Weak pulling pains in the lower abdomen. Drawing pains in the lower abdomen in women: causes and diagnosis. If pulling pains in the lower abdomen on the right side

Causes of aching pain in the abdomen can be:
pathological (various diseases);
physiological (pregnancy).

Pulling (aching) pain is of two types: with temporary malaise and when the pain is unbearable (can seriously threaten health).

Temporary discomfort:
disorders of the digestive organs, indigestion;
disorders of the gastrointestinal tract;
kidney disease (if the pain radiates to the back);
diseases of the genital organs.

Gastrointestinal disorders, indigestion

Causes:
stomach ulcer
gastritis;
cholecystitis;
pancreatitis.
Symptoms:
It's a dull pain;
often - nausea and vomiting.

Gastritis

The nature of the pain:
not intense;
dull, aching;
in chronic gastritis occurs immediately after eating, especially if the food is sour and rough.

Other symptoms of chronic gastritis:
often - heaviness and bursting in the epigastrium;
feeling of pressure and fullness in the stomach (begins or intensifies during or after eating);
nausea;
belching;
regurgitation;
sometimes heartburn;
burning in the epigastrium;
bad taste in the mouth.

These symptoms may be accompanied by signs of intestinal damage (defecation disorders). As a rule, they are episodic, but often become the basis for the appearance of irritable bowel syndrome.

Symptoms of common disorders during chronic gastritis:
irritability;
fatigue;
weakness;
disorders in the work of the cardiovascular system: arrhythmia, pain in the heart, fluctuations in blood pressure;
pallor, sweating and drowsiness (after eating);
burning, pain in the mouth and tongue;
violations of the sensitivity of the hands and feet (symmetrical).

peptic ulcer

Symptoms:
the main one is pain in the epigastrium. Its intensity can be different: after the operation, the pain is mild or absent. Sometimes the pain can be intense, forcing urgent measures to be taken for relief;
connection with food intake: with gastritis, the pain is immediately after eating, and with an ulcer, it is not so fast, but no later than one and a half hours after eating.
recurrent course (alternation of seasonal exacerbations and remissions;
often - heartburn, belching;
nausea, vomiting after eating;
weight loss.

A dangerous symptom, when the pain becomes acute, "dagger", cutting (up to painful shock) - this may indicate perforation of the stomach wall with an ulcer (through the hole in the stomach, acidic contents enter the peritoneal cavity). The condition is threatening, requires immediate intervention!

Polyps of the stomach

The disease is rare. Diagnosed by chance. But sometimes a dull, aching pain in the abdomen can speak of a polyp.

Associated symptoms:
pain on palpation of the abdomen;
bleeding;
nausea, vomiting.

Stomach cancer

The nature of the pain:
non-intensive;
weak;
constant.

Other symptoms:
at an early stage - dyspepsia;
feeling of early satiety, fullness of the stomach after eating;
loss of appetite;
asthenia;
anemia;
aversion to meat;
weight loss;
in the later stages - the pain becomes more intense;
bleeding;
vomiting "coffee grounds";
changes in feces (melena - black feces).

Functional disorders of the stomach

Causes:
binge eating;
disorders of food digestion;
muscle tension of the anterior abdominal wall;
constipation;
smoking;
alcohol abuse.

Stress

Pain in the stomach can be triggered by great physical exertion and neuropsychic trauma. The stomach is very sensitive to any extreme influences. An example is "bear disease" due to effects on the nervous system.

Symptoms of stress:
stomach pain;
vomit;
stool disorders.
Constant stress can lead to chronic gastritis and stomach ulcers.

Food intolerance, allergy

The pain has a diffuse, aching character. It is associated with the use of allergenic food.
Some people are born intolerant to milk sugar (lactose). When they consume dairy products, they experience:
stomachache;
bloating (flatulence);
nausea, vomiting;
loose stool.

pancreatitis

Acute inflammation of the pancreas begins with pain in the upper abdomen. It lasts for several days, may resemble stomach pain. It is strong enough, constant. Often spreads to the back, becomes herpes zoster. The intensity of the pain increases while eating.

Other symptoms:
high sensitivity of the anterior wall of the peritoneum to touch;
bloating;
nausea, vomiting;
temperature;
rapid pulse;
weight loss;
stools with a lot of fat;
in severe cases - dehydration, drop in blood pressure;
depletion of the body.

Duodenitis (inflammation of the small intestine)

The intensity of pain in the epigastric region is significant. Often occurs after stress.
Other symptoms:
nausea, vomiting;
weakness;
pain on palpation of the epigastrium;
temperature.

Usually, an acute process in the small intestine ends on its own after a few days. Repeated duodenitis or lack of adequate therapy can cause a chronic process and complications (bleeding, intestinal perforation, development of acute pancreatitis).
Pain in chronic duodenitis - aching, dull.

Other symptoms of chronic duodenitis:
loss of appetite;
feeling of fullness after eating in the upper abdomen;
pain on palpation deep in the epigastric region;
nausea, sometimes vomiting.

Hunger pain in duodenal ulcer

Pain in this disease is in the epigastric and in the epigastric region. As a rule, the pain is insignificant, but in some patients it is severe and cramping.

The location of the ulcer in the duodenum is characterized by late pain - not earlier than two hours after eating. The pain is often at night. It can be aggravated by certain foods: spicy and sour, marinades, canned food, black bread.

The pain also increases with exercise, drinking alcohol and a long break between meals. Characterized by seasonality (exacerbations in spring and autumn).
Products with a high content of alkaline substances have an enveloping effect and delay the onset of pain, reduce or even remove it.

These are the products:
baking soda;
mashed potatoes;
liquid milk porridge;
meat, fish boiled minced meat;
some mineral waters.

