Why does the lower abdomen hurt and colitis. Colitis lower abdomen. Possible reasons. Stitching pains in the right and left lower abdomen, causes

Pain in the lower abdomen in a woman can have a different nature of occurrence and be symptoms of various diseases: gynecological, proctological, urological, diseases of the nervous system, etc. Only a doctor with a complete diagnosis can determine the true cause of the pain. You should not endure pain when it pricks in the lower abdomen on the left in women. It is better to consult a specialist.

Pain on the left side of a woman can be different:

  • aching;
  • sharp;
  • stabbing;
  • pulsating;
  • paroxysmal;
  • permanent, etc.

An experienced doctor will be able to make a preliminary diagnosis by the nature of pain sensations and at their location, which will be confirmed by clinical and laboratory studies of the patient. So, for example, in disorders of the nervous system, pain is often sharp and pulsating. With gynecological problems - constant, aching. With pancreatitis (inflammation of the prostate gland) - sharp, dagger or burning, baking.

It is necessary to take into account the fact that different people with individual physiology, sensitivity threshold levels and with different general health conditions can manifest pain in different ways. So, for example, with pancreatitis, they can not only be localized on the left side, but also be given in the hypochondrium, in the legs and even in the jaw.

To make an accurate diagnosis, it is necessary to undergo an examination

Causes of stabbing pain in the lower abdomen

The range of causes of pain on the left side of a woman is huge - from hypothermia to the presence of chronic diseases of organs and systems. All causes in medicine are divided into 2 main groups:

  • organic;
  • functional.

The first group of diseases is associated with the presence of pathologies of the pelvic organs, the genitourinary system, the gastrointestinal tract, and the vascular system.

The second indicates a malfunction of some organ during pregnancy, menstruation, ovulation, etc.

Only extensive diagnostics can help the doctor diagnose the disease, whose symptom is pain in a woman on the left.

Table 1. Common causes of pain

Gynecological diseases in women

Pain in the lower left is a sign of a possible gynecological problem. There are a number of pathologies that manifest just such symptoms.

Inflammation of the appendages and uterus

Most often, women turn to the doctor with a pain symptom on the left due to inflammation of the appendages. The nature of the occurrence of such processes is extensive:

  1. Infection through sexual contact.
  2. Chronic diseases of the female genital organs.
  3. Abortions and other operations in the uterus.
  4. C-section.
  5. Introduction to the spiral.
  6. Allergy and personal intolerance to drugs.
  7. Diseases of the endocrine system.
  8. Reduced immunity.
  9. Disturbed metabolism.
  10. Hormonal failure, etc.

With this type of pathology in women, additional symptoms appear:

  • burning;
  • selection.

Gynecological diseases of an inflammatory nature include: colpitis, salpingoophoritis, adnexitis, endocervicitis, oophoritis, cervicitis, candidiasis (thrush), vaginitis, bacterial vaginosis (gardnerelosis), endometritis, vaginal microbiocenosis, etc.

The first pain symptoms appear at the initial stage, when the diseases are in an acute form and have not yet become chronic. It is then that the diagnosis will be quick and accurate, and the treatment effective and short-lived. In chronic forms, both processes are hampered by concomitant diseases, diverse symptoms, complications, and so on.

Ectopic pregnancy

Fertilization outside the uterus - in the ovary, abdominal cavity, fallopian tube - also causes an attack of severe pain. This pathology is dangerous with a rupture of the fallopian tube, then the pain begins to be simply unbearable. Internal bleeding may begin, which is life-threatening.

cystosis

The formation of a cyst on the organs of the reproductive system is also a frequent disease that causes a pain symptom, which, as a rule, is of a weak aching nature. Often the cause of their formation is a hormonal imbalance, which becomes more frequent:

  • during pregnancy;
  • with menopause;
  • in adolescence.

Pathology is dangerous because it develops for a long time without symptoms, and the woman does not even suspect that a cystic formation has begun inside the organ.

If the cyst is not detected in time, or its treatment is not carried out, complications such as:

  • cyst rupture;
  • intra-abdominal bleeding;
  • torsion of the cyst leg;
  • peritonitis;
  • degeneration of a cyst into a cancerous tumor.

The main symptoms of the late stage of cyst development:

  1. Discomfort and pulling pains in the lower abdomen.
  2. Disorders of the gastrointestinal tract.
  3. Bloating.
  4. Roughening of hair.
  5. Increased frequency of urination, cramps, pain during urination.

An increase in the size of the ovary due to multiple cystic formations often occurs due to malfunctions in the endocrine system, hormonal disorders, and neurological diseases.

The disease can not declare itself for a long time and develop into dangerous diseases, such as infertility, type 2 diabetes, atherosclerosis of the vessels and uterine cancer.

Therefore, it is important to detect pathology in time. Preferably at an early stage of development, for this you need to visit a doctor, even if nothing bothers you yet.

This is a benign growth on the inner lining of the uterus. Polyps occur due to malfunctions of the endocrine, immune systems, hormonal disorders, metabolism in the body, etc.

