Pain in the lower abdomen and lower back – a phenomenon that worries more than a dozen people. However, unfortunately, many people prefer to pretend that they don’t exist, or to think that they will pass and will not happen again. The maximum that many patients do is to muffle the pain in the lower abdomen and lower back with painkillers. This certainly has an effect for a while, but it does not eliminate the cause of pain in the lower abdomen and lower back. Therefore, if pain in the lower abdomen and lower back recurs again and again, you should definitely consult a doctor.

Very often there is a combination of nagging pain in the lower abdomen with pain in the lower back. This phenomenon occurs more often in women, but pain in the lower abdomen and lower back is also common in the male part of humanity.

Cause of pain in the lower abdomen and lower back

The most common and common cause of pain in the lower abdomen and lower back is acute cystitis. In this case, in addition to pain in the lower abdomen and lower back, there is the presence of blood during urination, painful sensations when urinating, and frequent urges to “go to the toilet.” Such symptoms indicate cystitis; to make an accurate diagnosis, it is necessary to undergo a series of additional examinations by a urologist.

If the above symptoms of cystitis are not observed, then perhaps the patient is dealing with intestinal problems. Pain in the lower abdomen and lower back in a woman may also indicate an ovarian cyst in the initial stages, adnexitis, or some other fairly serious diseases associated with the female genitourinary system. A gynecologist can most accurately determine the cause of pain in the lower abdomen and lower back in a woman.

As for pain in the lower abdomen and lower back in men, this is a rather rare occurrence. But these symptoms may indicate that the digestive or genitourinary system is not working as it should. Pain in the lower abdomen and lower back can also accompany prostatitis. If pain of this nature is detected, a man should contact a gastroenterologist or urologist.

If pain in the lower abdomen and lower back is accompanied by an increase in temperature, then diseases such as mycoplasmosis, chlamydia, gonorrhea, and ureaplasmosis are possible.

Symptoms of pain in the lower abdomen and lower back

Pain in the lower abdomen and lower back can be sharp or aching, cramping. Also, along with them, you can often observe an increase or decrease in temperature, vomiting, bleeding, nausea, chills, blood during urination, and frequent urge to urinate.

Pain in the lower abdomen and pulling in the lower back

If the lower abdomen hurts and the lower back is pulled, this phenomenon in medical practice is called chronic pelvic pain. If the patient experiences the symptoms described above for six months, doctors make this diagnosis. In most cases, chronic pain in the lower abdomen and lower back is caused by gynecological diseases, and relatively rarely by extrogenital ones.

More rare causes of pain in the lower abdomen and lower back may be the presence of:

  • spinal osteochondrosis;
  • intervertebral disc herniation;
  • arthrosis of intervertebral joints;
  • rheumatoid arthritis;
  • intervertebral canal stenosis;
  • infectious lesions of the vertebrae;
  • scoliosis;
  • stroke;
  • osteoporosis.

Abdominal and lower back pain in young girls

Pain in the abdomen and lower back most often appears before menstruation or on the days of menstruation. Menstrual pain is cramping, often noticeable during the first three days. More than half of the women on Earth suffer from menstrual cramps, although the majority note that their nature is moderate and their intensity is low, so they can be easily tolerated.

Experts say that menstrual pain is influenced by special hormones, prostaglandins. But the pain can be very strong and painful. They can also be caused by other complicating factors, such as endometriosis or fibroids.

Pain in the lower abdomen and lower back in pregnant women

Pain in the lower abdomen and lower back is quite common in pregnant women. During pregnancy, the spine experiences increased stress. If nagging pain begins to manifest itself immediately before childbirth, these may be false contractions (Braxton-Hicks). The presence of such symptoms in the early stages is dangerous; they can threaten miscarriage. Then you need to report the situation to doctors as soon as possible.

Pain in the lower abdomen and lower back in girls can also be a signal of hypothermia. The bare lower back, which girls often leave open for the sake of beauty, can cause hypothermia and, worst of all, lead to infertility.

What to do if your lower abdomen and lower back hurt

When a doctor diagnoses a patient in order to identify the cause of pain in the lower abdomen and lower back, he first needs to understand the degree of intensity of the pain and its nature. In women, it is important to determine whether there is a connection with pregnancy or menstruation.

For diagnosis, it is important to establish the nature of the pain and the frequency of its occurrence, since different characteristics may indicate different diseases. If the nature of the disease is acute, then the patient may experience cramping pain that gradually increases; complications include chills, nausea, and elevated body temperature. Such pain indicates that the inflammatory process is rapidly developing. When pain of this nature is observed for a long time, some kind of chronic disease may well develop, therefore it is important to see a doctor as soon as possible.

To diagnose pain in the lower abdomen and lower back, clinical laboratory and hardware-instrumental research methods are used:

  • laboratory tests for herpes infection, which affects the development of pelvic ganglioneuritis;
  • ultrasound examination of the pelvic organs (ultrasound) – to exclude organic diseases of the genitourinary system;
  • X-ray of the spine and pelvic bones;
  • absorption densitometry to exclude osteoporosis;
  • X-ray studies (irrigoscopy), endoscopic (sigmoidoscopy, colonoscopy, cystoscopy) of the gastrointestinal tract and bladder;
  • laparoscopy.

Treatment of pain in the lower abdomen and lower back

To eliminate pain in the lower abdomen and lower back, doctors do not recommend taking painkillers on your own. This can only worsen the patient’s condition. First you need to understand why exactly the pulling, stabbing, aching or sharp pain in the lower abdomen and lower back arose, therefore independent initiatives are undesirable here. Pain is, first of all, a signal from the body that some kind of disease has arisen and is developing, which needs treatment only after the specific cause has been established, and only a doctor can do this. As we have already found out, the range of causes is very wide, and numbing pain in the lower abdomen and lower back with the help of painkillers is not a solution, since the symptoms will only be eliminated temporarily, and the disease will progress.

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