The lumbar region hurts and the lower abdomen pulls. What to do when your lower abdomen is tight and your lower back hurts? Chronic pain

In the pelvic area, the concentration of sensory nerve fibers is relatively small. Therefore, the impulses coming from them are poorly differentiated by the human nervous system. In addition, people have different perceptions of pain and pain thresholds. Therefore, they are a nonspecific symptom; to make a diagnosis, you need to see the entire clinical picture.

The causes of pain of this nature in women are more often associated with gynecological problems than with diseases of the gastrointestinal tract or kidneys. In men, unpleasant symptoms are associated with prostatitis. It is not possible to make a diagnosis at home, but the accompanying symptoms can help you understand which specialist you should contact.

Characteristics and first aid

The doctor asks questions about the nature of the pain (sharp, nagging, dull), and analyzes the accompanying manifestations. They indicate the reason for this feeling.

Pathologies of the digestive system are often accompanied by nausea, vomiting, and loss of appetite. In this case, other symptoms are observed - bloating, diarrhea or constipation. Such signs are characteristic of irritable bowel syndrome and some other inflammatory diseases. It all depends on what caused the reaction of the gastrointestinal tract. Sometimes this is a violation of the diet, consumption of expired products. Then taking enterosorbents will speed up the removal of toxins from the body. Irritable bowel syndrome needs to eliminate the cause that caused it. It is necessary to follow a diet and adjust the diet so as to exclude from it all foods that irritate the intestines (brown bread, various types of cabbage, foods containing coarse fiber). Sometimes taking probiotics is recommended to eliminate dysbiosis.

In some cases, the temperature rises, fever or chills occur. This situation is typical for infectious diseases of the pelvis (gonorrhea, chlamydia, ureaplasmosis, etc.). In these cases, antibiotics are usually used for treatment, but only after laboratory tests confirm the presence of these pathologies.

In acute cystitis, blood may appear in the urine. The disease is also accompanied by frequent urination.

The localization of sensations also plays an important role. Some pathologies cause back pain. But this is radiating pain (transmitted to an area remote from the source of the disease), and the reason lies in pathologies of the kidneys or other organs. With kidney diseases, there is often a clearly defined localization of pain. If it hurts on the left, then the inflammatory process occurs in the left kidney.

Nausea, vomiting, and bleeding occur with ectopic pregnancy or intra-abdominal bleeding. In such cases, you should immediately call an ambulance.

None of these symptoms are specific. Thus, acute pain in the lower abdomen on the right may indicate a disease such as appendicitis. It is often accompanied by fever and fever, loss of appetite, nausea and vomiting. The pain is acute. If it does not subside within several hours, and the intensity of its manifestation increases, you should seek medical help as soon as possible.

Lower back pain can be caused not only by diseases of the gastrointestinal tract or genitourinary system. Sometimes they indicate problems with the spine. If the sacrum hurts, then the reason is osteochondrosis of the corresponding department or the protrusion of intervertebral discs caused by it.

Women

The causes of pain in the lower back and lower abdomen in women are not always associated specifically with gynecological problems. But this is the most common case. The pain can also be relatively harmless. They begin before menstruation. Often the lower back hurts after ovulation. This can happen in the middle of the cycle, but does not always indicate the presence of pathologies and hormonal imbalances. The fact is that the cycle is on average 27-28 days. Ovulation begins on the 14th day, that is, in the middle. It should be painless. But in some women, rupture of the follicle from which the egg emerges is accompanied by rupture of small vessels at its base. This is what causes pain. Sometimes a follicle rupture provokes uterine contractions, which also causes pain. It “pulls” the lower abdomen, but is also felt a little higher.

Similar sensations occur during menopause. They are associated with hormonal disorders that occur during this period. Although this is a very common situation, the occurrence of such symptoms should be reported to your doctor immediately so that he can prescribe appropriate medications.