A dangerous complication is perforation of the ulcer.
Symptoms:
sharp, dagger pain in the epigastric region;
sudden;
severe pallor of the skin;
sweating;
sometimes loss of consciousness.

The condition is urgent, requiring urgent hospitalization and surgical intervention!

Colon lesions

Colitis

Pain at the site of the projection of the stomach on the anterior wall of the peritoneum occurs with inflammation of the colon mucosa.

Symptoms:
constant urge to defecate;
rumbling;
bloating;
diarrhea, sometimes containing blood and mucus.
Acute colitis lasts for several days, then becomes chronic - the pain decreases in intensity, but becomes constant.

Nonspecific ulcerative colitis

Causes of non-infectious lesions of the large intestine:
hereditary predisposition;
individual intolerance to products;
allergic factors;
frequent stress.

Symptoms:
weakness;
temperature rise;
lack of appetite;
body weight loss;
obligatory urge to defecate;
false urge to defecate;
frequent diarrhea;
mushy stool consistency;
feces with an admixture of blood, mucus, pus;
water balance disorders;
joint pain.

irritable bowel syndrome

One of the most common causes of pulling pain in the left side of the lower abdomen. The syndrome is expressed in chronic pain. There are no organic diseases.

Symptoms:
abdominal discomfort;
pain in the lower abdomen (sometimes in the epigastric region);
rare (1-2 times a week) or frequent (more than three times a day) stools;
stool either "sheepish" and hard, or watery, unformed;
straining during defecation;
imperative urge to defecate;
mucus in stool;
feeling of incomplete bowel movement;
sometimes pain during bowel movements;
pain sometimes goes away after a bowel movement;
bloating;
heartburn;
backache;
muscle pain;
headache;
chronic fatigue syndrome;
anxiety and depression.

Sometimes pain temporarily disappears, and the person thinks that he has recovered. However, the disease returns and progresses, the pain intensifies. General disturbances plus discomfort last from three months to one year. Then bloating joins, and diarrhea and constipation alternate with each other. You should not postpone a visit to the doctor, because the advanced stages will be difficult to treat and it will take more time.
Please note that pulling pains on the left side of the abdomen can become aggravated during nervous disorders, nervous breakdowns.

Sigmoiditis

Sigmoiditis - inflammation of the sigmoid colon (part of the large intestine)
Causes:
infection (pathogenic bacteria);
autoimmune process (immune system disorders) - antibodies are produced that determine the cells of the sigmoid colon as foreign.
Symptom: aching pain on the left and lower abdomen.

Damage to the cardiovascular system

Coronary artery disease

A pathological condition in which the blood supply to the myocardium is impaired due to damage to the arteries of the heart. Pain in coronary artery disease is associated with increased physical activity or stress. Localized behind the sternum. Sometimes it radiates down to the epigastric region (may simulate pain in the stomach).

Other symptoms:
weakness;
dyspnea;
interruptions in the work of the heart;
sensation of heart rhythm disturbances;
forced sitting position;
swelling of the lower extremities.

Aching pain in the lower abdomen in men

Causes:
bowel disease;
diseases of the pancreas;
hernia;
diseases of the urinary system;
diseases of the genital organs (including inflammation of the testicles);
inflammation of the prostate gland (prostatitis).

Prostatitis

Inflammation of the prostate gland is a fairly common disease of the genital area in men.
Symptoms:
lower abdominal pain;
difficulty urinating;
frequent urge to urinate;
sometimes painful urination;
burning sensation after urination.

Aching pain in women

Aching, pulling pain in the lower abdomen in women can be caused by inflammation of the female genital organs:
ovaries (oophoritis);
fallopian tubes (salpingitis);
uterine appendages;
combined inflammation - salpingoophoritis.
These diseases are usually chronic.
Pain characteristics:
the pain is not intense;
the course is long;
There are periods of relapse (increasing pain) and remission (decrease).

Tumors of the uterus

Symptoms:
aching pain in the lower abdomen;
iron deficiency anemia (anemia);
an increase in the volume of the abdomen, sometimes significant (with uterine fibromyoma).

endometriosis

With endometriosis, endometrial cells (the lining of the uterus) grow in other organs and tissues of the small pelvis.
Symptoms:
dull pain in the lower abdomen;
as the disease develops - discharge (bloody) from the genitals (outside of menstruation);
blood when urinating.

Abdominal pain during pregnancy

The pain is associated with the fact that the growing uterus presses on the nearest organs - the bladder, large intestine, kidneys, ureters.

When pain is urgent

Other symptoms may accompany the aching pain. You need to seek urgent medical attention when:
pain intensifies;
the pain becomes unbearable;
nausea, vomiting appear;
if a woman begins to discharge with blood from the genitals;
the temperature also rises;
chills appear.

But even if emergency assistance is not required, you need to go to a doctor’s consultation, undergo a diagnosis and find out the cause of the pain in order to start treatment earlier, avoid the process becoming chronic and prevent the development of complications.

Pain in the lower abdomen occurs periodically in all women, and the reasons for this can be very different. They also depend on the position of the woman (pregnant or not), and on the presence of chronic and acute diseases of the reproductive system, and even on the day of the menstrual cycle. Let's take a quick look at the possible reasons.

1. If you have the middle or end of the menstrual cycle and it hurts in the lower abdomen, then in the first case it may be ovulation (of course, we are talking about women of reproductive age), and in the second case - PMS. Many women begin to experience pain in the uterus 1-3 days before menstruation and in its first 2-3 days.