Women usually learn about the disease at a late stage of development, when pain symptoms appear, in particular in the left side of the lower abdomen. This symptom may include:

  • smearing brown discharge;
  • violations in the menstrual cycle;
  • intoxication: nausea, fever, weakness, etc.

Outwardly, this disease is very similar to a malignant tumor. And only timely diagnosis will help to establish the type and nature of the neoplasm in the body of a woman.

Erosion or ulcer in the vaginal part of the cervix also gives pain in the lower abdomen on the left.

The causes of the pathology can be operations and abortions, early and promiscuous sex life, reduced immunity, addictions, and so on.

Sometimes it develops without symptoms, and the ulcer grows rapidly and can turn into a malignant tumor. An examination by a gynecologist is the only way to detect and treat cervical erosion.

The disease manifests itself as mucous or bloody secretions.

Premenstrual syndrome

Every woman knows the state of increased nervousness and pulling pain in the lower abdomen a few days before the onset of menstruation. This symptom is simply unbearable if women have suffered:

  • operations and abortions;
  • difficult childbirth;
  • infectious diseases;
  • frequent stress, overwork.

At this time, the stomach may hurt in any part of it, lower back, back. There are swelling and dizziness, increased irritability and depression, frequent or difficult urination, constipation or diarrhea, etc.

During premenstrual syndrome, it can prick in the lower abdomen

Problems and diseases of the gastrointestinal tract

Proctitis

Pain in the rectum, which can be given to the left lower abdomen, accompanied by constipation and discharge from the anus. Only a professional proctologist can identify the disease and properly cure it. Therefore, do not delay with treatment, make an appointment with specialists.

Video - Proctitis

Pancreatitis

As a rule, the presence of stones in the biliary tract provokes another disease, which can also be expressed by pain in the lower left - this is inflammation of the pancreas. The stones block the ducts, which provokes the accumulation of enzymes secreted by the gland to digest food. If the process is not stopped, then these enzymes are converted into a harmful secret, which begins to digest the walls and tissues of the pancreas itself. This causes severe pain in the left side of the abdomen. Acute pancreatitis begins, which has a number of characteristic features:

  • diarrhea or constipation;
  • dry mouth;
  • bloating;
  • nausea and vomiting.

With pancreatitis, you should eat right and follow a diet. How to make a diet, we will tell in our special

For any symptoms, it is urgent to call an ambulance, since pancreatitis can turn into purulent necrosis and cause general intoxication and blood poisoning.

It is impossible to delay the treatment of pancreatitis

Pathologies of the spleen - lymphocytic leukemia and myeloid leukemia

These are oncological diseases that manifest themselves as pain in the lower abdomen. When the tumor develops and increases in size, it can provoke blockage of the arteries, then the pain on the left increases. A torsion of the spleen also causes pain on the left, which is complemented by symptoms - fever, bloating, nausea and vomiting. Purulent inflammation may develop, which is life-threatening. To identify pathology at an early stage means to have a chance to recover from this serious illness.

Haemorrhoids

The most common proctological problems in women include. The appearance of hemorrhoids in the anus causes pain, which can be localized to the left lower abdomen. Pathology is provoked by a sedentary lifestyle, childbirth, surgery, weight lifting, malnutrition, etc. Additional signs may be:

  • pain during bowel movements;
  • bleeding from the anus;
  • itching, burning;
  • frequent constipation.

Tolerate the symptoms is not worth it, since the advanced stage of this disease can even provoke cancer.

You can get acquainted with popular remedies for hemorrhoids in our

Appendicitis

A crowded appendix - an organ that is responsible for immunity in the intestines - collects harmful trace elements and is filled with pathogenic microflora. It can overflow, then an attack occurs, which requires an urgent operation to remove the process of the caecum. Pain with appendicitis is sharp, can be pulsating and radiate to different parts of the body. Symptoms of the disease may include:

  • dry mouth;
  • nausea;
  • vomiting;
  • rise in temperature;
  • chills;
  • dark urine;
  • bloating;
  • urinary retention.

To endure pain and other symptoms in this disease is by no means impossible. If the appendix bursts, then peritonitis and general blood poisoning can begin, which in most cases leads to death.

Inflammation of the appendix is ​​accompanied by a feeling of heaviness and sharp pains in the lower abdomen

Cholecystitis

Inflammation of the gallbladder gives a painful symptom when there are stones in it, which can also be in the bile duct. Often, the pain syndrome occurs in the left lower abdomen (although it is more common in the right) and is characterized as strong, girdle. A woman can experience pain shock and even lose consciousness.

In parallel, there may appear:

  • skin rashes;
  • nausea;
  • temperature.

Diseases of the kidneys and urinary tract

Pyelonephritis, cystitis

Infection in the urinary tract can cause cystitis. A characteristic symptom of the disease is increased pain during urination. It can be localized in any lower part of the abdomen, in the lumbar region, in the groin, etc., be constant aching or acute paroxysmal.

Urolithiasis of the kidneys

The reason is the presence of sand in the urinary tract. An excess of salts in the body forms oxalates and urates - a kind of sand. When it moves along the ureter, there are sharp, strong pain sensations that radiate to any part of the body. Additional signs of the disease are traces of blood in the urine, chills, fever, lethargy, and general malaise.

