Sometimes pulls the lower abdomen. Aching and stitching pains in case of inflammation of appendicitis. If it pulls the lower back and the lower abdomen hurts a lot, what diseases can be

A week pulls the lower abdomen - what does it mean? Every woman has experienced at least once in her life pain in the uterus and ovaries. There can be many reasons for such symptoms, but most often they do not pose any threat. Much more dangerous than pain, not passing for several days and even weeks.

If there is a delay

The absence of menstruation, coupled with painful sensations in the lower abdomen that do not go away for seven or more days, may indicate an "interesting situation." Pulls the stomach in the first weeks of pregnancy in many expectant mothers. In this case, it is necessary to consult a doctor to confirm the position and study further action. These pains are explained by the preparation of the uterus for the further course of pregnancy. In addition, if the lower abdomen pulls for a week, and there are no periods - this may be a signal of an ectopic pregnancy or a threatened miscarriage, the appearance of bloody or brown discharge should cause alarm.

All sorts of hormonal disorders can cause discomfort. An experienced specialist can fix the problem when carrying out comprehensive survey. Usually, as a therapy in this case, various hormonal preparations and lifestyle adjustments. An endocrinologist or gynecologist-endocrinologist is engaged in the diagnosis and treatment of such pathologies.

The next reason is the most harmless, caused by an elementary violation of the cycle associated with the transferred stress. Also, do not exclude the possibility gynecological diseases such as colpitis, adnexitis, endometritis, endometriosis and even the formation of cysts in the ovaries.

In addition, if a week, more than a week, 2 weeks pulls the lower abdomen as during menstruation, but there is no menstruation, one can assume the presence of non-gynecological diseases. Pyelonephritis, cystitis, etc. can cause disruptions in the cycle and pain.

During the period of menstruation

Painful sensations during menstruation can be caused by contractions of the uterus, trying to "push out" all unnecessary (exfoliating endometrium) formed in preparation for a possible conception. In this case, various antispasmodic and painkillers come to the aid of women.

If the pulling pains intensify even after taking the pills and are accompanied by copious secretions, perhaps this is a signal of an interrupted pregnancy, in other words, an early miscarriage.

Pain during menstruation may be accompanied by the development of various inflammatory processes of the genital organs or have nothing to do with them.

Another cause of painful periods may be sexual infantilism, in other words, this is the underdevelopment of the uterus. Its incorrect location can interfere with the outflow of secretions, causing discomfort. This problem resolved by medication.

The least common causes include increased nervous excitability of a woman or the presence intrauterine device. In any case, painful sensations are a signal of the body about possible malfunctions in its functioning.

Most often, women and girls who have not yet given birth suffer from pulling sensations during menstruation. Leading an unhealthy lifestyle, lack of moderate physical activity, disorderly sex life and environmental degradation significantly increase the risk of various diseases, including those that can cause painful periods.

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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 menstrual cycle. Let's take a quick look 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 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 mucous membrane of the uterine cavity, usually occurs as a result of the introduction of an infectious pathogen 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 fallopian tubes and ovaries as a result bacterial infection) and a complication - pelvioperitonitis (in this case, there are not only pains in the lower abdomen 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 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 - quite common infectious diseases among 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.

Appearance pain in abdominal cavity requires serious attention. When a woman develops acute symptoms, life threatening required urgent hospitalization. The reasons why the lower abdomen can hurt are often associated with physiological features female body. In order to make the correct diagnosis, prescribe treatment, it is necessary to understand the signs that accompany the pain syndrome in various pathologies. This will help to provide timely assistance.

What is lower abdominal pain in women

The appearance of pain in the lower part of the abdominal cavity may be associated with the development pathological processes. The source of pain is irritation of the nerve endings that are in internal organs and in surrounding tissues. Below, in the pelvic area, are located:

bodies reproductive system women;
part of the large intestine;
bladder;
rectum.

When a woman's lower abdomen hurts, the question arises - which doctor should I contact? Acute symptoms require an immediate emergency call. When pain syndrome more often, the help of a surgeon, gastroenterologist, urologist and gynecologist is required. When contacting the clinic, it is important to correctly describe your feelings. There is such a nature of pain:

pulsating;
paroxysmal;
aching;
pulling;
cramping;
cutting;
dull;
acute.

An important role in the description is given to the duration of symptoms in time, the frequency of their occurrence. Pay attention to the fact that the pain can be given to other parts of the body, intensify during movement. Consider the appearance of accompanying signs:

high temperature;
secretions from the genitals;
painful urination;
pressure drops;
bleeding;
weaknesses;
nausea;
diarrhea;
chills
vomiting.

Causes of pain

When the lower abdomen hurts in women, inflammatory processes in the abdominal organs can be provoking factors. This condition is also caused by intestinal overcrowding, hungry cramps, and oncological pathologies. Pain syndrome is caused by:

cholelithiasis;
diverticulosis;
helminthic infestations;
intestinal obstruction;
development of tumors;
appendicitis;
intestinal colic;
poisoning;
stomach ulcer;
cholecystitis;
gastritis;
peritonitis;
pancreatitis;
pinched hernia.

