The condition, if the stomach hurts and lumbar, know a lot of people. It is due to the various causes. Often, the urinary tract, gynecological diseases in women and urology in men, disturbances in the conduction System of the nerves and channels in the lower area of the spine associated with the disease.
In the case of the doctors, there is a recognised term for "to experience chronic pelvic pain". He shall have a quorum if the Patient has back pain and lower abdomen for 6 months and longer. The statistics show that in women in 75% of cases is caused by the gynaecological diseases, only 25% is attributable to other pathology, the so-called extra-genital.
Men also suffer from pain in the lower back and abdomen. Prostatitis, adenoma of the prostate can cause constant pain radiating to the back.
Why does pain arise?
Causes of pain in the back and pelvic nerve trunks, branches, stretch-capsules of the organs of the abdomen are inflammation or tension.
All impulses of pathological changes in the viscera of the small pelvis, the gall bladder, the intestine, the pancreas, the liver, the kidneys come in the ganglia of the lumbosacral spine
Here you can see the transition from one Segment to another, the human aura feels in remote Zone. If the disease of the spine, then the possibility of osteochondrosis, the compression of the intervertebral disc, inflammatory process (ankylosing spondylitis).
The defeat of the hftgelenke in the elderly accompanied by pain in the abdomen. We consider the main symptoms of the disease, causes pain.
What are the characteristics of the pain in the abdomen is interested in the doctor?
For the purpose of explanation of the nature of the symptoms must signs of pain, its connection with other symptoms cleared. Experienced doctor questions are of interest:
- the specific localization of the maximum sensation of pain;
- the first symptoms and limitation of their occurrence;
- spastic type (colicy) or blunt, dolore character;
- You see, in the background of the pain from other symptoms (vomiting, dysuria, diarrhea, constipation, blood in the urine or feces, feeling of stiffness in the joints);
- the presence and duration of fever;
- the regularity of Menstruation in women due to Menstruation, climacteric manifestations;
- Suspected pregnancy;
- Type of work (DLI diagnosis of adenoma of the prostate, of the importance of "sitting" profession).
Diseases of the urinary system
The most common Manifestation, if there is a wound to the lower back and belly, typical of a cystitis (inflammation of the urinary bladder). They often suffer from women because of the anatomical peculiarities of urethral channel.
The pains are pulling, possible, sore belly, but "away" is in the lower back. At the same time dizuriceskie symptoms (cramps and frequent urination). Severe cases accompanied by fever.
Pyelonephritis — an infection of the renal pelvis, is the most important pain in the lower back radiating to the lower abdomen. The beginning of the disease is usually acute, the temperature rises significantly, in patients chills, dysuria.
The intensity of the pain increases with the severity of the inflammation
Kidney stone disease accompanied by constant dull gripping the protocols of the lumbar spine pain. Especially in the case of the location of the stone in the renal pelvis, the forced Stagnation of the urine and the formation of hydronephrosis.
If Tartar is increasing in the ureter, then a heart attack in the nature of renal colic. Strong pain extend along the urinary tract in the groin area to the right or to the left. The Patient is excited, rushes. The condition improves after discharge of stones, blood in the urine.
All the diseases of the digestive organs may be thinking?
Back pain is a frequent manifestation of Gastritis, Duodenitis, gastric ulcer, duodenal ulcer, pancreatitis. On the Herpes patients complain of a worsening of the pancreatitis. Pain in the abdomen accompanied by signs of digestive problems: nausea, heartburn, resistant to diarrhea or constipation, belching, weight loss.
Intestinal infections, except for the diarrhea, expressed pain at the bottom of the abdomen radiating to the lower back. General intoxication, high fever, coated tongue, vomiting, respects weakness. Stool more frequent and liquid, there is a lot of mucus, may have impurities of the blood.
Symptoms and treatment of diseases of the pancreas
Chronic constipation due to atony of the intestine, interferes with the elderly. Accumulation of fecal stones, rush slags the pain and promote in the course of the intestine, bloating. Acute pain with signs of intestinal obstruction.