Diseases associated with the nervous system

There is an opinion among the people that all diseases are from the nerves. There is a great deal of truth in this. It is failures in the work of the nervous system that provoke a whole range of diseases - any organs and systems of the body. Therefore, taking care of the nervous system, not getting upset and not taking everything to heart is the task of every woman.

Vegetovascular dystonia

The occurrence of pain in the lower abdomen may be associated with disorders of the autonomic nervous system. These are the most common diseases. Such disorders are accompanied by drops in blood pressure, palpitations, the occurrence of headaches, dizziness, enlarged pupils, redness or blanching of the skin of the face, excessive sweating, fainting or loss of consciousness. Symptoms extend to the digestive system when there is pain in any part of the abdomen, as well as nausea, cramps, constipation, diarrhea, and so on. You can avoid these diseases if you lead a healthy lifestyle - move a lot, eat right and not get upset. When determining the cause and nature of this disease, the doctor must conduct an extensive comprehensive diagnosis for the correct appointment of individual treatment.

Whatever the nature of the appearance of pain in the lower abdomen on the left, every woman must remember that any pain cannot be tolerated.

Our body is a very complex system that often sends us signals about various malfunctions in its work through painful sensations in various parts of the body. The reasons due to which the colitis of the lower abdomen can be the most heterogeneous from harmless (spasm of muscle fibers) to quite serious, requiring surgical intervention. Therefore, even if the pain has receded, take the time to be examined by a specialist, because a problem detected in time is a 70% guarantee of its successful treatment. Many organs are concentrated in the peritoneum, such as the uterus, ovaries, fallopian tubes, intestines, organs of the urinary system, a violation in their work can just cause your lower abdomen to colitis. Let's look at the causes of origin and ways to eliminate stabbing pain in the lower abdomen.

Why does the lower abdomen colitis

The pain is not formed in specific internal organs that are directly undergoing disease or inflammation, but with contractions of the muscle fibers located around them, therefore the same tingling pains can be signs of different diseases. This is because many organs in the abdominal cavity have a similar structure: the walls of these organs make up 3 shells:

  1. The outer shell that lines the outside of an organ
  2. The middle muscular layer, which is formed by smooth muscle fibers. It makes it possible to move the internal contents of the organ (urine, food in the intestines, etc.)
  3. The inner mucosa that forms the inner surface of an organ.

This entire shell, while contracting, ensures that the individual organs perform their functions. In the presence of various diseases, inflammatory processes or disorders in the work of these organs, during contractions of the muscular membrane of these organs in the lower abdomen, a feeling of pain appears. Due to the fact that the source of pain is muscle spasm, antispasmodic drugs will help eliminate this pain.

In any case, the unpleasant feeling that you have colitis in the lower abdomen can signal various malfunctions in the digestive tract, urinary, reproductive or nervous system. Therefore, if you just endure or drink unpleasant pain with pills, you risk later getting serious diseases of the organs of the systems described.

Colitis of the lower abdomen: possible causes

  • Inflammationintestines

With an inflamed intestine, during the passage of food through it, stabbing, but not long-lasting, moderate pains are observed. They can be felt both on the right and on the left.

  • Urolithiasisdisease

Sand or stones formed in the body pass through the urethra, irritate their internal mucous membrane, and spasms appear in response to this, accompanied by stabbing pain. Also, pain is felt during urination. If a large stone has formed, then it blocks the passage, in which case the feeling of pain becomes strong and cramping (renal colic). The patient may also experience nausea or vomiting. With such symptoms, it is necessary to be examined by specialists.

  • Cystitis

This disease can be caused by: bacteria that have entered the bladder, intense sexual intercourse (due to irritation of the urethra) or inflammation of the external opening of the urethra, which may appear as a result of an allergy to soap, talc, intimate deodorants, etc. Cystitis is characterized by frequent urination with painful sensations. There is also a stabbing pain with heaviness in the lower part of the abdominal cavity. This disease is treated by a urologist, mainly by taking antibiotics.

  • InflammationBladder

The feeling of pain is concentrated in the lower abdomen (in the female in the pubic area) mainly at the end of the urinary process. Pain occurs because after emptying the bladder, its inflamed walls touch each other.

Colitisgirl's lower abdomen: reasons


  • ectopicpregnancy

This disease is characterized by the fact that the fetus matures in one of the tubes of the uterus and at about the 2nd month, 2 development options are possible: the first is a rupture of the tube, which causes sharp tingling in the lower abdomen on the right or left (this is due to which of the tubes is affected) , the second option is a tubal abortion, during which an acute sense of pain is manifested by contractions, while it is so strong that it is comparable to acute appendicitis. The difference between an ectopic pregnancy and appendicitis is that the pain radiates to the external organs of the reproductive system and the rectum. Also, an ectopic pregnancy is accompanied by such signs: a delay in critical days, bloody discharge, low blood pressure, dizziness, dullness (pallor) of the skin. Treatment requires surgical intervention, and immediate, otherwise a fatal outcome is possible.