Pain after menstruation can be a sign of various gynecological diseases, including inflammatory ones:

1. 1. Bend of the uterus. It is sometimes called retroflection. But this is only one form of pathology. Despite individual differences, the uterus has a specific anatomical position in the pelvic cavity. It is located parallel to the vagina, in the same plane with it, deep in the center of the small pelvis, etc. If the uterus deviates from its normal position in any direction, then this pathology is called a bend. Treatment methods for the disease are varied and depend on the specific cause of the disease. For this pathology, hormonal medications, vitamin complexes, and medications for resolving adhesions may be prescribed. If there is a bacterial infection, then take antibiotics. Non-drug treatment plays an important role. This is gymnastics using the Kegel technique.
2. 2. Fibromyoma. This benign neoplasm develops in the uterine myometrium. Most often, surgical treatment is prescribed.
3. 3. Inflammatory processes in the uterine appendages (adnexitis). They are often associated with a bacterial infection. The resulting pain is usually felt in the lower abdomen, but sometimes radiates to the lower back. Inflammation can be triggered by artificial abortion, unprotected sexual intercourse during menstruation, or hypothermia. In this case, antibiotics and anti-inflammatory drugs are prescribed.
4. 4. Ovarian rupture. Characterized by unbearable pain in the lower abdomen. In such cases, it is necessary to call an ambulance, since only surgical intervention will make it possible to avoid serious consequences.

Pain in the lower abdomen also occurs during pregnancy. This is a dangerous situation because it also means a risk of miscarriage, especially if bleeding has started. Such symptoms may also indicate an ectopic pregnancy. You should seek medical help immediately.

Men

In women, pain in the lower abdomen and lumbar region is more common, but men also suffer from it. The latter have other reasons for their occurrence. Prostatitis is considered one of the most common problems. Its symptoms are:

• nagging pain in the lower abdomen;
• aching pain in the back muscles and lumbar joints;
• difficulties with defecation (due to the fact that the prostate increases in size and comes into contact with the rectum);
• frequent urge to urinate, although little urine is produced, this situation often occurs at night;
• painful urination, burning or stinging. It proceeds in waves, is poorly controlled, and after it there is no feeling of emptying the bladder.

Prostatitis is caused by various reasons. This includes a sedentary lifestyle, leading to stagnation of blood in the pelvic organs, prolonged sexual abstinence, and a decrease in natural immunity, including due to severe hypothermia. But the most common cause is the presence of a viral or bacterial infection.

Therapy consists of taking antibiotics. The course of medications is prescribed by the doctor depending on the severity of the disease. Muscle relaxants and alpha blockers are used. Zinc preparations play an important role. Often, in addition to drug treatment, the doctor prescribes prostate massage.

If you contact a specialist in a timely manner, therapy will be conservative. But in severe situations, when there are problems with the urinary tract, narrowing of the urethra is observed, this is an indication for surgical treatment.

There are other diseases that are accompanied by similar sensations. These are infectious processes in the bladder, urethritis, kidney pathologies, including urolithiasis. Cystitis is rare in men.

Another reason for the development of pain in the lower abdomen in men is epididymitis orchioepididymitis, in everyday life it is called inflammation of the testicle. The pain in this case is nagging and aching in nature. The disease is caused by a bacterial infection. Therefore, antibiotics are used to treat it. But you cannot take such drugs on your own; they must be prescribed by a doctor after it has been established what pathogen caused the disease and what drugs the microorganisms are resistant to. Physiotherapy methods are also used - magnetic therapy and UHF (ultra-high-frequency inductothermy).

In women, the lower back and lower abdomen hurt more often than in men. The reasons can be very different - from back problems to gynecological infections. To take care of your health, visit a doctor - only he will establish the correct diagnosis.

If the position of the uterus is genetically slightly towards the back, it can put pressure on nerve tissue. This causes pain in the lower abdomen and lower back in women. Menstruation causes contractions of the uterine muscles. And many women are so sensitive that such contractions cause them pain. Over the years, the level of female sex hormones decreases, but it serves as something of a natural pain reliever. Thus, the nerves react even more strongly to pressure and muscle contractions.

Aching in the lower back can also occur because the level of fluid in the female body changes. It does not leave the body in the required volume, so the tissues swell and their pressure on the nerves increases.

When the pain becomes too severe, or prevents you from sleeping, causes nausea and loss of appetite, go see a doctor. An endocrinologist and a gynecologist are best suited for this role.

• Read also:

There is a possibility that you have problems with the thyroid gland, which ceases to maintain normal hormonal levels for your age.

