Where is the pain?
The lower abdomen refers to the pelvis, otherwise called the small pelvis, in both men and women. 'In women, in the lower abdomen, there is the bladder, uterus, ovaries, and the end of the digestive tract, that is, the rectum. In men, there is the bladder, prostate, and rectum," explains Dr. Odile Bagot.Lower abdominal pain in women: the causes
Pain in the lower abdomen in women can have different causes:
- At the level of the uterus, we can think of menstrual pain or uterine endometriosis, that is to say, adenomyosis. Period pain associated with chronic pain or during intercourse should be thought of as endometriosis in the first place. "There is also endometritis, that is to say, an inflammation of the tissue at the level of the uterus that can occur following a gesture at the level of the uterus such as an abortion, a curettage, the placement of an IUD, or after childbirth," says the gynecologist. An IUD that has moved can also cause pain.
- There are all infectious pathologies called upper genital infections such as salpingitis which refers to an infection in the tubes.
- At the level of the ovaries, a large cyst can be painful and if the pain is brutal and violent it can correspond to the twisting of the cyst. Micropolycystic ovaries can give a dull pain sometimes exacerbated at the time of intercourse.
- To a lesser extent, ovulation can be felt by some women in painful ways.
- "Pain in the small pelvis can be sequelae of infections or operation if there are adhesions in the pelvis.
- At the urinary level, cystitis can give but especially burns during urination with very frequent urges to urinate. There may also be kidney stones in the ureter.
- At the level of the rectum, one can develop recto sigmoiditis that is to say small pockets at the level of the end of the intestine which can become infected.
- In young women, we must think about inflammatory bowel disease (IBD).
- Finally, there are projected rheumatological pains, that is to say, pain that is located in the lumbar spine and sacroiliac, "continues the specialist.
Lower stomach and back pain: why?
"It is necessary to consult a gynecologist who will perform a vaginal touch to determine if the pain comes from the urinary, digestive, or osteoarticular gynecological sphere. We will do an ultrasound as well as a blood test to eliminate an infectious pathology, in which case the CRP, protein of the infection, will be increased," notes Dr. Odile Bagot.
Pain in the lower abdomen pregnant: why?
"In the first trimester, pain similar to contractions with bleeding reflects a threat of miscarriage provided you are sure that it is indeed a pregnancy implanted in the uterus (embryo seen on ultrasound). Otherwise, any pelvic pain, especially with bleeding, at the very beginning of pregnancy, should be reminiscent of ectopic pregnancy. There is also the urinary tract infection, although during pregnancy it does not give many signs it can have serious consequences such as premature delivery.
Other pains, starting in the second trimester, are often pain in the muscles and ligaments.
Other pains, from the second trimester, are often parietal pains, that is, muscles and ligaments, abdominal walls. The uterus has doubled in size so the anterior abdominal wall will be energized. Later in pregnancy, as the length of the muscle fibers will increase in length paradoxically, with a larger belly, the woman will have fewer feelings of tension. In the third trimester, wall pain may correspond to Lacôme syndrome, a kind of tendinitis of the large straight muscles of the abdomen. Outside of pregnancy and during, one should think about appendicitis in case of pain on the right. There is also renal colitis that causes pain mostly on the right because the urethra is dilated on the right during pregnancy," notes the gynecologist.
Lower stomach pain in men: what causes?
Pain in the lower abdomen in men can be a sign of different pathologies: appendicitis, diverticulosis rectosigmoid, and acute prostatitis which corresponds to the equivalent of salpingitis in women with chlamydia, gonococci with inflammation, and pain in the prostate.
Pain in the lower abdomen and anus: why?
You have to think about the hemorrhoidal flare-up and you always have to be vigilant and think about the differential diagnosis of cancer, observes the specialist.
When to consult?
It is necessary to consult when the intensity of the pain is important, that with a simple analgesic it does not pass, if one has a fever, if one has other signs such as dubious vaginal discharge, bleeding, burning at the time of urination, or pain at ejaculation in men.
What treatments?
If it's just contractions, you can take paracetamol or Spasfon, it's not dangerous. Beyond that, the treatments are, etiological, that is to say, according to the cause.
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