Male organs in the lower abdomen. Inflammatory process in the appendix. Treatment of intestinal obstruction in men

Pain in any part of the body signals a malfunction in the body. IN abdominal cavity many hollow organs are concentrated, inflammation or damage to which is dangerous and can threaten the life of a man. If you experience abdominal pain, you should visit a specialist.

Characteristics of unpleasant sensations

The nature of the discomfort felt - important information in the process of identifying diseases. Painful sensations in the lower abdomen can be:

• stupid;
• aching;
• sharp;
• piercing;
• "dagger";
• pressing;
• pulling.

Pain of mild to moderate intensity indicates the onset of the inflammatory process. Lack of treatment leads to increased pain, transforming it into acute and cramping pain. This indicates that the problem is getting worse.

Obvious malfunctions in the functioning of organs and disruption of their blood supply are manifested by intense pain. It occurs with extensive tissue inflammation and the development of purulent-necrotic processes. Acute cramping pain is a consequence of spasm of hollow organs consisting of smooth muscle muscles. Pulsating discomfort manifests itself as changes in pressure inside the cavities and disruption of the blood supply to tissues. Sharp, “dagger” pains are a signal of damage to the capsular organs or perforation of the walls of the cavity structures. Diffuse intense pain without a specific localization is a consequence of developing peritonitis. This condition threatens human life.

It is necessary to describe the character to the doctor as accurately as possible pain syndrome, place and time of occurrence, whether it became stronger or weaker.

Knowing all aspects clinical picture, the doctor will quickly diagnose and prescribe correct treatment. Pain in the lower abdomen may be accompanied by:

• changes in the general condition of the body (weakness, drowsiness, increased fatigue, irritability, dizziness, headaches);
• digestive disorders (lack of appetite, nausea, vomiting, bloating or heaviness in the abdomen when they appear - before or after eating);
• changes in the nature of bowel movements (when was the last stool, its character, impurities in feces and urine, how painful is urination and defecation);
• other changes (changes in the quality and regularity of sexual activity, sensations during sexual intercourse and ejaculation, the appearance of impurities in sperm);
• reflected pain (where the discomfort radiates - to the perineum, lower back, thigh, groin, leg, side, center of the abdomen).

The man must voice all the information collected at the first meeting with the doctor. The correctness of the diagnosis depends on this.

What can hurt

Doctors call the area in the lower abdomen the hypogastrium. Pain in this area in men manifests disorders of the gastrointestinal tract, urinary and reproductive system. Periodic pain is unusual for representatives of the stronger half. Discomfort in the area under discussion is a sign of damage to organs located in the lower abdominal cavity.

The hypogastric zone is conventionally divided into right and left, iliac and suprapubic. Each part is a projection of certain internal organs. By determining the exact location of the pain, the likely “sources” of problems are immediately identified.

If it hurts:

• in the left iliac abdomen - the pathological process involves the ureter, sigmoid or rectum, loops small intestine;
• in the area of ​​the right ilium- inflammation in the cecum, vermiform appendix, right ureter, loops of small intestine;
• above the pubis - the prostate or small intestine, bladder or urethral canal are affected.

Pathologies of the gastrointestinal tract

A common cause of pain in the lower abdomen is bloating. The nature of the discomfort is cramping. At increased gas formation unpleasant sensations are observed in various areas abdomen (alternately below and above). Unpleasant sensations periodically intensify and then weaken. After passing gas or taking anti-flatulence medications, the pain disappears completely.

Pathologies of the small intestine are serious provocateurs of pain in the hypogastric region. The most dangerous are volvulus and intestinal obstruction. Initially, the problem manifests itself as aching and cramping pain. As feces, gases and fluid accumulate in the intestines, the pressure in the intestinal lumen increases. As a result, the sensations become pulsating, intense, and turn into stabbing sensations. Additional signs include severe abdominal asymmetry, nausea, vomiting (first with food debris, then with bile and intestinal contents), and increased body temperature. The condition is fraught with rupture of the intestine and the development of peritonitis.

The large intestine provokes pain on the right or left. This depends on the location of the source of inflammation. Pathologies of the appendix and cecum cause right-sided pain. They are accompanied by nausea, hyperthermia, and diarrhea. Pathologies of the descending colon and sigmoid colon accompanied by spasms on the left and stool upset. Inflammation of the rectum (proctitis) manifests itself with pain above the pubis, radiating to the left. Additional sign– painful defecation (unpleasant sensations occur during the urge, intensify many times during bowel movements), tenesmus (unproductive urge to defecate).