To escape from, many women take antispasmodics and painkillers. But that treatment is only symptomatic, and is it necessary to stuff yourself with extra medications if pain in your case is a normal symptom? It's up to you and your doctor to decide.

If you want to avoid pain during your next period, take preventative measures. First undergo all the tests prescribed by your doctor to rule out inflammatory and infectious diseases. Prevention includes exercise therapy and massage procedures.

Gynecological diseases

It happens that a woman has it outside her menstrual cycle. The reasons can be varied, and to exclude them, you will need to undergo a gynecological examination:

• Pain on one side indicates an inflammatory process or rupture of the ovary;
• Inflammatory focus in the uterine, vaginal area, fallopian tubes;
• If symptoms occur after an abortion, the uterine area may not have been completely cleansed;
• A cyst or tumor, benign or malignant, has appeared;
• STDs and inflammations based on them. A related symptom is blood from the vagina after sexual intercourse;
• Uterine oncology.

Vaginismus

This is a disease in which a girl is unable to have sexual intercourse. Her vaginal and pelvic muscles create severe, painful spasms affecting the lower back and lower abdomen. As a result, penile insertion is impossible because the vagina becomes excessively narrow. Vaginismus usually develops in attacks before possible sexual intercourse, and does not torment at other times.

The causes of the disease are as follows:

• Fear of men and sexual intercourse;
• Vaginal pain;
• Hysterical states;
• Traumatic injuries of female organs.

Pregnancy

And it spasms for the following reasons:

• Danger of miscarriage or early birth;
• Diseases of the digestive system;
• Development of the embryo outside the uterus.

But in most cases, such pain is simply an inevitable consequence of changes in a pregnant woman’s body. Bones and ligaments become soft, stretch, and the rapidly growing uterus puts pressure on the sacrum.

Appendicitis

A symptom such as pain in the lower back and lower abdomen may indicate appendicitis. In addition, in most cases, inflammation of the appendix manifests itself as follows:

• Strongly ;
• Abdominal muscle spasms occur;
• Nausea and vomiting without relief;
• The temperature rises;
• There is profuse sweating.

Appendicitis in women is more difficult to diagnose. Gynecological organs are located in such a way that an inexperienced diagnostician can easily confuse their pain syndrome with appendicitis.

It is especially difficult to diagnose appendicitis during pregnancy, when all the abdominal organs have changed their position. At the same time, expectant mothers often complain of a large number of different pains, and it is not always possible to immediately notice the symptoms of appendicitis. And other manifestations of appendicitis have already become familiar to a pregnant woman - nausea, vomiting.

When diagnosing appendicitis in such a situation, it is worth focusing not on the nature of the pain syndrome. Pay special attention to nausea and vomiting. When the appendix becomes inflamed, they will become very severe and their connection with food intake will disappear.

• Here's more information about

Intestinal inflammation

The inflammatory process in the intestinal area in women is manifested by symptoms such as:

• Pain radiating to the lower back, groin or pubic area;
• The temperature rises;
• Appetite disappears;
• The patient is rapidly losing weight;
• Gas formation increases;
• Suffering from diarrhea, often with traces of blood;
• Formation of anal fissures, pain during defecation.

If symptoms appear, do not self-medicate. Inflammatory processes, including in the abdominal area, can spread and affect the liver, spine, uterus and other female organs.

• Read also:

Pyelonephritis

Such a predominantly female disease as cystitis often leads to an inflammatory process in the kidney area. Due to the short urinary tract, the urological organs of women are more susceptible to the penetration of infectious pathogens.

If pyelonephritis becomes a complication of cystitis, the pain radiates to the lumbar back and lower abdomen. Your back hurts after physical stress, chronic fatigue, sudden movements and heavy lifting. In addition, the woman is tortured:

• Chills in the lumbar region, chills throughout the body;
• Pain in the abdominal region of a woman;
• Frequent urge to urinate, especially during sleep;
• Low-grade fever in the evenings;
• The pressure in the arteries increases, the patient may decide that he is having an attack of hypertension;
• The woman feels weak, overwhelmed, and experiences rapid fatigue;
• It hurts, sometimes I feel dizzy. The mind may become confused;
• Swelling of the arms, legs, cheeks - too much fluid in the body due to poor functioning of the urinary system.