  • Apoplexyovary

In this case, the integrity of this organ is damaged, in other words, the ovary ruptures, resulting in an internal hemorrhage. This disease is quite rare and its symptoms are very similar to ectopic pregnancy: spotting, concentration and pain intensity are the same, because of this, this disease is difficult to diagnose. If the bleeding is not heavy, there is no increasing anemia, then inpatient treatment will be prescribed, otherwise surgery is required. There may also be pain syndrome, without internal hemorrhage, as a result of which the pain is concentrated in the lower abdomen and is observed, in most cases, in the middle of the menstrual cycle. The causes of the disease can be different: pathological changes in blood vessels, trauma, weight lifting, active sexual intercourse.

  • Inflammationuterus and appendages

Harmful microorganisms: bacteria, fungi, viruses that have penetrated the genital tract excite this disease. Often this disease occurs after an abortion or the transfer of sexually transmitted diseases. Mostly girls at a young age are exposed to it. The disease described is inherent in: the presence of pain in the lower abdomen, an increase in body temperature, bloody discharge (not menstrual), impaired urination. Lack of appetite, irritability, fatigue may also be present. Painful sensations in this case often appear as a result of hypothermia.

  • Myomauterus and endometriosis

Endometriosis is a disease in which the cells of the lining of the uterus grow beyond its borders. The symptoms and effects are similar to those of uterine fibroids.

Uterine fibroids are benign tumors in the muscular lining of the uterus. She is accompanied by pain (stabbing) in the lower part of the peritoneum, which can increase before menstruation, bleeding (not being monthly), menstrual irregularities, pain during urination or defecation, constipation, discomfort during sex. Untimely treatment is fraught with infertility. Causes of the disease: hereditary predisposition, hormonal disorders, prolonged stress, diseases of the cardiovascular system.

  • Cystor an ovarian tumor

Early symptoms include the presence of pain or a feeling of heaviness in the lower abdomen without specific localization, which can be aggravated by physical overload. The feeling of pain is not strong and may subsequently be absent for a long time. There may also be an increase in the abdomen. Another sign of this disease may be a sudden sharp feeling of stabbing pain on the right or left, this occurs as a result of torsion of the leg or even rupture of the tumor (or cyst). The disease is diagnosed with an ultrasound.

Colitislower abdomen on the right: causes

  • Inflammationliver

The focus of pain is usually located in the upper abdomen on the right, but can also be observed in the lower peritoneum. With an increase in the size of the liver, pain is observed under the right hypochondrium.

  • Chronicor acute appendicitis

With such an ailment, there is not a strong, prolonged or spasmodic stabbing pain in the right lower abdomen or in the area around the navel. The feeling of pain may, in addition, occur in the lower back, right thigh, or groin. In many cases, the disease is accompanied by a violation of the stool, namely: constipation or diarrhea. With these symptoms, it is necessary to see a doctor who, after the examination, will choose treatment: inpatient or surgical intervention is required. Also, the chronic form can flow into an acute one, while pain sensations are heterogeneous: a feeling of pain in the entire abdomen, pain can also be concentrated on the right, along with this, nausea and vomiting may be present. In the acute form of appendicitis, a sharp stabbing pain is felt at the location of the appendicitis (lower right) when raising the right leg in the supine state or when pressing and sharply releasing it in the area of ​​\u200b\u200bappendicitis. If you have any of the above symptoms, you should immediately go to the hospital.

  • Chronicor acute diverticulitis

In the course of this disease, diverticula become inflamed, the so-called “sacs”, which dock with the intestines using thin channels, which can cause intestinal contents to stagnate inside these sacs, which irritates the intestinal walls and causes inflammation. Signs of diverticulitis are similar to appendicitis. This disease can also flow into an acute form and requires immediate medical attention.

  • Appearanceintestinal tumors

At the junction of the large and small intestines there is a kind of septum, called the bougainian damper, which prevents the chyme (food bolus) located in the large intestine from entering the small intestine. In the area of ​​this septum, a tumor can occur that prevents the septum from performing its functions, as a result of which the contents of the large intestine enter the small intestine and irritate its walls. During this process, you feel the fading, then reappearing pains of a stabbing nature, observed during muscle spasms around the irritated small intestine.

  • DiseaseCrohn's, Ulcerative colitis

These diseases are characterized by the presence of inflammatory processes that disrupt the work of the same septum. With these diseases, a person, in addition to pain, complains of diarrhea (often with blood), as well as an unsatisfactory general condition of the body.

Colitislower abdomen on the left: causes

  • Proctosigmoiditis

This is the name of the inflammation of the lower part of the large intestine. Various phenomena can serve as causative agents: infection, impaired blood flow, autoimmune process, etc. The disease occurs with the presence of pain in the lower left part of the peritoneum, which can be stabbing, pulling or cramping. An unpleasant painful feeling is often observed after shaking, as well as before or after the end of the bowel movement. Patients complain of frequent and nagging urge to defecate, lightheadedness, increased body temperature, and impurities of blood or mucus may appear in the feces. Treatment is prescribed after identifying the causes of the disease.

