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The occurrence of lower abdominal pain in men is often a sign of pathology. A problem can be signaled by one of the organs of the urogenital system, the lower intestine, the prostate. Preliminary self-diagnosis will help orient in choosing a doctor.
In men, pain in the lower abdomen is most often provoked by the prostate gland. The organ is located immediately under the bladder, so the pain is felt in the area from the navel to the groin. May give to the rectum, to the inner thighs, to the lower back.Symptoms such as frequent, painful (often difficult) urination , and loose stools accompanied by spasms can confirm the suspicion of prostate disease .
The degree and nature of pain depends on the type of lesion of the gland. In chronic prostatitis, the pain is long, dull, pulling, can periodically subside. The symptom increases with the filling of the bladder, overheating, exercise, alcohol intake. When relapses, the pain often becomes cutting, increasing at night.
Acute infectious prostatitis manifests itself stabbing pain in the suprapubic area. The discomfort arises sharply, gradually increasing. If the pain is palpable, but tolerable, and the temperature does not rise above 38 degrees, then we are talking about catarrhal prostatitis. This is an uncomplicated form of inflammation of the gland without the formation of ulcers. But if the pain becomes unbearable, and the temperature has risen to 39 degrees and above, then this is a signal of the beginning of a purulent process. Typical additional symptoms:
- painfully painful urination;
- frequent urge to stool, accompanied by cramps, constipation;
- the appearance in the urine purulent and blood filaments.
The situation requires immediate medical attention. It is possible to arrest the acute pain with drugs, but during this time an abscess can open up and lead to serious consequences.
The treatment regimen for prostatitis depends on the form of the disease and the age of the patient. Prescribed drugs that regulate hormonal levels, improve blood microcirculation in the body, restoring gland tissue. Acute inflammation is removed by nonsteroidal anti-inflammatory drugs, antibiotics.
Adenoma leads to a chronic increase in the size of the prostate and the emergence of girdling pains in the lower abdomen (above the pubis). Their localization depends on the direction of growth of a benign tumor. This may be the area of the rectum, the bladder. Additional symptoms are similar to prostatitis .
It is impossible to completely cure adenoma with conservative methods, but there are means to curb its growth. With a large tumor volume, it is partially or completely removed by minimally invasive or open surgical methods.
Seminal vesicles (vesicles) are located on the sides of the prostate from the back of the bladder. The seminal duct binds these glands to the testicles.
Inflammation of the seminal vesicles (vesiculitis) is accompanied by acute pain, which is localized above the pubis along the line of the inguinal fold. Often there is an ache in the testicles. During ejaculation, urination or defecation, the pain increases significantly. It sharpens when filling the bladder.
Vesiculitis is sometimes accompanied by fever, the temperature rises to 38 degrees. A cloudy gray discharge from the urethra may appear. Without timely treatment there is a risk of developing purulent foci, then the pain becomes shooting, pulsating.
The disease is able to take a chronic form, in which each sexual contact is accompanied by noticeable discomfort in the lower abdomen. As a result, sexual dysfunction develops.
Chronic vesiculitis often causes infertility.
The treatment is carried out with antibiotics, nonsteroidal anti-inflammatory drugs. During the recovery period, physiotherapy is applied, vitamins are prescribed. With the development of an abscess, the gland is removed.
The urinary system is subject to attacks by pathogenic microorganisms, the reproduction and activity of which provokes discomfort.
The occurrence of aching pain in the lower abdomen (from navel to groin) may be due to inflammation of the walls of the bladder (cystitis). Additional symptoms: frequent urination, accompanied by eruptions, false desires. Probably the appearance of blood in the urine. Treatment is carried out with antibiotics and herbal remedies (for example, Fitolysin). Learn about the symptoms pointing to cystitis .
The aching pain in the suprapubic region, in the urethra can be triggered by chlamydia , gonorrhea , trichomoniasis , ureaplasmosis , specific and nonspecific urethritis . Inflammation of the urethra is accompanied by painful urination, discharge. The pathogen is determined by the results of tests, then a course of treatment with antibiotics. Discomfort during therapy helps to relieve painkillers.
Stones can form in various organs of the urogenital system, but most often they are found in the kidneys. Under the influence of a number of factors, stones begin to migrate. During their advance from the kidneys along the lower third of the ureter, a cutting pain occurs in the groin area, which can extend into the head of the penis and testicles. When the stone stops, the attack of pain subsides a little, at the same time there is a strong urge to urinate. If the walls of the urethra are damaged, the urine is stained with blood.
Concrements in the kidneys even before migration make themselves felt with the pains of a pulling nature, localized in the lumbar region.