Aching, cramping, regular pain in the abdomen indicates intestinal damage. This is how Crohn's disease, diverticulitis, and ulcerative colitis manifest themselves. In these pathologies, inflammation occurs locally or affects the entire colon. Diseases are accompanied by digestive and absorption disorders useful substances, defecation, weakness, fatigue.

Diseases of the reproductive system

Diseases reproductive organs manifest themselves as aching, pulling, pressing pain above the pubis, in the center of the abdomen. As the tumors increase and the purulent-necrotic process develops, the sensations become cutting and unbearable.

N The most common cause of discomfort is prostatitis. The chronic form occurs in every third man over 25 years of age. The disease develops against the background of a violation of the outflow of gland secretions, damage to it pathogenic microflora. Untreated prostatitis transforms into adenoma, cancer, prostate abscess. Due to the infringement of the urinary canal by the tissues of the gland, the process of urine outflow is disrupted. Hence one more clear symptom prostatitis – problems with urination. A man suffers from a frequent urge to urinate, but going to the toilet does not provide relief. The patient constantly has a feeling of being filled Bladder. The act of urination is painful, the stream of urine is weak. Intense inflammation provokes fever.

Pain in the area above the pubis can cause vesiculitis - inflammation of the area around the prostate (seminal vesicles). Among the accompanying symptoms are bloody and purulent inclusions in the semen, painful ejaculation.

A fairly common cause of discomfort in the lower abdomen is varicocele - varicose veins veins spermatic cord. With this pathology, pulling sensations arise from the affected testis.

Pathologies of the urinary system

Pain in the iliac zone on the right or left may be a consequence of pyelonephritis, inflammation of the ureters. The discomfort is sharp, cramping, and can develop into renal colic (severe pain requiring hospitalization). Similar signs accompany the movement of stones from the kidneys to the ureters. The patient suffers from painful urination. Mucus, blood or purulent clots may be found in the urine. Complete blocking of the duct by a stone leads to acute urinary retention and renal colic fraught with painful shock.

Immediately above pubic bone may hurt with cystitis and urethritis - inflammation of the bladder and urethra. The pain radiates to the groin, perineum, lower back, and intensifies when trying to urinate. It has a cutting, piercing, shooting character. The urine is cloudy and contains impurities. With urethritis, sexual intercourse and ejaculation become painful.

Aching sensations above the pubis can indicate polyps and malignant neoplasms in the bladder. Discomfort with such pathologies is long-lasting and increases gradually.

Is it possible to treat abdominal pain on your own?

If abdominal pain occurs, you should contact the clinic. For acute pain, call ambulance. Treatment should be carried out on the recommendation of a doctor after diagnosis and diagnosis. A man is urgently hospitalized in case of sudden, intense, cutting or stabbing pains. The sooner the cause is identified, the greater the chances of eliminating it.

With periodic pain of moderate intensity, bloating can be suspected. In this case, drugs based on simethicone (Espumizan, Espusin) will help. They are not absorbed into the systemic circulation and act exclusively in the intestines. Within 20-40 minutes after administration, the pain should completely disappear.

For severe pain in the lower abdomen, antispasmodics (No-Shpa, Buscopan, Mebeverine) can be taken. With their help, you can relieve pain while waiting for the ambulance to arrive. Name and quantity medications taken should be reported to your doctor.

If you have abdominal pain, you should not take painkillers based on diclofenac, paracetamol, or ibuprofen. Such drugs can distort the picture of the underlying disease.

Pain syndrome of any origin is a reason to visit a doctor. He demands increased attention and serious attitude. Spasms and sharp pains may result in suppuration, tissue necrosis, or tissue rupture, which will significantly complicate their treatment.

As the ancients said: “Pain is guard dog health." If something hurts, even if not severely or sharply, it means that the body is trying to tell the owner that he needs help. The person’s task is to find out and eliminate the cause that causes this syndrome, called “enteralgia”. This must be done with the help of a doctor - a person who has devoted almost ten years to studying how each of our organs works and what is observed when the functioning of one of them deteriorates. Here we look at the reasons causing pain in the lower abdomen in men, to guide you which specialist you should contact for a particular localization of enteralgia. We will also talk about the dependence of the diagnosis on the nature of the pain syndrome (pulling, cutting and other types), as well as accompanying symptoms.

What is in the lower gastric regions in men?