If pain:

  • Permanent and do not go away for a long time (1-2 days)
  • Return periodically
  • Are getting stronger
  • It proceeds along with other signs: weakness, nausea, fever, pain before, after, during urination or defecation, dizziness.
  • Girls also have: spotting, menstrual irregularities, discharge with pus or mucus, unpleasant pain in the external genitalia

In the described cases, an immediate examination and consultation of a specialist is necessary!

If this is not done on time, there is a high probability of acquiring severe forms of the disease, sometimes even fatal.

Colic in the abdomen, if they are located in the lower parts of the abdominal space, may be a sign of intestinal disorders or inflammatory processes in various organs located in the right lower quadrant. These are certain sections of the large and small intestines, as well as the mesentery, which connects the small intestine to the back of the peritoneal space. In women, a similar symptom may indicate sluggish inflammatory processes in the right appendage, which includes the ovary and fallopian tube, located on the right side of the body of the uterus. Sometimes stabbing sensations can be a sign of urinary tract obstruction and diseases of the bladder, kidneys and ureters (cystitis, glomerulonephritis).

To determine what exactly caused the pain, you need to contact the local therapist. The doctor will collect a complete medical history, find out the nature of the pain, its localization, intensity, conduct an initial examination, based on the results of which the patient will be assigned a further examination. If the pain is of high intensity and is accompanied by other pathological symptoms (fever, vomiting, spotting), you need to call an ambulance, since such symptoms can occur with inflammation of the appendix, rupture and torsion of the cystic formation of the ovary and other diseases in which the patient urgent surgical care is needed.

Stitching pain, which has a right-sided localization, in women may be associated with inflammation of the right appendage. With this pathology, a woman complains of severe pain on the right side, which appear in the lower back, sacrococcygeal region and lower abdomen. In acute infectious inflammation, the pain syndrome can be so intense that it completely limits the patient's mobility.

Other clinical manifestations of salpingoophoritis (as well as its isolated forms - salpingitis and oophoritis), which together allow diagnosing disorders in the functioning of the appendages, are:

  • painful sensations of an acute or stabbing nature from the side of the abdominal zone;
  • fever (usually within subfebrile condition);
  • nausea (very rarely - vomiting);
  • weakness;
  • severe headaches, similar in intensity to a migraine attack;
  • signs of general intoxication (headache, chills).

Treatment of salpingo-oophoritis is carried out in a hospital. A woman is prescribed antibacterial and anti-inflammatory drugs in injectable form, physiotherapy, pain medications. The duration of treatment is usually 7-10 days, but in severe cases, hospitalization can be delayed for up to three weeks.

Hydronephrosis and kidney problems

Painful sensations of a stabbing nature can be a symptom of hydronephrosis - a pathological expansion of the pelvis and calyces of the renal system, which develops against the background of obstruction of the urinary tract and poor blood supply to the organ. With this pathology, patients may complain of unpleasant sensations of a stabbing nature in the lower part of the abdominal space, lumbar region, less often in the thighs and buttocks.

The pain syndrome in hydronephrosis always has a pronounced intensity, and the clinical picture is supplemented by other characteristic symptoms, including:

  • tension of the muscles of the peritoneum;
  • sharp sharp pain at the beginning of urination;
  • frequent urge to empty the bladder, accompanied by pressure and bursting;
  • painful and infrequent bowel movements (constipation).

The temperature with hydronephrosis remains within the normal range, in rare cases, a woman may experience a single, mild vomiting.

Stitching pain on the right side can also indicate inflammation of the renal glomeruli (glomerulonephritis), pyelonephritis, obstruction of the ureters.

Treatment for these diseases includes taking antibacterial agents, diuretics to remove excess fluid and eliminate swelling, diuretic fees to improve urine outflow and herbal supplements, anti-inflammatory drugs.

PathologyImageHow is it manifested?How and what to treat?
Painful colic in the lower part of the abdominal area from the side, fever (in the acute period), symptoms of intoxication, pain during bladder emptyingPenicillin antibiotics and macrolides (Flemoxin, Sumamed, Ampicillin), diuretic drugs (Furosemide), immunotropics (Viferon, Interferon), anti-relapse drugs (Biseptol)
Renal colic from inflammation, nausea, pain during urination, false urge to empty the bladderAntibacterial agents ("Nitroxoline", "Amoxicillin", "Metronidazole"), herbal preparations ("Canephron"), anti-inflammatory drugs ("Ibuklin", "Diclofenac")
Obstruction of the ureters (hydronephrosis) Pain in the lower abdomen after drinking large amounts of liquid, blood in the urine, renal colic radiating to the backSurgical treatment (pyeloplasty)

Inflammation of the appendage of the caecum

To recognize an appendicitis attack, it is important to know its typical symptoms. These include:

  • profuse vomiting (usually single) without admixture of bile acids and putrid odor;
  • an increase in temperature to the upper limits of subfebrile condition (38 °);
  • relief of pain when lying on the right side;
  • increased pain during any movements associated with tension in the abdominal muscles;
  • fever;
  • loose stool.