Osteochondrosis

Degenerative-dystrophic changes in the intervertebral discs are the most common cause of pain in the lumbar region. Osteochondrosis has become younger in recent decades due to the fact that people constantly sit at the computer during their workdays. At the same time, the posture leaves much to be desired; the person is usually in a tense, very static position. As a result, the lower back muscles weaken and blood circulation in the intervertebral discs deteriorates. In addition, extra pounds appear, which also put strain on the lower back.

Pain in osteochondrosis is either chronic or paroxysmal. Chronic - aching or pressing caused by drying of the discs, their microscopic injuries and contact of the vertebrae with each other. Seizures occur due to pinching of a nerve root. They are accompanied by powerful muscle spasms that prevent the woman from straightening up. Spasms are the body’s initial protective reaction to damage to nerve tissue. You should not force yourself to overcome them; instead, relax and take painkillers.

Osteochondrosis is a natural process of destruction of cartilage tissue associated with aging and constant stress, microtrauma of the discs. To slow it down, you need to improve blood circulation to the discs and reduce the stress on them. Exercise, lose weight. Do not sit for a long time and do not engage in sports with weights or heavy physical work.

Infectious diseases

A large list of types of bacteria can invade the internal organs of the abdominal cavity. Inflammatory and purulent processes begin. Torments, sometimes radiating to the pubic-inguinal area . The stool contains traces of blood and mucus. Extensive infection can become a complication, so you should seek qualified medical help as soon as possible.

A fairly common form of genital endometriosis is ovarian endometriosis, which is characterized by constant pain in the lower abdomen and lumbosacral spine, intensifying during menstruation. In addition, with this form of the disease, due to the entry of tissue and blood particles into the abdominal cavity, a pronounced adhesive process quickly develops, which will certainly cause constant pain.

Retrocervical endometriosis is particularly painful in the sacrum and lower back, radiating into the rectum and vagina. Sexual intercourse, defecation and menstruation cause a lot of trouble for a woman, since they are accompanied by pain.

Foci of endometriosis in the tubes, ovaries, and peritoneum, which result in a pronounced adhesive process, lead to the development of chronic pelvic pain syndrome in women. In addition to endometriosis, this syndrome can be a consequence of tumors, benign and malignant. However, if the latter require immediate surgical intervention, then benign fibroids, as a rule, exist for years and give constant pain in the abdomen, sacrum and lower back.

The occurrence of pain before, during and after menstruation, during the period of ovulation is not limited to the range of diseases listed above. Almost any disturbance of autonomic nervous activity, hormonal imbalance, anatomical features and many other factors can cause such pain.

Unfortunately, many women are in no hurry to see a doctor, but resort to self-treatment, which in no case should be done. A hot heating pad applied to the abdomen may slightly relieve the cramps, but it will increase the bleeding. Inflammatory diseases require the use of effective antibiotics, which can be determined by culture of microflora for sensitivity to them, and only then treatment can be started. Obviously, the woman herself will not be able to adequately correct hormonal activity, so it is better to entrust any gynecological problems to a specialist.

Pain in the lower abdomen is a typical sign of diseases of the gastrointestinal tract or genitourinary system. Therefore, most people turn to a doctor of the appropriate specialization. But when the results of the examination indicate the normal state of the internal organs, both patients and doctors are perplexed: how can this be? In such situations, it is necessary to pay attention to the spine: in 10-20% of cases, the “culprit” of abdominal pain is a pathology of the musculoskeletal system.

What is the connection between osteochondrosis and pain in the lower abdomen?

Abdominal pain is a concomitant symptom of lumbar, thoracic (much less frequently) osteochondrosis, since in these parts there are nerve endings of the spinal cord connecting the spine with the abdominal and pelvic organs.

Over the years, intervertebral discs deteriorate: they lose their strength and elasticity. This leads to excessive mobility of the vertebrae and the formation of bone growths on their body, the appearance of pathologies in the joints, muscles and ligaments (compression of the paravertebral structures occurs). During degenerative processes in the thoracic region, in the area of ​​5-7 vertebrae, the roots responsible for the nervous supply of the intestines, gallbladder, spleen and stomach are compressed. Their constant irritation by overgrown osteophytes causes pain that mimics gastrointestinal diseases.