But pain on the sides of the lower abdomen in men occurs not only when one of the organs located on the right or left is diseased. It will also be a concern in cases where a tumor or inflammation has arisen in one of the structures that communicate with the lower gastric regions in the form of branches of nerve trunks.

What can hurt

The causes of pain in the lower abdomen may lie in a tumor or inflammatory disease one of the following bodies:

1. stomach;
2. intestines: large and small;
3. appendix;
4. kidney;
5. Bladder;
6. ureters;
7. prostate;
8. testicles;
9. lumbosacral spine;
10. seminal vesicles.

Let us analyze the etiology (causes) of the pain syndrome depending on its location and nature.

Both in the lower gastric region and in the lower back

Enteralgia in the lower abdomen and lower back most often indicates pathology of the urinary system, prostate or spine.

Renal colic

This is the name of the syndrome that develops when the passage of urine through the ureter is disrupted. It appears if at some point from the place where the ureter leaves the kidney to the area where it flows into the bladder. Most often, this urine-carrying “tube” is blocked by stones (especially when a person likes to “clean” the kidneys on his own, without examinations or recommendations). But the ureter can also become obstructed in some area due to inflammation or tumor. Moreover, the latter can grow both in the organ itself and in the tissues surrounding the ureter.

Acute enlargement of the spleen

Although this hematopoietic organ, in which red blood cells are born and “die,” is located under the left rib, if its volume increases, pain occurs in the left side of the lower abdomen.

The reasons for the enlargement of the spleen are either inflammation or a decrease in the lumen venous vessels, according to which there's blood coming out flowing from this organ.

Symptoms this state become:

• enteralgia localized below and to the left;
• nausea, vomiting;
• increase in body temperature.

Splenic infarction

When the lumen of an artery or its branch is blocked (by a thrombus, atherosclerotic plaque, fat), which fed the spleen, part of the organ dies - a heart attack occurs. There are:

• sharp pain that descends from the left hypochondrium to the left lower abdomen;
• the intensity of the pain increases with deep breathing, coughing, and movement;
• heat.

Spleen abscess

The purulent process developing in the body can be complicated by the absorption of bacteria into the systemic bloodstream. Then they are distributed throughout the body and can form in one or another organ. An abscess (or several abscesses) can also form in the spleen.

This is accompanied by:

• enteralgia in the left hypochondrium, which radiates to the left half chest and left lower abdomen;
• increased temperature;
• increasing weakness;
• nausea, vomiting.

Volvulus of the spleen

This is a condition where there is torsion of the splenic artery. The reason for this may be either a congenital condition of the mesenteric ligaments, or an injury to the left hypochondrium.

Signs of splenic volvulus include:

• bloating;
• constipation;
• pain descends from the left hypochondrium to the lower abdomen, on the left;
• vomit;
• deterioration of condition.

Chronic myelo- and lymphocytic leukemia

Polyposis

If the descending parts of the large intestine or sections small intestine, lying on the left, often become inflamed, polyps develop in them over time - peculiar mushroom-shaped growths of the mucous membrane, which narrow the lumen of the intestinal tube and can become malignant. .

Nonspecific ulcerative colitis

This is a disease in which unknown reason The entire lining of the large intestine is affected (ulcers appear on it). It begins with the rectum, whose projection falls on the lower left zone of the abdomen. Further it affects higher-lying departments.

UC appears:

• increased temperature;
• tingling or tightness in the left lower abdomen - on initial stage;
• bloating, especially pronounced in lower sections belly;
• general weakness;
• diarrhea or constipation.

Atypical location of the inflamed appendix

The disease begins suddenly, sometimes with pain around the navel, which later moves to left side. At first, enteralgia is moderate, then it increases more and more, becomes cramping, but can also be pulsating.

In addition, nausea appears, there may be 1-2 times of vomiting, and sometimes diarrhea, which is associated with irritation of the peritoneum, which envelops both the inflamed appendix and the stomach and intestines. Body temperature rises.

Diverticulitis

This is a disease in which the intestinal wall becomes a source of protrusions, similar to small hernias. This pathology develops most often in old age. May have no symptoms but show up on an x-ray with contrast taken for another reason. Also, diverticula, when inflamed, can cause enteralgia in any location, including in the left lower abdomen of a man. In addition, constipation and chills appear; the temperature rises.