2. It may well be that the pulling pains in the lower abdomen are caused by inflammation of the pelvic organs:

• endometritis (inflammation of the uterine mucosa, usually occurs as a result of the introduction of an infectious agent during abortion or diagnostic curettage), metrodermitis (inflammation of the mucous and muscular membranes of the uterus) and parametritis (a running process, when tissues located near the uterus are also affected);
• salpingo-oophoritis (inflammation of the fallopian tubes and ovaries as a result of a bacterial infection) and a complication - pelvioperitonitis (in this case, not only pain in the lower abdomen occurs in women, but many other symptoms appear, the clinical picture is very similar to peritonitis).

3. If pain during urination joins and it becomes more frequent, the lower back begins to ache, then the reason is most likely in the pathology of the urinary tract. First of all, you need to visit a urologist, take a urine test, according to which everything will be clear. It is possible that an ultrasound of the kidneys will also be required. Cystitis, pyelonephritis are quite common infectious diseases in women. Cystitis can be provoked by hypothermia, sexual intercourse, often it occurs during or immediately after menstruation. Treatment is usually with antibiotics, as the infection is bacterial.

4. Tumors of the uterus, namely fibroids. They are also characterized by intermenstrual bleeding.

5. Endometriosis - a disease in which endometrial cells of the uterus appear and begin to grow outside the uterus, in any organs. Another common pathology is adenomyosis, a special case of endometriosis.

6. Surgical pathologies. For example, appendicitis. Usually the first symptom is aching pain in the right side of the abdomen.

6. Drawing pains in the lower abdomen in the early stages of pregnancy, not accompanied by spotting, is a fairly common phenomenon and usually does not lead to any consequences. These unpleasant sensations are due to a change in the hormonal background, a little later - the rapid growth of the uterus.

7. If, however, not only it hurts in the lower abdomen during pregnancy, but spotting has also appeared - most likely, this is a miscarriage that has begun, and in the second and third trimesters - placental abruption - a condition dangerous for a woman when she can lose a lot of blood, and the fetus can perish. If these are the first weeks of pregnancy, and ultrasound has not yet been done, and the growth of hCG is too slow, an ectopic can be suspected.

Thus, most cases of pain in the lower abdomen are not a separate phenomenon, but a symptom of some kind of pathology. For a while, you can feel healthy with the help of painkillers, but this is not an option. Moreover, sometimes delay can be fraught with ... Therefore, see a doctor as soon as possible.

Very often on women's forums you can stumble upon the question: “by what signs can you determine that pregnancy has come?” Experienced site dwellers usually name a number of “symptoms” of the onset of pregnancy, among which pulling pains in the lower abdomen are most often called.

Is it an accurate sign of pregnancy: pulling the lower abdomen?

The uterus is a muscular organ that has the ability to significantly increase in size. If pregnancy has occurred, then the uterus begins to prepare to perform its immediate function - bearing a child. At this time, blood circulation increases here, and blood rushes, due to this, light pain sensations appear. In terms of intensity, they can be compared with pain in the lower abdomen a couple of days before menstruation, the processes are the same. Therefore, the sign of pregnancy can be considered quite accurate.

Important! Pulling is the norm for 4 weeks of pregnancy, but if they continue further, their intensity increases or even spotting appears, you need to urgently seek help from a gynecologist, spontaneous abortion is possible.

Usually, the pains in the lower abdomen at the earliest stage are not strong, they only create a feeling of slight discomfort and, during the normal course of pregnancy, quickly disappear. If there is every reason to believe that the stomach hurts because of an “interesting position”, then it is undesirable to take any painkillers, this can harm the unborn child.

If this is not a sign of pregnancy - pulls in the lower abdomen, but a sign of gynecological problems?

Pulling pains in the lower abdomen can occur not only due to pregnancy, many gynecological diseases are accompanied by similar unpleasant sensations that can intensify on the eve of menstruation. So the sign of pregnancy - pulling in the lower abdomen, is rather ambiguous.

Most often, pain appears if a woman suffers from the following ailments:

• Apoplexy of the ovaries. So in medicine they call a hemorrhage in the ovarian tissue, which can occur due to weight lifting or as a result of a sports injury, sometimes aggressive sexual contact can become the cause of the disease. The intensity of pain in ovarian apoplexy is stronger than the discomfort in the lower abdomen during pregnancy.
• Torsion of the vascular bundle of the cyst. The cyst consists of two parts - the body and the legs, with which it is attached to the ovary, and is supplied with blood by its vessels. The neoplasm is a very mobile element, so the pedicle is twisted and its vessels are pinched. Result: hemorrhages in the body of the tumor, inflammatory processes, cyst necrosis and inflammation of the surrounding tissues. Pain in this disease increases over time.
• . Due to the narrow lumen of the fallopian tube, the fetal egg cannot descend into the uterus and is attached to the wall of the tube. When the egg reaches a significant size, the fallopian tube ruptures, at which point the woman experiences pain of moderate intensity.

Important! If aching pains bother you for several days, then you urgently need to see a specialist, since ovarian apoplexy, cystic formations and ectopic pregnancies are removed only surgically, delaying the process is life threatening!

Drawing pains as a sign of urinary tract diseases

It is impossible to say for sure that the sign of pregnancy: pulling in the lower abdomen is unambiguous. Very often, pulling pains in the lower abdomen are a sure sign of the onset of the inflammatory process of the urinary tract. A typical female disease in this regard is cystitis, often complicated by urethritis. Cystitis is an inflammation of the bladder, in addition to abdominal pain, several other symptoms are observed:

• Frequent painful urination;
• Burning;
• The presence of an unpleasant odor;

With the onset of pregnancy, there are no such signs and cannot be, except, perhaps, aching lower back.

Attention! may accompany pregnancy, so a doctor's consultation is essential!