The mechanism of pain in the lower abdomen with lumbar osteochondrosis is based on the following compression and reflex syndromes:

1. Koreshkovy– manifests itself both in the early and later stages of the disease (when a protrusion or lateral intervertebral hernia has formed). As the degenerative disc moves, it compresses the nerve roots and blood vessels, thereby impairing the outflow of venous blood and the transmission of nerve impulses from the spinal cord to the brain (spasm, inflammation or paralysis of the spinal nerves occurs). This leads to pain in certain parts of the body. If the first three roots are pinched, a person feels pain in the lower back, front and inner thighs, lower abdomen and groin area.
2. Lumbar sciatica (sciatica)– a complex of symptoms that occurs as a result of pinching of the sciatic nerve by deformed vertebrae, intervertebral hernia. The syndrome manifests itself in different ways. As a rule, the patient feels shooting pains in the back, radiating to the thigh and buttock. However, a compressed sciatic nerve can also cause spasms of the pelvic muscles: pain appears in the groin and lower abdomen.

Pinched sciatic nerve. The picture shows:
1. Nerve irritation
2. Herniated disc
3. Inflamed joint
4. Sore muscle
5. A herniated disc puts pressure on the nerve endings of the spinal cord
6. Sciatic nerve

Another cause of pain in the lower abdomen due to pathology in the lumbar region is compression myelopathy (compression of the spinal cord). In this case, the patient experiences a change in sensitivity in the muscles of the thigh, buttock and lower leg.

How pain manifests itself

In 15% of patients with osteochondrosis, the occurrence of pain in the abdomen is associated with degenerative processes in the tissues of the spine. In this case the pain:

• felt on the surface of the body and abdominal muscles, but sometimes it is deep;
• has an aching, dull, bursting or cutting character;
• worries constantly;
• worsens when bending over, changing body position, walking, deep breathing and coughing;
• can be one-sided, combined with lumbar and back pain.

Abdominal muscle spasms can occur in both thoracic and lumbar pathologies. But in the second case, the pain is more pronounced.

During destructive processes in the bone and cartilaginous tissues of the spine, pain in the abdomen is accompanied by:

• heartburn, nausea and even vomiting;
• feeling of heaviness in the hypochondrium;
• bowel disorder (constipation, diarrhea);
• excessive gas formation in the intestines.

With osteochondrosis, the clinical manifestation of pain in the lower abdomen is often perceived as signs of appendicitis, colitis, cholecystitis or adnexitis, and ailments of the genitourinary system. However, with a disease of the internal organs, the patient also develops other symptoms (see table)

It is difficult to recognize the exact cause of abdominal pain without consulting a doctor. If a false diagnosis of “osteochondrosis” is made, diseases of the gastrointestinal tract and genitourinary system will progress, causing complications: bleeding, peritonitis, adhesions in the fallopian tubes, infertility, dehydration. Therefore, if you experience the slightest discomfort, you should consult a specialist. He will determine what triggered the pain syndrome (pathology of internal organs or spine) and prescribe appropriate treatment.

If pain occurs in the lower abdomen, before the doctor arrives, the patient can do the following:

1. Lie on your back and place your palm on your stomach. Then we slowly press on it with our fingers, remembering the nature of the pain (bursting, sharp, aching) and the place where pressing causes the greatest discomfort.
2. If possible, we stand up and bend over a few steps to determine whether the pain intensifies.
3. We remember when the pain in the lower abdomen appeared: after stress, hypothermia, physical activity, or suddenly. It is also important to note whether the pain syndrome is accompanied by nausea, fever or stool disorder.

Self-identified pain characteristics will help the doctor make a diagnosis faster. Evidence of the vertebrogenic origin of pain in the lower abdomen are symptoms of irritation of the nerve roots and loss of functions of different parts of the body:

• numbness, pallor and dry skin;
• impaired tendon reflexes, muscle weakness;
• reduction of superficial sensations;
• excessive sweating;
• tingling in the body, limbs.

Vertebrogenic abdominal pain imitates various diseases of the abdominal and pelvic organs. However, this does not exclude the possibility of the development of true trophic disorders.

