Causes of pain in the lower abdomen: in men


Pain in the lower abdomen is more often treated by women, but similar complaints are found among men. If unpleasant sensations arose sharply – this often becomes the reason for calling the ambulance crew. By themselves, pains in the lower abdomen in men are not some specific symptom and can indicate different diseases. For a more accurate diagnosis, it is important to correctly characterize the doctor the pain itself, its localization. In men, these symptoms signal a serious illness that cannot be triggered..

Why do men have lower abdominal pains?

Complaints of pain in the pelvic region are rare for men and indicate an acute inflammatory process of the internal organs, which can go into a chronic state without proper treatment. This is the reason why the lower abdomen hurts. Unpleasant sensations can occur during sexual intercourse, coughing, urination. There are cases when the pain is not associated with diseases, for example, with regular constipation, appendicitis, while running or when injured in this area. Cramping in the lower abdomen is caused by problems with the following organs:

  • testicles;
  • kidneys
  • the bladder;
  • seminal vesicles;
  • ureters;
  • prostate gland;
  • large intestine;
  • small intestine.

The vast majority of women who go to the hospital with lower abdominal pain are associated with diseases of the reproductive system. In men, this reason is extremely rare, more often in the stronger sex, inflammatory processes of the digestive tract or urinary tract occur. It is important not to waste time and not to delay visiting a doctor if you cut the lower abdomen, not to bring the problem to a chronic state.

Possible causes of pain

  1. Inflammation of the testis and / or epididymis.
  2. Bowel obstruction.
  3. Malignant or benign tumor of the genitourinary system.
  4. Renal colic, urolithiasis.
  5. Acute urine outflow delay.
  6. Urogenital inflammation. We are talking about the bladder (cystitis), inflammation of the prostate (prostatitis). Pain during urination may become stronger or weaker. Sometimes it radiates to the penis, anus, scrotum.

Localization and nature of pain

When you visit a doctor at the reception, a mandatory questioning of the patient about the nature of the pain (stitching, cutting, dull, aching, cramping, encircling) and the localization site (right, left, middle of the lower back, in the center of the abdomen) occurs. An accurate description will help the doctor correctly determine which internal organs project this pain and prescribe treatment.

What is left lower abdomen:

  • part of the large intestine;
  • kidneys
  • testicles;
  • possible development and infringement of hernia.

What is located on the lower right abdomen:

  • appendix – inflammation of the appendix;
  • kidneys – inflammation or renal colic;
  • ureter – inflammation;
  • gall bladder – inflammation;
  • testicles;
  • part of the colon and small intestine – infringement or inflammation;
  • genitourinary organs.

Nature of pain:

  • With spasms of smooth muscles, human tubular organs, pain of a different nature may manifest. Severe and sharp pains, colic, contractions are possible.
  • In inflammatory processes, the pain is usually constant and gradually increasing..
  • Hepatic and renal colitis appears as spasmodic pain.

These characteristics give the doctor only a general idea of ​​the disease, additional tests are required. There are atypical manifestations of the disease, for example, with “spasmodic” symptoms, the pain can be pulling or dull. There are cases when with appendicitis the patient complains of colic, which is due to the reaction of the sheath of the process to the overlap of the lumen.

With prostatitis

The disease is an inflammatory process of the prostate gland. The causative agent, as a rule, is atypical microflora. Infection has many routes of entry: from neighboring organs, through the bloodstream, or during medical procedures. A provoking factor is sometimes a change in sexual activity (prolonged abstinence or too active sex life), a sedentary lifestyle, decreased immunity, and obesity.

In acute form, prostatitis is characterized by pain in the lower abdomen in men, when discomfort is given to the perineum, sacrum or anus. Sometimes the pain can go to the external genitalia, the inner thighs. The intensity of the symptoms varies depending on the form of inflammation. Characteristic symptoms include frequent urination, fever, severity and stool disorders (constipation).

With vesiculitis

The disease is an inflammation of the seminal vesicles. They are located on the sides of the prostate gland, are involved in the production of sperm. Vesiculitis often becomes a complication of epididymitis, urethritis or prostatitis, but sometimes it also acts as an independent disease. Often the pain along the spermatic cord is transmitted to the testicles. It becomes stronger when the bladder is full, which creates pressure on the seminal vesicles..

Spermatic colic is characteristic of this disease – acute pain during ejaculation in the testicles, perineum and lower abdomen. This happens due to a violation of the secret evacuation during ejaculation. In acute vesiculitis, a fever, a pulsating pain syndrome is observed. With untimely treatment and the transition of the disease to the chronic stage, sexual disturbances occur (frequent erections, persistent irritability, pollutions), which leads to infertility.

With appendicitis

In atypical cases with appendicitis, discomfort can begin in the center of the abdomen, but often the pain appears sharply in the lower right side. This indicates acute appendicitis, which requires surgical intervention. Otherwise, a fatal outcome is possible. In order to avoid sad consequences in case of sharp and growing pain in the right side, you should go to the hospital or call an ambulance. Symptoms worsen when walking and fade while lying down, accompanied by a fever, vomiting, nausea.

For bowel diseases

When the left side hurts in the lower abdomen, this indicates a possible lesion of the sigmoid colon. This section of the intestine is located under the rectum. Frequent loose stools (diarrhea), bloating, painful urge to defecate are characteristic of the disease. The nature of the pain depends on the severity of the inflammation: sharp cramping or pulling, aching. Various factors can cause the development of intestinal inflammation: dysentery, circulatory disturbance, ulcerative colitis, cancer, etc..

With cystitis and inflammation of the kidneys

The disease cystitis, inflammation of the bladder, is more common in women. In men, due to the fact that the urinary canal is long and curved, the infection does not reach the bladder directly. Cystitis, as a rule, becomes a consequence of other diseases, for example, prostatitis, urethritis. In the described case, the pain in the lower abdomen in men will be in the suprapubic region, pain will also arise during urination. In the acute form, there will be periodically blood-purulent discharge.

The cause of persistent shooting pain in men on the right or left, frequent urination may be renal colic. People are used to the fact that the kidneys relate more to the back than to the stomach, and painful contractions do not correlate with this organ. The cause of the pain is urolithiasis. It is equally often diagnosed in men and women. Surgical intervention is not necessary, but discomfort cannot be ignored, because in the future there is a secondary infection or acute urinary retention.

Urgent measures for acute pain

  1. Call an ambulance.
  2. Put the patient on the sofa, provide peace, access to fresh air.
  3. Make a cooling compress on the lower abdomen. Keep no more than half an hour.
  4. You can take 2 tablets no-shp (no more).
  5. You should know what you can’t do: enemas, laxatives are prohibited. This will complicate the diagnosis..
  6. The patient should refrain from food and drink. With acute thirst, you can moisten your lips, tongue.

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