Diaphragmatic hernia causes jamming in the opening of part of the stomach, of the esophagus. Possible violation of swallowing. Often prone to overweight people without motor activity. Pain in the lower abdomen in the stomach area in the back. The condition worsens after eating. Similar feelings occur in patients with cardiospasm.
If the pain can not be suddenly excluded on the background of full health, acute appendicitis. Atypical location of the plant (behind the blind gut, in the midline of the pelvis) causing dragging pain in the abdomen and back, "glutino bonum est" on the wall of the urinary bladder, or in women in the uterus.
In the case of exacerbation of ulcerative colitis the distribution of pain in the lower spine, Anus
Male Disease
In men, gradual hypertrophy of the prostate gland, accompanied by pain over the pubic bone, bestower in the sacrum and lower back. Inflammatory urological diseases are less common than in women.
But the most common cause of Urethritis, cystitis, and genital infections (gonorrhea, chlamydia, mycoplasmosis). Painful cramps and frequent urination witnesses of the inflammatory process in the urethra.
Orchiepididymitis — inflammation includes the testes and the epididymis. Can be transferred to Trauma, but often the infection through sexual contacts. In patients, in addition to local pain, fever, nausea, vomiting. For the treatment specific apply anti bacterial agents. Lavage urethral channel.
Gynecological Pathology
Pain in the abdomen and back pain in women is usually associated with inflammation of the internal genital organs. Among the gynecological diseases of the female body, inflammation of the appendages), ovarian cysts, Endometritis are the most common pelvic inflammatory disease (.
The pain is often colicky, "chase" character, interfere with one Hand or with two. Acute pelvic inflammatory disease more difficult carried out in abortion, birth. Pain in the lower abdomen localized on the one hand. Without treatment, are very intense, it can lead to Peritonitis.
The sensations of pain in the cyst during the movements
If the legs ovarian cyst in women occurs twisted an acute attack, the stomach hurts, but in the lower back. The same clinic is unfolding in the case of a tubal pregnancy. The diagnosis is based on digital examination of the Uterus and the adnexa.
Gynecologist show an increase or a painful Infiltration. One of the symptoms — the cessation of Menstruation. It is important to timely detect the disease, because of the complication of internal bleeding. Endometriosis — a pre-malignant disease of the Uterus, is characterized by pain above the pubic bone, during the Menstruation.
Gynecologists claim that half of the female adult population in the youth age menstruo pain. Why hurts in the lower abdomen in the time before the onset of Menstruation in young and healthy girls, and in the first three days?
Scientists have proved that the cause spasmodic contractions of the uterus, in connection with the concentration of specific hormones – prostoglandins, inflammatory process, or Spikes. Rare in women, the bending of the uterus.
A direct influence on the pain borne by the aspiration girls in the cooling jackets with a bare loin, cold shoes. This reason leads to infertility. Unnecessary swagger girls complemented by the high load during service in the army. A dangerous Trend in the prevention of infertile marriages is.
If sore belly and lower back, girl gynecologist rectal candles with belladonna. They work quickly, relieve associated symptoms (nausea, dizziness, salivation).
In pregnant pain in lower abdomen — a disturbing Symptom. At the time of the first obstetrician, the threat of interruption of the suspect. In the third Trimester, the belly moves constantly, enlarged uterus narrows the intestine, the urinary bladder. The load on the spine increases significantly.
It is to endure particularly difficult for untrained women physically. Moderate pain in the first half of pregnancy, the growing uterus are associated with the stretching of the ligaments. In the period before the birth of characters masked under a false labor. The premature detachment of the placenta is characterized by increased pain, bleeding. Disturbed heart beat of the fetus.
In the diagnosis of importance is the observation of the woman to a doctor, timely implementation of the sonography.
Abdominal and lumbar concerned about the women who have abortions. Persistent, discharge, fever ways to successful Intervention, incomplete removal of the ovum resulted in pain.
The woman threatens to Sepsis, therefore, the emergency treatment in the hospital. Hard Sex is able to cause cracks on the walls and in the vault of the vagina. Pain in the abdomen lead to cervical Erosion.