Organ pathology or osteochondrosis: how to find out why your stomach hurts?

It is possible to identify the cause of pain in the lower abdomen only after the patient undergoes the following types of examination:

1. Ultrasound of the abdominal and pelvic organs is prescribed to confirm (refute) their pathology.
2. X-ray of the spine (in lateral and direct projections) - allows you to assess the condition of the vertebrae: the degree of their displacement, the presence of osteophytes.
3. CT and MRI are the most informative methods for studying tissue. They make it possible to examine the intervertebral discs (to clarify their edges) and the ligamentous apparatus, to find out the location of the infringement of the spinal roots.

The relationship between pain syndrome and osteochondrosis is confirmed if the diagnostic results show:

• normal condition of internal organs;
• reducing disk density;
• the presence of osteophytes on the vertebrae;
• destruction of cartilage inside the facet joints;
• formation of protrusion, intervertebral hernia;
• spinal deformities (, lordosis,).

In severe cases, making an accurate diagnosis may require consultation with highly specialized specialists (gynecologist, infectious disease specialist, neurologist) and additional examination, which includes:

• urine blood tests (general and extended);
• bacteriological culture of stool;
• endoscopic examination of the stomach, intestines;
• coprogram.

After a comprehensive examination, the doctor draws conclusions about the mechanism of abdominal pain and chooses a treatment method.

With osteochondrosis, pain in the lower abdomen appears due to a disruption in the transmission of impulses from damaged spinal roots. However, as the disease progresses, patients often experience changes in the tissues of internal organs, diseases that are in no way related to each other. Therefore, it is important to undergo differential diagnosis in time to find out the cause of the pain syndrome and begin taking therapeutic measures.

How to get rid of pain?

When the cause of abdominal pain is compression of the nerve roots, only comprehensive treatment of the spine will help get rid of the discomfort. Its main goals:

• eliminate muscle spasms;
• reduce swelling and inflammation in areas of damage to bone and cartilage tissue;
• relieve compression of the nerve roots.

Therapy for osteochondrosis complicated by pain in the lower abdomen includes:

Taking medications. As a rule, they prescribe:

• painkillers and anti-inflammatory drugs;
• medications that normalize blood circulation and metabolism in affected tissues;
• and muscle relaxants.

Physiotherapeutic procedures. The following help relieve pain (of any location) with osteochondrosis:

• magnetic therapy;
• electrophoresis;
• laser therapy;
• paraffin applications.

Classic and segmental reflex massage– indicated during the period when the symptoms of osteochondrosis subside. The positive effect of their use is as follows:

• improves blood circulation in bone and cartilage tissues;
• pressure on nerve roots and arteries decreases (muscle spasms disappear);
• pathological reflexes disappear;
• the functioning of all body systems is restored.

Physical therapy(do not use in the acute period of the disease). Effect of classes:

• the back and abdominal muscles are strengthened;
• the flow of blood and nutrients into the affected tissues of the spine improves;
• blocked vertebrae are released;
• congestion in the small pelvis disappears.

Based on the treatment methods described above, the following list can be displayed.

If, with osteochondrosis, pain in the lower abdomen and back does not respond to conservative treatment and often worsens, accompanied by dysfunction of the pelvic organs (impaired urination and defecation) and cauda equina syndrome, surgical intervention is recommended. During the operation, intervertebral disc replacement is performed and osteophytes, compressive vessels and spinal roots are removed.

Osteochondrosis is a comprehensive disease: it can cause pain in the lower abdomen, chest, heart, upper and lower extremities. By following treatment recommendations, you can not only prevent the occurrence of such complications, but also relieve the main symptoms of the disease and slow down the development of degenerative processes in the spine.

The feeling of pain is nothing more than the body’s reaction to external or internal stimuli affecting nerve endings. Pain can appear in any part of the body, have different intensity and frequency, cause physical discomfort to a person, reduce the quality of life and impair performance. In the practice of doctors from different fields of medicine, there are patients who complain that the lower abdomen and lower back hurt. Complaints about such pain are not the basis for making a diagnosis, therefore, only after a complete diagnosis does the doctor have the opportunity to determine the cause and prescribe the necessary treatment.