Pain syndrome in the hypogastrium on the right

Pain in the right lower abdomen is characteristic of:

1. Inflammation right kidney or ureter. Symptoms are identical to those described for left-sided lesions.
2. , with a typical location of the inflamed process (the signs are similar to those with an atypical location).
3. Crohn's disease. Its symptoms may resemble appendicitis.
4. Nonspecific ulcerative colitis, in the progressing stage.
5. Diverticulitis.
6. Spinal diseases.

Pain syndrome in the suprapubic region

This symptom is typical for the following pathologies.

Acute prostatitis and exacerbation of chronic prostatitis

The pain is usually stabbing and spreads to the perineum, groin and testicles; may radiate to the sacrum and anus. With the next exacerbation of this disease, the syndrome acquires a nagging character; its appearance can be provoked by drinking alcohol, overwork, or hypothermia.

In addition to enteralgia, other symptoms appear:

• pain in the abdomen when urinating;
• erectile dysfunction;
• urinary retention;
• frequent small hikes;
• erectile dysfunction.

Cystitis

This is called inflammation of the bladder. It is characterized by the following symptoms:

1. pain when urinating, preventing the process of emptying the bladder from being completely completed;
2. frequent urination;
3. blood in urine;
4. It's a dull pain above the pubis;
5. urine becomes cloudy;
6. the temperature may rise;
7. V severe cases Nausea and vomiting develop.

Bladder cancer

BPH

At first, urination becomes more frequent, and the urge to go to the toilet begins to wake the man up at night. Increasing in size, prostate impairs the flow of urine from the bladder to the urethra, which is accompanied by aching pain and pain when urinating, urinary retention and lumbodynia.

Stagnation of urine in the bladder leads to frequent infections - cystitis. If the infection spreads higher, it may even develop. .

Prostate cancer

When the tumor reaches quite large sizes, or develops in the place where the urethra exits the bladder, the first symptoms appear. This:

• pain in the perineum;
• frequent desire to go “small”;
• blood not only in urine, but also in semen;
• "weak stream"

Later, with metastasis or tumor disintegration, the following occur:

1. weakness;
2. weight loss;
3. malaise;
4. heaviness in the chest;
5. pain in the bones: hips, pelvis, spine;
6. weight loss.

Vesiculitis

This is the name for inflammation of the seminal vesicles - paired organ located near the prostate. The disease manifests itself:

• pain that radiates to the sacrum. It worsens with defecation or a full bladder;
• painful erection and ejaculation;
• blood in semen;
• difficulty urinating;
• malaise;
• possibly by the release of pus in urine or semen.

Diagnosis based on the nature of the pain syndrome

Diagnosis by accompanying symptoms

We discussed the symptoms of the main pathologies above. Here we present only the names of diseases that can be grouped according to the symptom they share with pain.

Pain associated with an event

Pain in the lower abdomen in men after urinating indicates cystitis.

If this syndrome arose after hypothermia, this indicates either an exacerbation of chronic prostatitis or cystitis.

Pain after intercourse indicates inflammation of the seminal vesicles or prostate gland.

The appearance of pain in the lower abdomen after eating is a sign of irritable bowel syndrome. This is a disease in which it is not the structure, but the function of the gastrointestinal tract that suffers. This is manifested by the occurrence of pain and a strong urge to defecate when emotional stress, unproductive urge to defecate or feeling incomplete emptying- after it, periodic changes in the nature of the stool - constipation or diarrhea.

Temperature increase

If a man has pain and fever, this may indicate the development of:

• vesiculitis;
• acute prostatitis;
• pyelonephritis;
• urolithiasis during renal colic;
• diverticulitis;
• Crohn's disease;
• severe cystitis;
• appendicitis;
• infarction or abscess of the spleen.

Pain on pressure

Pain in the lower abdomen in a man that occurs when pressing on the stomach may indicate:

• an abscess localized between the loops of intestine lying in the lower abdomen;
• appendicitis;
• splenic infarction;
• diverticulitis.

How is the diagnosis made?

In men, 2 specialists work to make a diagnosis when pain syndrome localized in the lower abdomen occurs: a gastroenterologist and a urologist. They will determine the cause of this condition by:

1. survey, when the doctor will need to find out the onset of pain and what it is associated with, the nature, intensity and localization of this sensation. It will also be important to know the body positions or situations when the pain intensifies or weakens;
2. palpation (palpation) of organs through the anterior wall of the abdomen, determination various symptoms, if necessary, study the prostate through the rectum;
3. additional research:
   • Ultrasound of the prostate (through the skin of the abdomen or rectum),
   • Ultrasound of the abdominal organs,
   • X-ray of the abdominal organs, survey and with contrast,
   • Ultrasound of the kidneys and pancreas.