A sign of pregnancy: pulling in the lower abdomen, or maybe you should think about the kidneys? Urolithiasis can also provoke pain in the lower abdomen. Usually it proceeds without any significant pain. It happens that a stone comes out of the renal pelvis and moves along the ureter into the bladder, if the stone is large, then in any case it can injure the walls or even get stuck, and this is fraught with stagnation of urine and the development of inflammation. In this case, painful sensations appear, the intensity of which increases up to unbearable throbbing pain. In this case, you need to urgently call an ambulance, and not endure until a visit to the doctor.

Good to know! Stones can have a different size and shape: smooth, ribbed, and even with processes. The latter are the most dangerous, they easily injure the mucous membranes.

Aching pain in the lower abdomen as a sign of gastrointestinal disease

Sometimes a woman understands that her stomach hurts, but it is impossible to localize or characterize the pain: the organs in the abdominal cavity are so crowded that sometimes it seems that everything hurts. Therefore, even pain in the intestines can be confused with pain in the uterus. Should not be interpreted as a sign of pregnancy when pulling in the lower abdomen. Girls and women suffering from constipation regularly feel a pulling pain in the lower abdomen - a crowded intestine presses on other organs, causing extremely unpleasant sensations. But that's not the worst thing that can happen.

Appendicitis is an order of magnitude more serious and terrible - as a rule, this disease manifests itself suddenly: it all starts with slight stretching in the lower right part of the abdomen. Then the sensations become stronger and develop into a sharp unbearable pain, from which you want to bend in half, lie down and not move. In this case, you need to urgently call an ambulance: the rupture of the inflamed appendix will not lead to anything good.

A definite sign of pregnancy: pulling in the lower abdomen!

Even a nulliparous woman will instinctively understand what her pain in the lower abdomen is connected with. Despite the fact that the sensations are similar to many diseases, this pain is different: a feeling of heaviness below, tingling, tension - these are the words to describe it. Some women may compare this feeling to the same feeling during ovulation, when the egg is released from the ovary. But ovulation occurs in the middle of the cycle, so confusing it with pregnancy will not work in any case.

Sign of pregnancy: pulls in the lower abdomen! What to do if these feelings appear? Nothing. You need to wait a few days (5-6) and take a pregnancy test. It turns out to be positive - great, in a couple of weeks the discomfort will pass by itself. If the pain intensifies or its intensity does not change, sipping persists, you need to go to the gynecologist to rule out premature termination of pregnancy. Usually, such pain appears due to the increased tone of the uterus (i.e., it is tense and contracting), the doctor will prescribe relaxing drugs or send you to the hospital.

Necessarily! If the gynecologist gives a referral to the hospital, it is imperative to go to the hospital, because to prevent a miscarriage you need complete rest and the absence of any physical activity.

And in conclusion, pulling pain in the lower abdomen is not the only sign of pregnancy. It is usually accompanied by others:

• The first and most important is the delay in menstruation. If menstruation is absent for 10 days with a usually regular cycle, then it is worth considering.
• Swelling of the mammary glands and increased sensitivity of the breast, as well as darkening of the areola.
• Possible dysbacteriosis of the vagina, the presence of copious discharge.
• Irritability and sudden mood swings
• Changes in the perception of smells and tastes and the appearance of a "metallic" taste in the mouth

Interesting! Many pregnant women drastically change their eating habits, they can feel sick from their favorite foods. Most often, many people want salty and very spicy or cloyingly sweet. Here - everything is individual. What will be your passion - you can only guess.

One of the most unpleasant symptoms that a person feels is pain in the lower abdomen. More often, the problem appears in the beautiful half of humanity and you need to know the main reasons when it hurts and pulls the lower abdomen.

Symptoms occur during or before menstruation, a few days before, but this is not always the case. Sometimes the cause is a serious illness or pregnancy.

Pulling pains in the lower abdomen, which are provoked by diseases, can be in women and men. If the cause lies in diseases, then there are additional symptoms by which an accurate diagnosis can be determined.

Causes of sipping in the lower abdominal cavity

There are main causes of pain that are manifested both in the male half of the population and in the female. All of them are caused by diseases and inflammations:

1. Malfunctions of the genitourinary system. As a rule, pains appear pulling, they are felt in the lower abdomen and can proceed almost imperceptibly for the patient. As additional symptoms, patients have lower back pain, frequent urination, and there may be blood or mucus in the urine itself. If such reasons are noticed, then you need to visit a doctor, namely a urologist who examines the kidneys and treats them.
2. Pelvic infections. With the defeat of the pelvis of various kinds of infections, any person may experience pain in the lower abdomen. Symptoms are characterized as pulling, the bottom not only hurts, but also a temperature and chills appear. When there is an infection, an uncharacteristic discharge, for example, pus, may appear from the genitals.
3. Exacerbation of appendicitis. With this disease, women and men experience severe pain. Initially, localization occurs in the navel, after which it flows down to the right. In some cases, the stomach pulls. With such sensations, you should immediately call an ambulance, since the treatment is carried out only surgically, and the disease cannot be started.
4. Failure of the digestive tract. To the main type of symptoms, when the lower abdomen hurts, vomiting, nausea are additionally added, the patient refuses to eat, and his appetite completely disappears. In diseases of the gastrointestinal tract, there may be a strong increase in temperature. If you do not pay attention to the symptoms and stop them with pills, then complications may appear and then the result will be deplorable, and in some cases fatal.
5. Neoplasms. If the patient's lower abdomen is pulled for a long time, the pain does not go away, but it does not particularly cause discomfort, then the development of tumors is possible. To determine the presence of a tumor in one or another part of the abdomen, it will be possible if you carry out a detailed diagnosis, take material for a biopsy.
6. Gynecological pathologies. In women, gynecological problems are one of the common causes when it hurts in the lower abdomen. It is recommended to consult your doctor in order to rule out or confirm the disease.
7. Discomfort during or after sex. With the defeat of the pelvic organs, women may experience pain in the lower abdomen. They occur immediately after sexual intercourse or during it.