To find out why the stomach and lower back hurt, the patient will have to undergo a series of laboratory and instrumental tests to identify the cause. Both men and women can suffer from similar symptoms, but the weaker sex suffers much more often and this is due to the physiological characteristics of the female genital area.

Pain in the lower abdomen and lower back have different etiologies. Pain occurs when nerve fibers are irritated, pinched or muscle tension.

The lumbar region and the lower part of the pelvic organs have connected nerve plexuses, so a pain impulse in one part will spread to the other, which makes diagnosis difficult. If you are concerned about pain in the lower back and lower abdomen, you need to pay attention to the nature, frequency and intensity of the pain.

In case of chronic diseases, cramping, increasing or nagging pain in the lower back and lower abdomen may bother you.

Abdominal and lower back pain accompanied by elevated body temperature, chills, and muscle weakness are a sign of an inflammatory reaction. Pain in the lower back and lower abdomen occurs due to pathologies of the reproductive system in women, urological diseases in men, damage to the spinal column or intestines. There are a number of somatic diseases that are characterized by lower back pain and lower abdominal pain. Considering a number of reasons, only a doctor can determine why the lower back and lower abdomen hurt, having in hand the results of all the necessary studies.

Pain in the back and abdomen can have different intensity, character, appear intermittently or be a constant concern. With systematic pain, such pain cannot be ignored by the doctor, since it is a sign of internal diseases.

The disease may not bother a person for a long time, but is often complicated by a chronic course, inflammation of the sciatic nerve, reduces performance, and leads to disability. During development, damage to the vertebrae and intervertebral discs occurs.

A characteristic sign of the disease is lower back pain of varying intensity. Mostly they are aching, dull, and radiate to other parts of the body, in particular to the pelvic organs. The pain syndrome in the acute period is quite strong and intensifies with any body movement. For treatment, pharmaceutical drugs, physical therapy, massage, diet, physiotherapy and other techniques are used.

When the functioning of the spine or structures of the musculoskeletal system is disrupted, patients often experience muscle spasms. Develops with sudden movements, heavy lifting, and often acts as a symptom of osteochondrosis, herniated intervertebral discs. A person complains that there is tension in the lower back, often radiating to the stomach, lower limbs, and thigh. The localization of pain depends on the damaged muscles and nerve endings.

When the intervertebral discs are damaged, when the fibrous ring ruptures and the nucleus pulposus comes out, intervertebral hernias develop. The disease is often a complication of osteochondrosis. During development, the nerve roots are pinched, so in addition to severe acute pain, there is numbness of the limbs and a decrease in their sensitivity.

In the acute period, the pain is so severe that a person may lose consciousness. There is nausea, vomiting, and bowel dysfunction. The pain often radiates to the lower back. Treatment is carried out only surgically.

Urolithiasis disease

Pain in the lower back appears due to urolithiasis. In the acute period, the clinic is quite pronounced. With large stone formation or stagnant processes, symptoms of renal colic are present. In addition to pain in the abdomen and lower back, there is impaired and painful urination and blood in the urine. When the kidneys are damaged, the lower abdomen and lower back pull, the pain is dull, manifests itself in periods or is constantly present.

The etiology of pain is very diverse, so it is important to pay attention to other symptoms.

Complaints that the back and lower abdomen hurt may be a sign of female diseases:

• ectopic pregnancy;
• bending of the cyst pedicle;
• pregnancy;
• miscarriage.

Severe abdominal pain in women is often a sign of inflammation in the uterus and its appendages. Moderate soreness may be present during menstruation. The woman’s stomach feels tight and there is pressure in the lower back.

IMPORTANT! The appearance of pain in the lower abdomen and lower back in women is a reason for a comprehensive examination.

In men, pain in the back and abdomen is simultaneously present with prostatitis, prostate adenoma, urethritis and other pathologies affecting the organs of the genitourinary system.

With diseases of infectious or non-infectious origin affecting the genitourinary system, the stomach and back often hurt at the same time.

1. cystitis;
2. pyelonephritis;
3. renal colic;
4. chlamydia;
5. gonorrhea.

To understand why the lower back hurts, it is important to listen to other symptoms that are inherent in a particular disease. Disturbances in the functioning of the kidneys and bladder are accompanied by impaired urination, blood in the urine, and severe intoxication of the body.