If the examination reveals a tumor of the prostate or bladder, a biopsy should be performed. If we are talking about a tumor of the intestine, pancreas or kidney, a biopsy will not be performed before surgery - the removed area will be immediately sent for examination. A preliminary tomography will be performed - magnetic resonance or computer.

For diseases urinary tract Urinalysis is necessary: ​​general and bacteriological urine culture.

For prostatitis, a bacteriological examination of prostatic juice is carried out.

Treatment

Treatment for pain in the lower abdomen depends on the diagnosed condition. So, if we are talking about acute appendicitis, urgent surgery is necessary. Splenic infarction, abscess localized between intestinal loops, and prostate adenoma are also treated.

Treatment of prostatitis, Crohn's disease, irritable bowel syndrome is carried out using medications different directions.

Treatment cancerous tumor any localization has different tactics and depends on the stage at which carcinoma is detected. The following are used in therapy: surgery, chemotherapy and radiation therapy.

Pain in the groin area and lower abdomen occurs in both men and women. Some reasons are common, some are gender specific. The weaker sex is more likely to encounter unpleasant feelings in the groin, but they are cyclical.

Occurs somewhat less frequently, but the main problem the stronger sex – ignoring the problem until it goes from the initial stage to a crisis. This is how guys suffer from their character.

Causes of pain

Discomfort in the lower abdomen occurs due to various reasons. The concentration of organs is off the charts in this area. Pain can be associated with the digestive, nervous, and genitourinary systems.

The cause can only be determined with the help of professional diagnostics.

Let's consider each of possible reasons, highlighting the specifics of the syndrome and the nature of pain.

Digestive system disorders

Part of the digestive organs is located in the pelvic area. Accordingly, if pain occurs in this place, especially after eating, spasms switch to nearby organs:

Nervous system diseases

Problems with nervous system can echo throughout the body. If at a certain point nerve endings are blocked, this leads to powerful spasm:

Problems of the genitourinary system

The previous causes of local discomfort are not the main ones. Most often, pain occurs due to inflammation and pathologies of the urinary and genital organs. For men - weakness. Each group of organs requires individual consideration to understand the true reasons.

Urinary tract diagnoses:

• – inflammation of the kidneys of an infectious nature.

The causative agent of the disease penetrates through the bloodstream or by reflux of urine from the underlying tract. Against the background of infection, the patient experiences hyperthermia, general weakness and depression, nausea and vomiting, and problematic urination.

The pain has a dull, aching character. It does not concentrate in one place, it shoots groin area, lower and upper abdomen, lower back.

• – infectious irritation of the bladder mucosa against the background of inflammation of adjacent organs.

Contributes to the development of the disease weak immunity, mechanical damage, hormonal surges, if the body gets cold as a result of prolonged exposure low temperatures. An aching syndrome occurs in the lower abdomen.

While urinating, pain is felt. Its frequency significantly exceeds the norm (up to 20 times/day); in most cases, a false urge to go to the toilet is felt. Sometimes emptying does not exceed a few drops. The urine becomes cloudy, sometimes with traces of blood.

• – the appearance of stones and sand in different parts of the urinary tract.

Solid formations - consequences poor nutrition with a predominance of salts and protein. An aggravating circumstance is excess weight. Pain with urolithiasis is acute, constant, and does not go away even at rest. The syndrome can move as the stones move. The urine becomes bloody.

Formations in the ureter are especially dangerous for men. It is naturally thin, long and sinuous. When the flow of urine slows down due to stones, pain occurs. The pain can radiate to the groin, genitals, and lower back.

• Bladder cancer makes itself felt in the middle and late stages with a significant size of the malignant formation.

The tumor “fills” the space of the organ, preventing the normal inflow and outflow of urine. A nagging pain is concentrated in the lower abdomen and lower back.

Diagnoses of the male reproductive system:

Sexual infections lead to inflammation of organs, sometimes affecting both internal and external.

Rise in body temperature, swelling, pain in the lower body are the main elements of the clinical picture.

Required specialists and diagnostic measures

Discomfort in the lower abdomen is a “hidden” symptom. This feeling may hide more than a dozen diagnoses. Some of them are quite harmless, and some, if ignored, can become threat to life and health.

Therefore, as soon as the first hints of illness are discovered, a man needs to undergo a medical examination as quickly as possible.