The nature of sensations is pulling. The patient must make a visit to the gynecologist to obtain information and establish a diagnosis that will allow you to choose a treatment.

Sometimes, the reason that pulls the lower abdomen is inflammation of the ovaries, sexually transmitted diseases, or thrush.

Of course, the causes are not always hidden in diseases. In women, discomfort, pain in the lower abdomen appear when they are pregnant.

But in this case, about pregnancy, when the stomach pulls, it is necessary to talk in more detail.

Pulling the stomach - it means pregnant

In women, until critical days, pains in the lower abdomen are possible, more often the abdominal cavity is pulled, but if there are delays and pulling pains, fatigue and sensitivity of the chest appear, then pregnancy may be the cause.

The stomach pulls at this time for a simple reason - the uterus begins to constantly change its size, which is why women experience some discomfort.

Throughout the entire period of pregnancy, pulling pains may appear from time to time.

In this case, you need to listen to the body, because in the early stages it is considered the norm when it pulls the lower abdomen, but at a later date, there may be other reasons.

Drawing pain during pregnancy

The reasons for pulling in the lower abdomen during pregnancy are very different. Some of them are safe for the health of the mother and child, and some may signal terrible pathologies.

To be specific, you need to know several important factors:

1. "Training bouts". In women, during pregnancy, the body prepares and prepares for childbirth, thereby causing contractions. Due to this, the female body is prepared. In this case, you should not worry, this is a natural and normal process.
2. Hypertension of the uterus. Such a problem speaks of early contractions of the uterus, which are caused by the excitation of its muscles. As a rule, almost all cases when there are pulling sensations are caused by hypertonicity of the uterus. The condition is quite dangerous and there may be premature birth, termination of pregnancy.
3. Detachment of the placenta. This pathology is very dangerous for the fetus, since it is the placenta that protects the fetus from many factors and many tasks are assigned to it.

When it is detached, women experience pulling sensations and it is necessary to carry out surgical intervention, after which treatment is carried out.

After the operation, a woman needs rest, only bed rest and the rejection of any stress.

All reasons require certain actions. First of all, there is no need to panic and worry.

Immediately you need to call or go for an examination to your doctor, and after examinations and complaints, establish the true reasons why the pain appeared below.

After examination and collection of tests, the doctor will be able to establish a diagnosis and prescribe therapy.

The essence of therapy is to relieve discomfort, through the use of antispasmodics. True, they are used in the easiest form of the flow of a particular problem.

In a more advanced form, inpatient treatment and a complete examination are used.

Additional symptoms

In addition to the main symptoms, you need to monitor other signs of disease. They may indicate the following:

1. With an increase in temperature, the presence of chills can be diseases of the small pelvis: gonorrhea, chlamydia, and other diseases.
2. If appetite disappears, nausea, vomiting, that is, pathology of the gastrointestinal tract.
3. Fainting and shock, with a sharp change in pressure, indicates bleeding inside the abdomen.
4. Painful urination, cloudy urine, and fever indicate problems with the kidneys and urinary tract.

Additionally, you need to know the nature of the pain that occurs in the lower abdomen. This will allow you to correctly describe your condition to the doctor in order to establish an accurate and correct diagnosis.

So if discomfort appears abruptly, then the cause may be exacerbations or diseases in an acute form.

Such symptoms should not be joked about, otherwise a perforation may appear, bleeding will occur, or a certain organ will tear.

If the pains are pulsating and quite rhythmic, then the pressure of the organs increases, and with dull and deaf pain, which occurs slowly and intensifies over time, there may be inflammatory processes, obstruction.

Any pulling pains should not be ignored, and the sensations should be stopped on their own.

It is better to go for an examination to a doctor who can determine the true causes. Only then can the principles and methods of treatment be discussed.

Examination methods

If the pulling sensations do not leave the body, then the person needs to seek help from a competent doctor:

1. Gynecologist.
2. Urologist.
3. Therapist.
4. Gastroenterologist.

After examination, data collection, the doctor will be able to make a diagnosis and determine the causes of the disease. Diagnostics is:

1. Visual examination of the patient.
2. Palpation of the abdominal cavity.
3. Questioning the patient, his feelings and additional symptoms.
4. Collection of analyzes by the method of laboratory and instrumental research.

To establish an accurate diagnosis, you may need:

1. Blood test, both general and biochemical.
2. Analysis of urine.
3. Pregnancy test.
4. Smear.
5. Blood test for the norm of sex hormones.
6. Other analyses.

When using instrumental diagnostic methods, doctors use ultrasound of the pelvic area, abdominal radiography, laparoscopy, colposcopy and other diagnostic methods.

In case of suspicion of neoplasms, a biopsy is taken with further examination of the material.

How to get rid of pain

If pain appears in the abdomen below, then it can be stopped, the main thing is to know the real reasons for this appearance:

1. During pregnancy, stretch marks or the preparatory process of the uterus, you can simply take a prone position, on your left side. After a few minutes, relief will come, and the pulling symptoms will pass. In this position, you need to exclude stress, stressful situations, and always rest after walking. True, moderate physical education is necessary and important for pregnant women.
2. For problems with the stomach or intestines, with additional symptoms in the form of constipation, it is necessary to follow a diet and play sports to activate the digestive tract. You should eat more vegetables and fruits, drink dairy products. Exclude onions, legumes, black bread from the diet.

The above are general preventive measures, and treatment depends on the cause of abdominal discomfort. During pregnancy, no treatment is used, because it can harm the fetus.