Hernia
Hernial protrusion in the groin more common in boys and men. This is due to the violation of the embryonic development of the sex organs and the weakness of the anterior abdominal wall. Manifestation help:
- Rise of the heavy;
- Injuries of the abdomen;
- Cough Smokers;
- Ascites in cirrhosis of the liver;
- Obesity or dramatic weight loss.
Men feel pain in the groin radiating to the back, the appearance of the formation of the bulges with the effort of the muscles of the abdominal press. In the prone position bulge disappears, he returns back automatically to the channel of the hernia. In the case of the narrowing the acute pain unconscious condition may cause. The Patient must be immediately to the hospital and the surgery has set up in strinxit part of the intestine gangrene.
Neoplasms
Malignant tumors of the kidney, lower intestine, the urinary bladder, the uterus and the ovaries in women with pain in the lower abdomen and lower back. The implementation of the differential diagnosis between them requires a full audit. Germination of tumors in adjacent organs, and the formation of metastases, clearly detection and treatment more difficult.
Chronic Pain
Abdominal pain and back pain are related to the Manifestation of chronic diseases. Among them are most common:
- rheumatoid Arthritis with the defeat of the joints of the vertebrae (the strongest pain and stiffness, the Patient feels immediately after the sleep);
- Osteochondrosis of the lumbar-sacral spine causing radicular symptoms, doctors neurologist, a violation of sensitivity in the areas of Innervation of the nerve plexus and branches on the anterior abdominal wall, thighs, buttocks;
- Herniated disc — is the weakness of the ligamentous apparatus of the spine;
- Osteoarthritis of the spine — the process of atrophy breaks the shape of the contacting surfaces of the vertebral body;
- Osteoporosis — the disease reduces the density of the bone, associated with leaching associated salts from the body Calcium, lack of Vitamin D.
Pathological pain is considered to be a Central pathology in the stroke. The patients feel that "the back hurts" not only from a long lying, but also of disorders of Innervation of the body.
What causes pain in back and abdomen in children?
Children, including adolescents, often complain about back pain. How to distinguish the important symptoms of an absolutely safe? According to the observations of pediatricians, the following are the causes of pain. Late physical overload-child-sports, different types of combat. Not all children develop the same.
When the muscles stretch not ready, then after the Training the child has pain in the lumbosacral Region. You are with twists and turns, the beam end on the front or back of the thigh, in the groin area. The stretching of the ligaments of the hip joints "not responding" pain in the abdomen.
Violation of posture, a habit of lounging around can furniture through the uncomfortable, the chair height, bed to soft
Prolonged immobility on the lesson in a sitting Position, causing static loading of the abdominal muscles and the back. So the teachers are right, will fit a short workout.
For a child of importance is overweight. Overweight children are sick more often, complain of pain in the lower back and abdomen, increased gas formation in the intestine.
Myositis — inflammation associated with infection, draft, and Trauma in the lumbar muscles is prolonged and painful. Often a nagging, radiating to the abdomen. Pain appear immediately after waking up. Typical one-sided defeat.
Intestinal infection are significantly heavier than adults. Except diarrhea and vomiting, frequent convulsions, dehydration.
Diseases of the urinary tract interfere with kids as well as adults. Large calculus is not yet the time, to knock down, but salt can cause paroxysmal renal colic. More common in boys. After an attack, urinary retention occurs, vomiting. Pain radiating to the groin. The urine is red because of the abundance of the erythrocytes.
The meaning of the diagnosis
If a Person back pain and lower abdomen moves, then the audit should be all sorts of methods for finding true causes. Laboratory methods analyses of blood, urine, and feces can be used to exclude or confirm the presence of inflammation in the urinary organs, intestines.
Further bacteriological examination allows the establishment of a specific causative agent of the disease and prescribe therapy.
After a tour with x-rays of the pelvis and spine can be assessed on osteochondrosis, hernia SAC protrusion determine the disc, see the stones in the ureter. The implementation of the cystoscopy allows you to inspect the wall of the urinary bladder and the urethra, install the symmetry of the entrance of urine from the number of Ureter of the holes.
The ultrasound scan helps in cases of suspected disease of the dense body (pancreas, kidney).