But because organ systems are in close contact with each other, the examination needs to be diverse and comprehensive. If something hurts, then the doctors you need to contact:

1. – a specialist involved in the diagnosis and treatment of problems of the urinary system;
2. andrologist - a doctor who diagnoses and treats the male genital organs;
3. gastroenterologist - a doctor whose area of ​​interest includes the treatment of the gastrointestinal tract;
4. oncologist - doctor who treats malignant formations of various types.

To make an accurate diagnosis also necessary A complex approach . It is necessary to consider the disease from all angles, taking into account all possible development scenarios. A one-sided study will not give an accurate result. Necessary procedures:

• taking an anamnesis - asking the patient about his health, intensity and frequency of pain. It is important for the doctor to clarify everything, from the daily routine, diet, habits, and nature of work. The andrologist will be interested in the onset of puberty, the nature of erection, the frequency of sexual intercourse;
• visual inspection. You can tell by the human condition general level health, the presence or absence of obesity, which is important. The doctor also feels the affected area, determining swelling, spasm, and inflammation. Redness and other signs;
• laboratory research. IN similar situation samples of blood, urine and feces, as well as seminal fluid will be taken from the man to identify bacteria, viruses, traces of mucus or blood in the biomaterial;
• allows you to examine the structure of internal organs, evaluate changes and pathologies. Similar methods also include tomography and, if necessary, x-rays.

Treatment options

Discomfort in the lower abdomen in men requires mandatory professional treatment. Amateur activity is unacceptable in medicine in principle, but this is especially important when treating unclear diagnoses where the genitourinary system is affected.

Ignorant approach and poor treatment are fraught with loss of sexual potency, infertility, kidney dysfunction and other terrible diagnoses.

Specific treatment is prescribed individually for each patient after the diagnosis has been made and clarified. Much depends on the complexity of the situation, fortress general health the patient, as well as his age. Acceptable methods of influence:

• drug treatment. IN in this case Antispasmodics and analgesics are in use. If an infection is detected, antibiotics will be needed;
• physiotherapy - exposure to currents, heat, lotions, magnetic fields;
• therapeutic gentle diet. The diet should not contain spicy food, protein and salts should be kept to a minimum;
• surgical intervention is required in in rare cases, most often with structural pathologies;
• chemotherapy for oncology.

Discomfort in the lower abdomen in men - alarming symptom, requiring mandatory attention and consistent treatment. If the disease is detected in time, severe consequences can be avoided.

Why does the lower abdomen hurt in men due to intestinal problems, find out from the video:

In men, pain below the abdomen occurs less frequently than in the fairer sex. Among women similar symptoms may be periodic. Men often try to ignore discomfort in this area, although the causes of discomfort can be quite serious. What to do if your lower abdomen hurts, only a doctor can decide, so a visit to a specialist is mandatory.

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 troubles that arise. Often pain in the lower abdomen in men is associated with pathologies in the prostate gland.

The nature and location of the pain that occurs

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

In order for the doctor to be able to recognize in which system of the body a malfunction has occurred and why the lower abdomen hurts, the patient needs to describe the characteristics of the pain. The pain can be described as dull, sharp, cutting, stabbing. It can occur abruptly, proceed spasmodically or at a pulsating pace. The pain can radiate (radiate) to the perineum, penis, and rectum.

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

Gradually increasing Blunt pain indicates the development of inflammation. The process may be slow. Pulsating pain symptoms may indicate increased pressure in the genitals, for example, due to intestinal or urinary obstruction. Attacks of pain are typical for pathological processes in the peritoneum.

Pain can radiate to a man’s lower abdomen in various places during physical exertion, bending, coughing or sneezing. Accompanied by nausea, chills or fever. All characteristic manifestations symptoms accompanying the 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 consulted - a urologist, proctologist or traumatologist.

Diseases that cause pain in men in the lower abdomen

Discomfort may appear after eating low-quality, too much food or drinking a drink of questionable 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: pain in the lower abdomen, weakness, nausea and diarrhea occur simultaneously.

Poisoning is treated comprehensively. Gastric lavage is performed, absorbents are taken ( Activated carbon). In severe cases, antibiotics are prescribed. After recovery, medications are prescribed to restore intestinal microflora.

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

At chronic cystitis At the initial stage, urination becomes difficult. The disease then progresses to acute stage, the bladder becomes full and becomes inflamed. A dull pain occurs in the lower abdomen and worsens over time.