The main thing is to follow the basic rules and use the described advice to relieve pain.

If discomfort occurs before menstruation, you can use antispasmodic drugs, as well as tablets that dilate blood vessels.

Perhaps, to stop constant pain, you will need to drink a course of vitamins, and sometimes doctors prescribe hormonal drugs.

In the case of colpitis, complex treatment is used. Local treatment consists in the use of antiseptic preparations that can wash the genitals, ointments and suppositories are additionally used. In rare cases, doctors prescribe hormonal drugs.

Those who have colpitis should follow a diet based on fermented milk products, you need to drink less water. While undergoing therapy, you need to give up sexual intercourse.

And to restore the microflora, probiotics and prebiotics are used, for example, "Acilact".

In women, when diagnosed with endometriosis, a conservative and surgical method of treatment can be used. Combined oral contraceptives are often used.

Ibuprofen, as well as antispasmodics, will help relieve pain. If hormonal drugs do not give positive results, then an operation is performed.

For cystitis, fluoroquinolones, possibly nitrofurans, are used. Ibuprofen and antispasmodics are used to relieve pain.

As you can see, pulling pain below appears under different circumstances with various reasons, which are caused not only by serious pathologies, but also by other factors.

Some reasons do not pose a threat, but even bring joy when it comes to pregnancy.

But due to the abundance of diseases and the similarity of symptoms, it is better to consult a doctor in order to exclude diseases that are dangerous to health and life, start timely treatment and prevent exacerbation.

Not always self-medication and the use of folk remedies for pain relief lead to positive results.

Folk remedies, as well as medications, have contraindications and side effects.

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The manifestation of pain in the lower abdomen most often forces women to contact a gynecologist to establish the causes of such symptoms. AND aching pain lower abdomen and sharp pain in the lower abdomen it is equally alarming, especially if it hurts badly and for a long time.

However, very severe pain in the groin may also indicate the manifestation of neurological or surgical pathologies. Therefore, both acute cutting and dull aching pain in this part of the abdomen is an occasion to immediately visit a doctor and undergo a complete diagnosis.

Pain in the lower abdomen in women on the right and left

Determining the causes of pain in the lower abdomen in women, doctors divide them into two conditional groups. The reasons why a woman's lower abdomen hurts can be organic And functional .

Organic causes of pain and cramps in a woman

• diseases of the genital area in women (, ovarian apoplexy , uterine fibroids , ovarian cyst , torsion of the ovarian cyst , );
• discomfort and pain associated with the use intrauterine device ;
• surgical pathology of the acute type, diseases of the gallbladder, urinary system (,);
• dull, cutting, pulling and other types of pain associated with (threat of interruption, colic after medical abortion, premature detachment of the placenta).

Functional reasons

• menstrual irregularities ( dysfunctional uterine bleeding , algomenorrhea );
• pain sensations when ovulation ;
• stasis of blood that is released during menstruation ( hematometer , ).

It should be noted that pain in the lower abdomen can have a different character. It can be sharp, sharp, aching. Sometimes it is accompanied by swelling, strong discomfort in the lower back. In some cases, during sexual contact, a woman feels discomfort immediately after the act.

It is important to determine as quickly as possible what causes spasms in women in this area. The causes of spasms will be determined by the gynecologist or will refer the woman to the appropriate specialist.

In diseases of the genitourinary system, pain in the lower abdomen in women on the left may appear. If a woman’s lower abdomen hurts on the left, the causes of this condition may be a number of diseases in which a pulling, stabbing, aching pain is manifested. First of all, sharp pains and bloating can indicate bowel diseases. Sometimes it hurts in the left side and after overeating, eating low-quality food. It must be borne in mind that one of the kidney diseases can also manifest itself in this way. Pulling in the left side and with a number of diseases of the reproductive system. But if it hurts or pulls in the left side, the doctor should determine the reasons. Only a specialist clearly understands and determines what is on the left lower abdomen in women.

The cause of discomfort can also be neurological diseases, in which the pain usually pulsates, shoots.

It happens that pain in the lower abdomen is associated with hypothermia - for example, a woman may suffer from such sensations after her feet are frozen, etc.

Pain in the lower abdomen on the right in women can also be different. Often aching, pulling pain can be associated with diseases of the intestines, kidneys, during attacks, acute. The specialist clearly understands what is on the right and, accordingly, the pathologies of which organs can occur.

Inflammation of the appendages and uterus

If the uterus or appendage becomes inflamed, the disease begins acutely: the temperature rises, pain in the lower abdomen is noted. If a woman has pain in the lower abdomen on the left or right - on either side. When there is aching or sharp pain and burning in the middle. If a woman goes to the doctor with complaints of pain on the left side or on the right side, the specialist conducts a vaginal examination. In case of inflammation of the appendages, there are pasty appendages with sharp pain. With complaints that it hurts in the middle, and suspicions of endometritis, a softened and enlarged uterus is felt, which can hurt on palpation.

Severe pain in the left side of the lower abdomen, as well as on the right or in the middle, is observed in the acute course of these ailments. In chronic endometritis and adnexitis, the pain is aching, dull. There is heaviness in the area of ​​the appendages, palpation determines the sensitivity of the uterus. If you press in the lower abdomen, and then abruptly release, then it will hurt more when you release it. Sometimes a woman complains that her rectum hurts.

With such diseases, it may seem to a woman that pain in the intestines on the left lower abdomen will fade and stabbing or throbbing pain develops in it. But it is possible to determine exactly why it hurts on the left only in the process of research. Men should also consult a doctor, because only a specialist can determine why pain in the lower abdomen on the left develops in men.

