: and male erectile ability.

Constant pulling pains may indicate other anomalies. So, if, with such a sign, you slightly press on the upper abdomen on the left and at the same time the pain syndrome intensifies, then this is a sure indicator of the onset of pancreatitis. This assumption supports the presence of other symptoms: vomiting with frequent relapses, dry mouth, arterial hypertension. Treatment in this case implies, first of all, the observance of a strict diet.

The most common cause of pain in the lower abdomen - cystitis - also manifests itself as a aching pain syndrome of a pulling nature. Basic additional feature disease - disturbed and painful urination. This pathology, in principle, is characteristic of both men and women. Most often it manifests itself in a chronic form, with a periodic change in the period of remission to exacerbation. Phases of exacerbation, as a rule, fall on hypothermia, stress, decreased immunity with malnutrition and physical exhaustion. Sometimes cystitis is also accompanied by an increase in temperature to 37.5-37.7 ° C.

Constant pain in the lower abdomen of moderate intensity may indicate the development of peritonitis, if it gradually spreads to the entire abdomen and is associated with high fever, nausea, and general intoxication. Aching pain of varying degrees is felt with peptic ulcer disease. Pyelonephritis is manifested together with fever, chills, high fever. Sharp pain in the lower abdomen in men with acute poisoning. In particular, heavy metal poisoning causes dagger, stabbing pain.

The danger of pathology

The degree of danger of pain syndrome, manifested in the lower abdomen, depends on the causes that gave rise to them. Non-dangerous pains of a short one-time nature may be due to malnutrition, poisoning, a temporary problem with defecation, nervous stress, physical overload, minor injury due to impact, hypothermia. Such manifestations disappear when the causes are eliminated and do not require special treatment, with the exception of preventive measures(rest, normalization of nutrition, etc.).

Danger of varying degrees is pathogenic causes associated with diseases of the internal organs. If the pain syndrome persists for a long time, the intensity of pain is high and there are other alarming symptoms, you should consult a doctor. Most likely, you will need to consult such specialists: therapist, urologist, andrologist, proctologist, gastroenterologist, surgeon.

Particular attention should be paid sharp pains on the right side. In this case, it is possible that acute appendicitis or a pinched hernia that requires urgent surgery. Delay in these pathologies can end very badly. Other diseases that can cause serious complications should not be left to chance.

It should be borne in mind that pain in the lower abdomen can become early symptom diseases, which allows for the diagnosis of the latter in the initial stages.

Most importantly, it should be clearly understood that self-treatment of the considered pain symptom is not permissible. Taking medications should be done only as directed by a doctor, after finding out the real cause of the pathology.