One of the causes of pain in the groin area is inflammation of the appendix. Aching pain in the lower abdomen is localized on the right side. But due to physiological characteristics In some people, their appendix may be displaced towards the middle. Accordingly, acute cutting pain occurs to the left. Fever and nausea may occur.

In such a situation, it is necessary to call an ambulance. During attacks of appendicitis, you should not take painkillers, much less apply a hot heating pad to a man’s lower abdomen. Similar sensations may occur with intestinal obstruction, but it is not worth the risk and do not delay calling a doctor. Pain in the lower abdomen in a man can be caused by varicocele disease - dilation of the veins of the spermatic cord. They arise after physical activity, usually on the left side.

Another reason why a man has pain in the lower abdomen is inguinal hernia. Infringement can be determined by external signs. Swelling of the groin area occurs. With an increase in the hernial sac, asymmetry of the sides of the inguinal region is observed. The protrusion may disappear in supine position. Pain symptom is of a nagging nature.

The appearance of pain in the lower abdomen in a man when oncological diseases rarely happens. An exception is a tumor in the intestine, at a stage when the enlarged tumor begins to put pressure on neighboring organs.

Prostatitis pain

Pronounced pain in the lower abdomen in men can be a consequence 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 and cause a pulling sensation.

Prostatitis is characterized by painful sensations in the perineum and scrotum, radiating into groin area. When inflammation develops, they are felt in the lower abdomen and lower back. The pain may be vague and therefore not have a specific location.

If prostatitis is not treated in the initial stage, the pain in the lower abdomen in a man intensifies and moves to the groin and testicles, accompanying urination. At the same time, sexual functions decrease even in a young guy.

An advanced disease leads to the development of another disease - prostate adenoma. An enlarged prostate gland puts pressure on urethra, constant aching pain occurs. Getting worse general state a sick person is plagued by a frequent urge to urinate.

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

Go to chronic form acute prostatitis occurs due to the same reasons as its development:

• metabolic and hormonal imbalance;
• sexual dysfunctions;
• alcohol abuse;
• poor physical activity;
• penetration of infection.

Chronic and acute sharp pains are periodically accompanied by decreased blood pressure and nausea. Seeing a doctor for these symptoms is inevitable.

Emergency measures for severe pain in the lower abdomen

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

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

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

Therefore, if any of the above phenomena occur, you should call an ambulance.

Before the doctor arrives, it is necessary to take measures to alleviate the patient’s condition:

1. Place the patient in bed and provide access fresh air and peace.
2. Place a heating pad with ice on the man’s lower abdomen, plastic bottle With cold water. But the cooling compress does not last longer than half an hour.
3. As for medications, a patient can take no more than 2 tablets of no-shpa.
4. If there is a healthcare worker among your loved ones, you can give an intravenous instillation of sodium chloride solution.
5. Independent use of laxatives, enemas, and painkillers is unacceptable. The action of the latter will subsequently hinder the accurate diagnosis of the disease.
6. The patient should not eat or drink. If you are very thirsty, you can wet your lips and tongue.

Any pain that occurs in the groin or perineum area, as described associated symptoms can lead to serious health problems. It is especially necessary to respond promptly to the manifestation of such pain in children.

Lower abdominal pain in men is often caused by chronic diseases, urinary tract infections, or problems with digestive tract. First of all, it is important to determine its type, since in some cases the complication may require immediate attention. medical care.

Any type of abdominal pain - nagging, aching, sharp, localized, radiating (spreading to other parts of the body and organs), sporadic (not constant) - is a cause for concern, but you need to be able to distinguish serious problem from less serious. It is important to note the intensity discomfort and any other features that will help the doctor make a correct diagnosis.

Thus, pain in the lower abdomen in a man, which intensifies when coughing, sneezing, or movement, is most often caused. While tolerable discomfort and diarrhea may occur due to low-quality stale food. However, if you have any suspicions or unusual symptoms, it is better to consult a specialist.

One of the most dangerous conditions is an “acute stomach”. This term means the sudden emergence and rapid development severe pain in the abdominal cavity. Examples of the main reasons " acute abdomen"are acute appendicitis, cholecystitis, pancreatitis or diverticulitis, biliary colic, kidney stones.

Disturbances in the functioning of the abdominal organs may be accompanied by one or more associated symptoms. Often, pain in the lower abdomen in men is combined with such signs and problems as:

• constipation or diarrhea,
• gases,
• dyspepsia (indigestion),
• nausea with or without vomiting,
• body pain and/or fever,
• muscle spasms,
• pain during sex,
• pain or burning when urinating,
• palpable mass or lump in the abdominal cavity (hard belly),
• skin rashes,
• unexplained weight loss,
• confusion,
• high temperature (more than 38 °C),
• tachycardia (fast heart rate),
• vomiting blood,
• rectal bleeding, bloody stools.