Prescribing treatment for inflammation of the appendages and uterus, the doctor attributes infusion therapy, vitamins, anti-inflammatory drugs.

endometriosis

When manifested endometriosis the uterus, appendages, and also the posterior cervical space are affected. This disease is characterized by the spread of cells outside the uterus that look like. As a rule, in this state, pain in the lower back and lower abdomen manifests itself before menstruation, increases during menstruation.

If it develops endometriosis of the uterus , then it hurts, pulls and pricks in the middle below.

With the development adnexal endometriosis aching in the part where the groin area is determined.

At retrocervical endometriosis - behind the forehead.

Pain sensations become more intense, with a pronounced adhesive process in the small pelvis. But with endometriosis, the menstrual cycle is also disrupted, the nature of menstruation changes, it develops.

In this condition, it sometimes seems to a woman that the causes of spasms are that the intestines hurt. It is up to a specialist to determine exactly what can hurt and make a diagnosis. Endometriosis is treated hormonally, sometimes surgery is necessary.

Ovarian apoplexy

Apoplexy , that is, hemorrhage in the ovarian tissue, in women develops between menstruation.

This disease manifests itself after ovulation. When it's torn follicle , damage to the vessels of the ovary occurs, as a result of which bleeding into the abdominal cavity and into the ovary is noted. This can happen after an act, after physical exertion. With intra-abdominal bleeding, a woman suffers severe arching pains in the lower abdomen in the place where the affected ovary is located. Also noted posthemorrhagic anemia , at which pressure decreases, the skin turns pale, the woman loses consciousness. In this condition, an urgent operation is needed.

uterine fibroids

Drawing pains in the lower abdomen are observed with uterine myoma if the tumor reaches a large size and compresses the organs that are located nearby. In this case, the stomach aches and pricks, there is a dull, pulling pain. With the development submucosal myomatous node pains are stitching, cramping. There is also bleeding. In such cases, surgical intervention is necessary.

Torsion of the peduncle of an ovarian cyst

A similar condition can develop due to sharp turns, tilts, with physical effort. Why it hurts below in this case is simply explained: if the leg is twisted 90 degrees, the outflow of venous blood is disturbed, and swelling of the cyst develops. In this case, only a doctor can confirm the reasons for the woman’s pain in the lower abdomen.

If a 360-degree twist occurs, arterial blood does not enter the cyst and, as a result, the pain is already acute, cutting, sometimes shooting. There is also a picture of an “acute” abdomen: on the side where the cyst is enlarged, severe pain develops, spasm develops, the woman feels sick, vomiting begins. The temperature rises, the lower back aches. This condition can develop regardless of the menstrual cycle: both in the middle of the cycle and during menstruation.

What should I do if a woman develops this condition? The answer is unequivocal: emergency treatment is needed - removal of the cyst, while the leg does not unwind.

Appendicitis

Causes of spasms can be associated with an attack appendicitis . It should be taken into account that this disease begins with an increase in temperature and pain, which is first felt in the epigastrium, and then in the iliac region. In addition, there is intoxication, weakness, vomiting, sometimes diarrhea, loss of appetite.

The pain in the iliac region is sharp, however, its intensity can be different - sometimes it is constant, sometimes it is intermittent pain. It starts in the center, gradually shifts to the right side, increases with movement, with coughing, when a person changes the position of the body.

At the very beginning of the development of such symptoms, it is important to consult a doctor, since without timely surgical intervention it is possible peritonitis and then death.

It is important to consider that the symptoms of appendicitis are easily confused with signs of other diseases. It looks like pain in the intestines, bloating, stomach diseases, neurological ailments, premenstrual colic. In some cases, stitching pains are noted after eating due to overeating. The causes of pain in the lower abdomen in men can also be associated with urological diseases. Therefore, the abdomen must be palpated by a specialist.

Cholecystitis

More often inflammation of the gallbladder happens if there are stones in it. The course of the disease is acute - there is a stabbing pain in the lower back and lower abdomen, the temperature rises, the person feels sick, itchy skin is worried as a result of increased. It hurts in the groin on the right in women, in the lower abdomen, in the right hypochondrium, radiates to other organs: the back hurts, radiates to the lower back. Discomfort becomes more pronounced after eating.

With cholecystitis, the doctor prescribes a diet, drugs that activate the outflow of bile. If the stones are large, there is no other method of treatment than surgery.

Pyelonephritis, cystitis

The causes of such ailments are associated with infection in the urinary tract. With an inflammatory process in the bladder, acute pain develops in the groin, which become more acute when urination occurs.

Sometimes it is very difficult for a woman to write, because during this process it cuts a lot.

At pyelonephritis the lower abdomen and lower back hurt, as a rule, it radiates to the lower back and pulls the lower back periodically. Your back may hurt. The temperature also rises, sometimes nausea and diarrhea appears. But the problems with urination are most pronounced: women complain that at this time it cuts in the lower abdomen. And often the complaint sounds like this: “I periodically pee when I sit down, cough, it worries me if I tense up, lifted a heavy one, with pressure.” In laboratory tests, inflammatory urine tests are noted.

Both pyelonephritis and cystitis are treated with antibiotics, as well as nitrofurans.

Pregnancy ectopic

When a fertilized egg is implanted outside the uterine cavity (it can be an ovary, abdominal cavity, fallopian tube). In this condition, a woman with a tubal abortion shows periodic pain in the area where the groin is. Paroxysmal pains, as before or during menstruation. If there is a rupture of the pipe, the pain is acute. In this case, pain is given to the vagina, felt in the rectum, in the supraclavicular region. During an attack, bleeding may occur. With an ectopic pregnancy, there is a delay in menstruation, a pregnancy test is positive.

In this condition, there is a pronounced intra-abdominal bleeding therefore surgery must be carried out immediately.