Acute pain in the lower abdomen that occurs after physical exertion can be caused by stones in the bladder. Especially often their formation occurs on the background of prostate adenoma. The main danger lies in the blockage of the urethra, as indicated by severe cramping pain not only in the lower abdomen, but also in the lower back. Such a condition requires urgent medical intervention.
The removal of large stones is done endoscopically or by an open method, small ones can be tried to be dissolved with a drug or crushed (using ultrasound or a laser).
During inflammation of the testicles (orchitis) and their appendages (epididymitis), a man experiences pain not only directly in the testes, but also in the pubic area, sacrum, lower back. There is also general weakness, nausea, fever. The testicles (one or both) increase in size, the skin on them stretches and turns red. Any touch causes acute pain.
Delay in treating testicular inflammation can lead to irreversible infertility due to the destruction of their tissues.
Treatment is carried out with antibiotics or antiviral drugs (depending on the cause of the inflammation).
Several sectors of the intestine are located at the bottom of the abdomen, the various pathologies of which also cause pain. The most innocent cause of discomfort is spasms during agitation, hypothermia, and disturbed diet. Such phenomena are quickly eliminated by taking antispasmodics, stimulation of defecation, and sometimes it is enough to lie down. But in some cases, pain signals a more serious violation.
If acute pinpoint pain suddenly appeared in the lower abdomen on the right, then appendicitis may develop (inflammation in the cecum process). When moving, the pains are aggravated, and in the supine position they subside. Additional symptoms:
- high temperature;
- pale skin;
- general weakness.
The intervention of the doctor is necessary, otherwise peritonitis (inflammation of the peritoneum) will develop.
The sigmoid colon is located in the lower abdomen on the left. Its inflammation can be triggered by ulcerative colitis, infections, fecal stagnation due to chronic constipation, protrusion of the walls (diverticula), or a tumor. This region of the intestine is mobile, so dull, but perceptible pain can wander from the left side of the abdomen to the center (near the navel). If the inflammation affects the rectum, proctosigmoiditis is diagnosed.
Treatment methods depend on the reasons: the tumors are removed, constipation is adjusted by laxatives, diets and motility-enhancing drugs, and infections are blocked by antibiotics.
The disease is a chronic inflammatory process (ulceration, granulomatous growths) that can develop in any part of the gastrointestinal tract. Young men are most often affected, and the area of the lesion is usually limited to the small intestine (pain occurs in the lower abdomen). Pathology is accompanied by diarrhea, subfebrile temperature, critical loss of appetite, weakness.
The causes of the disease are not fully understood; an immune disorder is considered the most likely factor. The treatment is carried out against the backdrop of a strict diet, aminosalicylates, corticotropic drugs are used, antibiotics are administered for infectious complications.
In some cases, an inguinal hernia makes itself felt by a pulling pain in the area of the pubis and testicles, which occurs or increases during walking or other physical activity.
Infringement of part of the intestine will lead to its necrosis, it may be fatal. If the pain has taken a cutting nature, nausea and vomiting have appeared, then you should immediately call a doctor.
The table presents the most frequently diagnosed causes of lower abdominal pain:
||Captured areas (optional)
||Nature of pain
|Centered from navel to groin
||Sacrum, anus, testicles, lower back, entire abdomen
||Fever, weakness, cramps when urinating
|Aching, periodically fading
||Difficult, but frequent urination, weak stream
|Sharp pain when urine accumulates, urinates, erections, and ejaculation. Sleepers in prone position and rest
|Over the pubis along the line of the inguinal fold
||Increased pain during urination, defecation
|Over the pubis, in the urethra
||Discharge from the urethra, burning during urination, increased pain after it
|Lower right abdomen
||Nausea, vomiting, fever
|Lower right belly below navel
||At the beginning of the development process, the pain is episodic, blunt in nature. Then becomes constant intense, intensifies after eating and when you press on the stomach
||Loss of appetite and weight, diarrhea (foamy feces), swelling, joint pain, conjunctivitis
||Crohn’s disease (ileum)
|Crohn’s disease (jejunum)
|Lower abdomen just above the navel on the left
|In the navel area, can go to the right
||Crohn’s disease (small intestine)
|Lower abdomen, all left side
||Crotch, bladder, front of thigh
||Dull, occasionally escalating
||Constipation, flatulence, diarrhea, mucus from the anus
||Testicular enlargement in size. Increased pain during exercise, alcohol intake, constipation
||Palatum, rump, loin
||Sharp, constant.Can be pulsating
||Testicular enlargement, soreness with pressure, fever and redness of the skin