Serious symptoms such as prolonged vomiting, fainting, signs of bleeding in the gastrointestinal tract- a reason for immediate appeal to the doctor.

NAGING PAIN IN THE LOWER ABDOMINAL IN MEN: REASONS

1. Constipation

A very common phenomenon in which digestive system has difficulties with bowel movements. Because of this, feces accumulate, the intestines expand and cause pain. As a rule, in this case the man sometimes feels a tugging cutting pain in the lower right side of the abdomen.

1. Diabetic ketoacidosis

This complication of type 1 diabetes may be accompanied by shortness of breath, extreme thirst, nausea, frequent urination, fatigue and weakness. Often there is a feeling of pain in the abdominal cavity.

1. Ulcerative colitis

An inflammatory disease of the colon that is usually associated with weight loss, rectal pain, and bleeding. In this case, the pain is concentrated in the lower right side of the abdomen or on both sides. Some men may have trouble defecating despite the urge.

1. Crohn's disease

An inflammatory bowel disease that causes diarrhea, abdominal pain (which can become stabbing), and weight loss. In this case, there may be bloating and pain when palpating it. The disease is relatively rare and serious, and therefore requires medical supervision.

ACHING PAIN IN THE LOWER ABDOMINAL IN MEN: REASONS

1. Hernia

Usually causes pain in the right lower abdomen due to weakening of the muscles abdominal wall. Soreness may also be felt in the groin area and upper thigh.

1. Food poisoning

1. Irritable bowel syndrome (IBS, IBS)

This disease causes sporadic paroxysmal muscle spasms in the small and large intestines, which leads to pain that can be not only aching, but also sharp and sharp. The condition may be accompanied by painful, mucous stools, constipation, or diarrhea. IBS is considered chronic disease which can be controlled with proper nutrition.

SHARP PAIN IN THE LOWER ABDOMINAL IN MEN: WHAT IS CAUSED

1. Appendicitis

A relatively common problem that is most often observed in men aged 11 to 40 years. Pain from the bottom right side in the abdomen is usually sharp, after a while it is accompanied by vomiting, high fever and loss of appetite.

1. Testicular torsion

This condition can cause severe cutting pain in men in the groin, lower abdomen and below the navel. Sometimes it is accompanied by nausea, vomiting and general painful sensation in the scrotum. At first, this pain is sporadic (irregular), but as the condition progresses, it becomes more persistent.

1. Kidney stones (urolithiasis)

The pain can be moderate to severe, sharp and sharp, and is often described as wave-like and varying in intensity. It usually concentrates on the side of the back, but can also spread to the abdomen. Kidney stones occur due to poor diet, dehydration, and excessive amounts of animal protein and sugars in the diet. There may also be pain when urinating.

1. Diverticulitis

This condition is characterized by inflammation of diverticula (small pockets of the colon) in which fecal matter can accumulate and bacteria can grow, which then causes inflammation and pain. Other signs include constipation or diarrhea (less commonly), nausea, fever, and bloating. In addition, a man may have a dull pain in the lower left side of his abdomen. Diverticulitis is often considered a disease of older people, but up to 20% of patients diagnosed with it are under 50 years of age.

1. Cystitis

Disorder genitourinary tract because of bacterial infection Bladder. Pain in the lower abdomen in men is often accompanied by a burning sensation during urination. Also with this disorder, the frequency of urges increases, the urine becomes dark, cloudy or even bloody.

Other common causes of lower abdominal pain in men include:

• inguinal hernia,
• upset stomach (dyspepsia),
• kidney infection
• pyelonephritis (infection urinary tract, which can spread to the kidneys),
• excessive accumulation of gases in the intestines,
• food intolerance, allergies, celiac disease,
• gastroenteritis, stomach flu caused by bacteria, viruses, toxins.

When to see a doctor

Severe, persistent or recurring pain should be a reason to visit a specialist. Symptoms that require you to visit a doctor as soon as possible include:

• vomit,
• dehydration (dehydration),
• painful and frequent urination,
• blood in vomit, stool, or urine.

In some cases, abdominal pain is a sign of a condition that can be fatal without immediate medical attention.

Less common causes of abdominal pain include.