The cause of the painful condition is also gastroenterological diseases:

1. poisoning by poisons, food products;
2. ulcerative colitis;
3. appendicitis;
4. acute pancreatitis;
5. cholecystitis;
6. stomach ulcer.

In case of gastrointestinal tract pathologies, the pain is girdling in nature, there is a disturbance in stool, high body temperature, and intoxication. Such pain also occurs in acute pancreatitis and radiates to the shoulder blades, shoulders, groin and lower back. Treatment is carried out only in a hospital setting.

Acute or nagging pain in the lower abdomen and lower back is present with intestinal diseases, nonspecific ulcerative colitis. If the gastrointestinal tract is affected, there may be nausea, vomiting, stool disorders, and intestinal bleeding.

Minor pain in the lower back and lower pelvic organs often goes unnoticed. When the symptoms intensify and become unbearable, and any movement causes intolerable pain, you need to seek medical help.

1. severe pain that does not go away after taking antispasmodics;
2. bloating;
3. absence of bowel movements for 2 days;
4. blood in the urine or stool;
5. repeated vomiting;
6. high body temperature.

The appearance of symptoms should be a reason for immediate hospitalization of the patient. It is prohibited to independently relieve any symptom with medications or use traditional medicine. Lack of timely treatment can cause irreversible consequences. Pain in the back and lower abdomen often radiates to other organs, causing impaired urination and general intoxication of the body. Therefore, if your lower abdomen hurts, do not hesitate.

When there is pain in the abdomen, tension in the spine, and any movement causes intolerable pain, you need to consult a doctor who, after collecting complaints and examination, will refer you for the necessary tests, and give a referral for consultation with other specialists. To determine the cause of back pain, the doctor prescribes:

1. Ultrasound examination (ultrasound).
2. Lab tests.
3. Radiography.
4. MRI or CT.
5. Absorption densitometry.
6. Irrigoscopy.

The diagnostic results will determine the cause of pain in the lower abdomen and lumbar region. They will be able to make the correct diagnosis, prescribe the necessary treatment by a specialist who will select adequate therapy and give useful recommendations on nutrition and lifestyle.

Therapy for simultaneous back and abdominal pain may consist of conservative or surgical treatment. For early diagnosis, conservative methods are used. Pain in the lower back and abdomen can be relieved with antispasmodics and analgesics:

1. No-shpa.
2. Spazgan.
3. Movalis.
4. Diclofenac.
5. Ortofen.

The dose is determined by the doctor individually for each patient. Regular use of analgesics does not solve the problem. The disease will progress and lead to serious consequences. Doctors from various fields of medicine strongly recommend against self-medication, traditional healing, and uncontrolled use of medications.

In complex treatment, muscle relaxants are prescribed that relieve muscle spasms, eliminate the pathological process, and relieve pain - Mydocalm.

B vitamins will help cope with pain. The mechanism of action of vitamin therapy allows you to strengthen and restore nerve fibers and provide the body with the necessary vitamins.

To relieve severe pain, local anesthetics and novocaine blockades are used. When the pain subsides, the doctor prescribes physiotherapeutic procedures, exercise therapy, and massage. The need for surgery is necessary when conservative therapy does not bring results, the patient consulted a doctor too late, or irreversible processes have occurred in the tissues of the spine.

When the cause is diseases of the gastrointestinal tract or pathologies of the urinary system, then in addition to drug treatment, the patient must follow a strict diet. You need to eat only healthy, high-quality food, avoid fatty, fried and spicy foods, as well as alcohol. Patients need to change their usual lifestyle, avoid hypothermia, stressful situations and other unpleasant factors that can provoke an exacerbation.

At home, only symptoms can be relieved. But why your stomach and back hurt, and how to get rid of diseases with this clinic - only a doctor can tell you.

Pain for a person is a kind of signal indicating that something is wrong in the body. The first step in case of such symptoms is to consult a doctor to determine the cause. At home, when the back hurts and the lower abdomen worries, the patient can take a painkiller, but it will not get rid of the cause, but only temporarily relieves the symptoms, which will appear with renewed vigor in a few hours.