Important! Appendicitis is not always accompanied by fever, so you need to see a doctor for any pain in the lower abdomen, especially if they have right-sided localization.

Treatment for appendicitis

The only treatment for an inflamed appendix is ​​to remove it. The operation is performed immediately after the patient is taken to the surgical hospital. Before the doctors arrive, you should not eat or drink water, as this can cause complications during surgery if it is performed under general anesthesia. It is also forbidden to take analgesic drugs - they can dull the pain for a while, and the doctor will not be able to make a correct diagnosis, which will lead to a deterioration in well-being.

After the operation, the patient will be prescribed a sparing diet and prophylactic administration of antibacterial drugs, for example, Metronidazole.

Pathologies of the gastrointestinal tract

Disorders in the work of the intestines, inflammatory processes of the intestinal walls are the most common causes of intestinal colic on the right side. In order for the doctor to make a correct diagnosis, the patient must accurately describe the nature of the pain and its localization. Acute colic on the right side, recurring regularly, may be a sign of serious illness requiring urgent hospitalization: Crohn's disease and diverticulitis. No less dangerous causes of such a pain syndrome are intestinal infections, colitis and duodenitis.

Food poisoning and poisoning

Intestinal infections, food poisoning are usually accompanied by cramping or pulling pains in the lower abdomen, but with a moderate lesion, the pain syndrome may resemble intestinal colic. Bacteria (Salmonella, Staphylococcus, Haemophilus influenzae) and viruses can cause intestinal infections. The most common viral infection is the intestinal flu, caused by rotaviruses.

Infections of any type are always accompanied by pronounced symptoms, manifested by the following symptoms:

  • severe intoxication;
  • refusal to eat;
  • heat;
  • chills;
  • frequent, copious loose stools;
  • change in the consistency of feces (they become liquid and foamy);
  • vomit.

Only an experienced doctor can suspect an intestinal infection with a stabbing pain, so you should not delay going to the hospital - this threatens with severe dehydration and deterioration of well-being.

For the treatment of most infectious diseases of the intestine, a standard treatment regimen is used, presented in the table below.

Drug groupWhat medicines are included?Image
Antibiotics and antibacterial agents (for bacterial infections)"Clarithromycin", "Enterofuril", "Amoxicillin", "Flemoxin", "Zinnat", "Hemomycin"
Antiviral medicines (for viral infections)Anaferon, Interferon, Arbidol, Tiloron, Ergoferon, Amiksin
Rehydration products
Digestive enzymes"Pancreatin", "Creon"
Histamine blockers"Suprastin", "Diazolin", "Zodak"
Products with probiotics and prebiotics"Linex", "Bifiform", "Acipol", "Normobakt", "Yogulakt"
Sorbents"Neosmectin", "Activated carbon", "Enterosgel"

Important! In some cases, food poisoning and intestinal infections need to be treated in a hospital, so you should not refuse hospitalization if your doctor insists on it.

Granulomatous colitis

This is a severe systemic pathology of the ileum, which usually develops over a long time (up to several years). An exacerbation attack in this disease is very similar in symptoms to inflammation of the appendix, but there are signs that allow it to be differentiated from acute appendicitis, so anamnesis is of great importance for diagnosis.

What is the difference between granulomatous colitis (enteritis) and appendicitis?

clinical symptomWith inflammation of the appendage of the caecumWith regional enteritis
diarrheal syndromeAppears after pain, usually mildStool disorders (diarrhea) occur long before an attack and may recur periodically over several months or years
Pain localizationOccurs around the navel with subsequent displacement to the right lower abdomen and possible irradiationHas a clear localization in the right iliac region
VomitCharacterized by a single discharge of vomitVomiting is not usually observed

Important! If the attack is not stopped on time, perforation of the ileum may occur - a deadly pathology that requires emergency surgical care. Treatment of Crohn's disease in most cases is also surgical.

Video - Why does the right side of the lower abdomen hurt?

Mezadenitis

In about 8-9% of cases, acute stabbing pain in the lower abdomen on the right is a sign of mesadenitis. Pathology is an inflammation of the lymphoid tissue located in the fold of the peritoneum that connects the small intestine and the back wall of the abdominal space (mesentery). The disease belongs to chronic pathologies and can proceed without pronounced symptoms.

A patient with mesadenitis feels constant weakness, loses weight. He periodically has mood swings, disturbing thoughts arise. A general blood test in this pathology always reveals an increase in the erythrocyte sedimentation rate (ESR). The temperature can periodically rise to 37.3°-37.6°.

Important! About 80% of mesadenitis develop against the background of tuberculous lesions of the intestine, so it is important to identify the disease at an early stage. Such symptoms may also indicate the growth of tumors in the large or small intestine, therefore, with symptoms of mesadenitis, the patient is required to consult an oncologist.

Video - Why does it hurt in the right lower abdomen?