Pain before, during and after menstruation

Before menstruation

Sometimes pain in a woman and a girl begins to appear already in the middle of the cycle. Stomach aches before menstruation algomenorrhea . Most often, this condition is noted in young girls, in connection with the establishment of a hormonal background, as well as the development and growth of the genital organs.

The lower abdomen in girls and women before menstruation can also hurt due to other reasons. The following reasons are possible:

• endometriosis ;
• bending of the uterus;
• inflammation of the pelvic organs;

If pain is felt, as with menstruation, but there is no menstruation, and this happens regularly, you should consult a doctor with such complaints.

During menstruation

Due to the same reasons, often girls and women suffer from severe pain during menstruation. Sometimes the stomach below only pulls and aches, but in some cases, menstruation can be very painful. Some women complain that it hurts so much that it interferes with their full work.

Why such sensations develop during menstruation, a gynecologist should figure it out.

• Often the reason for this is underdevelopment of the uterus , its incorrect position, inflammation of the genital organs, a high level of excitability of the central nervous system.
• More often it hurts badly during menstruation in nulliparous women.
• Also, a similar condition is noted when using intrauterine contraceptives, which occurs due to the fact that there is a foreign body in the uterus.
• During menstruation, it sometimes hurts in the lower abdomen for the first time after, in the first months, when menstrual flow appears after.
• Secondary algomenorrhea is diagnosed in the presence of fibromatous nodes, inflammatory processes, after surgery - abdominal and gynecological.

After menstruation

Only a specialist after the examination can accurately answer the question of why the lower abdomen hurts after menstruation. But most often the causes of such manifestations are associated with endometriosis of the uterus (as a result of increased blood circulation in the organ). In this case, the lower back may hurt. If the endometrial tissue grows, the ovaries may hurt. If the ovary hurts on the right, the causes can also be associated with endometriosis.

The reasons for such sensations may also be associated with an increase in the size of the endometrioid cyst after menstruation. Discomfort is also manifested in chronic endometritis. However, why the lower abdomen is pulled after menstruation can only be known for sure after a special study.

Pain in the lower abdomen during ovulation

Many women wonder why ovulation the lower abdomen hurts and can such a condition be dangerous. As a rule, such sensations develop in the middle of the cycle and do not cause too much discomfort. Women note that the stomach aches like before menstruation. Immediately after ovulation, it pulls the lower abdomen and lower back. Sometimes there is a slight discharge in the form of a few drops of blood. When ovulating, as a rule, it hurts on the sides: on the left or on the right. Unpleasant sensations develop in the corner in which the ovary “works” in this cycle. Less common is aching pain or stabbing in the middle.

Basically, this is a physiological phenomenon that does not require treatment. Rarely there are complaints that the pain is strong, throbbing, cutting. It makes sense to ask a gynecologist why it hurts in the stomach during ovulation if this condition manifests itself regularly and causes severe inconvenience.

After sexual intercourse, unpleasant feelings arise in some women. This often happens at night. Why and what can hurt depends on many factors.

Often, if in this case the lower abdomen is pulled, the reasons may be related to frustration , that is, with moral dissatisfaction. Why the lower abdomen is pulled after sexual contact, only a doctor can accurately determine. You can ignore such a symptom if this happens rarely in women and the pain is mild. By the way, men can also have pain in the stomach after intercourse. And some women claim that they felt pain during conception. But if you constantly pull on the right or left, you should definitely contact a gynecologist.

Why can women have pain in the lower abdomen and what causes it?

• adnexitis And endometritis in a chronic form;
• adhesive disease of the pelvis ;
• endometriosis , as well as tumor , seal ;
• chronic ;
• diseases of infectious origin ;
• vaginal dryness (due to insufficient excitation, with menopause );
• damage due to very rough sexual contact.

In medicine, pain that occurs at different stages of sexual contact is called dyspareunia . Pain can be different - sometimes a woman complains that she presses, pulls, burns, tingles in the inguinal zone.

Can at Pain manifests itself, depending on the intensity of the disease. Thrush is an infectious disease in which discharge appears, which can cause discomfort. At the same time, the woman is worried about itching - it itches in the genital area, as well as discomfort in the lower abdomen.

Pulling, and later sharp pain on the left or right side pregnancy can be disturbing if there is a threat of miscarriage, so if a woman is pregnant, and she has a stomachache before menstruation during pregnancy, you should, without delay, find out what this is happening from.

If there is a threat of miscarriage, cutting, stabbing, pulling pains appear as a result of uterine contraction up to 22 weeks of pregnancy. A woman complains that her back aches, sometimes spotting appears, as during menstruation. Whether the stomach can hurt, how strong such pains are, depends on the condition of the woman.

However, in pregnant women, it periodically hurts on the right or hurts on the left in almost everyone. And such aching pains are often associated with the growth and development of the fetus. But still, if a woman has a delay in menstruation, and she suspects pregnancy, why the lower abdomen hurts, it is better to ask a specialist whose profile is gynecology.

Pain during pregnancy can be divided into two groups.

Sharp cutting pain may be a symptom spontaneous abortion . But if the left side pricks during late pregnancy, this does not always mean that some problems appear.

The right or left side, as well as the lower abdomen, can pull due to the following phenomena:

Even if a woman has a slight delay, but she seeks to keep the pregnancy, if such sensations appear, she needs to consult a doctor. Attentive to such symptoms should be those who are already in the middle of pregnancy.

It is necessary to tell the specialist about various uncomfortable sensations in the stomach - if the stomach becomes numb, while it brings the legs together, the back hurts a lot, etc. The longer such sensations continue, the more dangerous this condition can be.

Therefore, every woman interested in the birth of a healthy baby should be conscious of her health and carefully “listen” to her body.