Pathologies of the bile ducts

With hepatic colic, pain first occurs in the right hypochondrium, gradually descending into the lower abdomen. Pathology is characteristic of cholelithiasis and appears at the time of passage of stones through the bile ducts. In some cases, this symptom indicates atresia of the biliary tract - a severe pathology in which the outflow of bile is disturbed due to obstruction of the ducts, and concentrated bile accumulates in the liver. Signs of atresia of the biliary tract are:

  • constantly high temperature;
  • increase in the volume of the abdomen;
  • yellowness of the skin;
  • periodic vomiting;
  • yellowing of the eye sclera;
  • hardening and soreness of the liver;
  • lack of appetite.

Important! Obstruction of the bile ducts and cholelithiasis are diseases in which the patient requires surgical treatment, followed by supportive therapy and observation in a hospital setting. 0

The female sex quite often has to deal with various ailments. The most popular reason for patients to visit a gynecologist is pain in the lower abdomen (in the middle). In women, these sensations can occur intermittently or be permanent. You can learn about the reasons for such discomfort from the above article.

Is it normal that it hurts in the lower abdomen (in the middle) in women?

When a patient comes to an appointment with a gynecologist, she is primarily interested in whether such sensations are normal or if it is a pathology. The doctor cannot immediately answer this question. To find out what was the cause (in the middle) in women, it is necessary to conduct some examination. Usually it includes taking a smear, conducting an ultrasound diagnosis. According to the results obtained, the doctor may already prescribe additional studies. These include colposcopy, hysteroscopy, magnetic resonance imaging, laparoscopy, and so on.

Depending on what caused the pain in the lower abdomen (in the middle), women are diagnosed. It is worth noting that such sensations are not always a symptom of pathology. Sometimes this can be an absolute norm or a physiological feature. Consider the main causes and symptoms of pain in the lower abdomen in women.

Intestinal problems

Pain in the lower abdomen (in the middle) in women may appear due to intestinal pathologies. So, most often it is a delay in fecal masses or Usually such symptoms appear due to malnutrition. However, the cause of their occurrence may be more serious problems, such as inflammation or dysbacteriosis.

If discomfort occurs due to problems in the intestines, then often the representative of the weaker sex notes other symptoms. These include increased gas formation, lack of appetite, nausea, and so on. If you have problems with the intestines, you need to contact the doctors as soon as possible and get qualified help.

Pregnancy: implantation

Pain in the lower abdomen (in the middle) in women can be So, after the fusion of the male and female gametes, the cells begin to actively divide and gradually descend into the uterine cavity. Here there is an introduction of fetal membranes into the wall of the organ. This process is accompanied by minor damage to small capillaries and pain.

It is worth noting that not all women feel such discomfort. In more than half of the cases, implantation occurs asymptomatically. All due to the fact that this pain is very slight. Sometimes implantation of the fetus in the uterus is accompanied by a short one-day bleeding. After one week, a woman can take a home pregnancy test and get a positive result.

Menstruation

Pain in the lower abdomen in women before menstruation is a very common phenomenon. Approximately 80 percent of all representatives of the weaker sex feel this discomfort. Sometimes this is due to a physiological feature and a low pain threshold. In other cases, pathology is detected.

Painful sensations can begin a few hours before the onset of bleeding and persist for the first few days. To alleviate your condition, try not to engage in physical activity during this period, but to rest more. It is also worth visiting a gynecologist and finding out if such a reaction of the body to monthly bleeding is normal.

Ovulation

During the release of the egg from the ovary, the walls of the follicle are stretched and ruptured. This may cause minor pain. It is worth noting that such discomfort is very short-term and most often does not repeat every cycle. Pain during ovulation spreads to the middle of the abdomen and radiates to one side.

Pregnancy and the threat of its termination

Dull pain in the lower abdomen in women (in the middle) may occur during the bearing of the baby. In this case, you should immediately postpone your affairs and visit a doctor, but it is better to call an ambulance. At the same time, symptoms such as the release of blood from the genital tract, a decrease in the strength of toxicosis, and so on can also join.

The normal state of the uterus during pregnancy is supported by a hormone called progesterone. It contributes to the fact that the genital organ is in a relaxed state and does not try to push the fetus out. If the amount of this substance decreases, then contractions begin, leading to similar pain.

Cause of pain - neoplasm

Drawing pain in the lower abdomen (in the middle) in women is sometimes a symptom of a tumor. Often this is a benign functional formation that has grown due to a slight hormonal failure. Such cysts on the ovaries pass through several cycles and do not cause any harm to the woman's health. However, sometimes a tumor can still have the same benign character, but be non-functional. In this case, it begins to grow for some reason, affects neighboring organs and causes a feeling of heaviness, pain and discomfort in the lower abdomen in the middle.

Malignant tumors are much less common. They usually appear in older women. Such neoplasms must be treated as soon as possible. To correct the condition, a surgical operation and a subsequent course of recovery of the body are performed.

Endometriosis is an insidious enemy

Pain in the lower abdomen (in the middle) in women may have hormonal causes. Often this is the development of endometriosis. It is worth noting that doctors still cannot find out the main cause of the development of pathology. Some say that sex during menstruation leads to endometriosis. Others argue that it is exclusively a hormonal disease. Be that as it may, with this pathology, the patient can feel quite severe pain in the lower part of the peritoneum. They increase during menstruation and subside somewhat by the middle of the cycle. Bleeding is noted more abundant with the presence of chocolate-colored clots.

With endometriosis, the contents of the inner layer of the uterus grows where it should not. The most frequently detected pathology of the ovaries, fallopian tubes, abdominal cavity and so on. Treatment may be conservative or surgical. After correction, pain in the middle of the abdomen in women disappears without a trace.

Pathology of the bladder

Often, pain in the lower abdomen in the middle occurs with cystitis. In this case, we are talking about the inflammatory process in the bladder. Often a woman also complains of frequent urge to urinate, during which pain, burning and itching appear.

Cystitis must be treated with antimicrobial and diuretic drugs. However, before that, you need to pass tests that will help identify the sensitivity of microorganisms to certain drugs. After the correction, the pathology disappears, and with it, pain and discomfort in the abdomen in the middle are eliminated.

and her appendages

The pain that appears in the lower abdomen in women and is localized in the middle may indicate an inflammatory process. Doctors call it metritis, endometritis, and also use other terms. Inflammation often becomes the result of an infection that was not cured in time, which was obtained through sexual contact. In the acute form of the course, women note an increase in body temperature, weakness, headache, and so on. When the inflammation becomes chronic, we can talk about the addition of secretions of an unusual color with an unpleasant odor, a feeling of pain during sexual intercourse, and so on.

Treatment of inflammation is carried out for a long time with the use of numerous medications. However, after the correction, the pain disappears and no longer bothers the patient. It is worth noting that women who have had inflammation are at risk. Often the pathology is repeated, and the symptoms reappear.

Summarizing

You have now become aware of what can be the cause of pain in the lower abdomen in women. Remember that if symptoms appear, you should visit a doctor as soon as possible. Many women are saved from malaise with antispasmodics. However, these drugs do not solve the problem, but only muffle the symptoms. This can lead to disastrous consequences and various complications. Regularly examined by a gynecologist and be always healthy!

Pain is different, there are more than twenty epithets to describe pain sensations. They help the doctor determine the nature of the pain experienced by the patient. When making a diagnosis, if pain is one of the symptoms of the disease, determining its nature is very important. 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.

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.

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.

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.

The pain syndrome that occurs in this area can be both temporary and permanent. In the first case, this indicates temporary violations, in the second - 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 - inflammation of the testicle

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.

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


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.

Type ofDescription

In most cases, the occurrence means serious problems. You can not ignore and limit yourself to taking painkillers, you need to determine the cause. It can be kidney problems, infection, pancreas, cystitis, prostatitis or intestinal pathology, up to its obstruction.

If the stabbing is sharp and irritating, and the sensations tend to increase, an attack of appendicitis is possible. It can also be an inflammatory process in the genitourinary system. Problems with the gastrointestinal tract are also likely in this situation, especially with the parallel occurrence of shock conditions and fainting. With chills accompanying colic, the problem may be in the pelvic organs.

It often develops due to problems in the intestines, mainly in its thick part. Accompanied by intestinal bloating. If the intestines have nothing to do with it, you need to pay attention to the genitourinary system. It may also be a left-sided cyst that needs to be removed surgically. With concomitant temperature, vomiting and other severe symptoms, an ambulance should be called.

When women experience stabbing pains in the lower left in the form of contractions, they are most likely associated with gynecology (or pregnancy, including ectopic). In men, it can be almost any disease, from the gastrointestinal tract to the prostate. Possible urinary tract infection or intestinal colitis.

If colic pulsates, it is most likely an intestinal problem, or inflammation of the appendages in women. Probably intestinal colitis or obstruction. It can also be inflammation or swelling in the intestines.

If the pain is not single, but periodically returns, this also indicates intestinal problems or pathologies of the genitourinary system.

With constant pain, there is a high probability of a serious chronic pathology that needs to be diagnosed as soon as possible. There is a syndrome of chronic pelvic diseases, a complex pathology that cannot be completely cured. It can also be a tumor in the pelvis, intestines, or reproductive organ.

Diagnostic procedures and treatment

How is the diagnosis of the disease, a symptom of which is a stabbing pain in the left lower abdomen. In almost all cases, a complete examination is necessary, which begins with the collection of an anamnesis and clarification of the nature of the symptoms.


How to treat

Since the range of diseases that cause colic in the lower left abdominal segment is too large, treatment will be prescribed in accordance with the identified cause.


Which method of relieving colic will be chosen depends on what disease caused the attack.

Prevention

Can preventive measures be taken to help prevent colic? This also largely depends on what their cause is. For example, with problems with the pancreas, you should not abuse fatty and spicy foods. With an irritable bowel, you need to follow a diet. Genitourinary and many gynecological problems are largely prevented by intimate hygiene.

In some cases, colic is caused by an infection caused by viruses that have entered the body either due to insufficient hygiene or due to reduced immunity. Maintaining a healthy lifestyle in general and regularly undergoing preventive examinations will help prevent stabbing pains or stop them by identifying the pathology that causes them at an early stage.

Video - Why colitis in the left side of the lower abdomen in women and men

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