Often, the lower abdomen aches in a woman with pathologies of the reproductive system. Unpleasant symptoms may accompany sexual intercourse, emptying Bladder. Pain is associated with the following reasons:

taking contraceptives;
carrying out diagnostic curettage;
congenital underdevelopment of the genital organs;
pathology of pregnancy;
fibromyoma of the uterus;
inflammation of the appendages;
HPV (human papillomavirus);
ectopic pregnancy;
detachment of the placenta;
abortion;
climax.

Among the provoking factors, as a result of which the lower abdominal cavity aches, pathologies of the urinary system: pyelonephritis, cystitis, kidney stones. Painful sensations in women cause:

metabolic disease;
long-term use antibiotics;
injury to the intervertebral discs;
viral diseases;
neoplasms;
genital infections - trichomoniasis, chlamydia, mycoplasmosis, gonorrhea;
decreased immunity;
hypothermia;
surgical interventions;
use of drugs, alcohol;
diabetes;
obesity;
thrush;
stress

Pulling

Pathological changes in the functioning of the pelvic organs cause pulling, aching pain in the lower abdomen in a woman. Doctors identify organic and functional causes of their appearance. The first ones include:

endometriosis (growth of the inner layer of the uterine wall);
ovarian cyst;
uterine fibroids;
inflammation of the appendages;
scars after operations;
colpitis (inflammation of the vaginal mucosa);
ovarian apoplexy (rupture with hemorrhage);
genital infections;
cauterization erosion;
use of an intrauterine device;
chronic diseases kidneys, bladder.

Pain may accompany physiological processes passing in the body of a woman. To functional reasons their occurrence include:

congestion of the uterus menstrual blood;
ovulation - pulling pain accompanies the process of rupture of the follicle;
premenstrual syndrome associated with hormonal influence on nervous system;
underdevelopment of the uterus;
menstrual disorders;
uterine bleeding.

Pulling pain in the lower abdomen can occur in a woman throughout the entire period of pregnancy. An unpleasant syndrome develops as a result of pathologies of other organs located in the abdominal cavity. Cause disease state can be:

stones in the bladder, kidneys, ureters;
chronic form appendicitis;
cystitis, accompanied by burning, pain during urination.

Acute

Immediate medical attention is required if acute severe pain lower abdomen in women. This condition speaks of serious problems. Gynecologists identify the causes of pain in acute form:

torsion of the legs of an ovarian cyst;
endometriosis;
acute inflammation of the appendages after an abortion or childbirth;
ovarian apoplexy;
fall during pregnancy
early detachment of the placenta;
fallopian tube rupture, ectopic pregnancy.

The cause of acute pain syndrome in women is the blockage of the ureter with stones during the development urolithiasis. Pathologies can cause a dangerous condition:

nonspecific ulcerative colitis;
Crohn's disease (autoimmune inflammation of the intestine);
acute form appendicitis;
prolonged constipation.

Periodic

AT female body natural physiological processes occur at regular intervals. Monthly ovulation causes pain during the rupture of the follicle and the release of the egg. The condition may be accompanied by bleeding. Cause of periodic pain symptoms- dysmenorrhea. This is a pathological condition associated with the menstrual cycle. Pain syndrome appears:

before menstruation (more often in young girls);
during or after the end of menstruation (mainly in multiparous women).

Lower right abdomen

Dislocation discomfort is important in determining the causes of the disease. Gynecological pathologies can be provoking factors for the appearance of pain on the right. These include:

weakening internal os uterus in early pregnancy (isthmic-cervical insufficiency);
apoplexy of the right ovary;
ectopic pregnancy;
tumors in the appendages on the right;
menstrual irregularities;
torsion of the leg of the right ovary;
inflammatory processes in the uterus;
the onset of spontaneous abortion;
hypertonicity of the uterus, threatening miscarriage during pregnancy.

It hurts on the right in the abdominal cavity, when pathologies of the pelvic organs develop. This condition is provoked by indigestion, helminthic invasions, tumor processes. Pain can be caused by sexually transmitted infections and inflammation:

gallbladder;
lymph nodes of the mesentery of the intestine;
urinary tract;
intestinal mucosa;
appendix;
ileum.

in the middle

If a woman’s lower abdomen hurts a lot in the middle part, the cause may be a malfunction digestive system. This condition is provoked by prolonged constipation, intestinal upset due to malnutrition, and the development of dysbacteriosis. Pain syndrome may also be caused by gynecological causes:

the process of ovulation;
menstruation;
bearing a child;
the formation of tumors, cysts;
development of endometriosis;
fertilization process;
inflammation of the uterus, appendages.

Lower abdomen hurts, nausea

When the pain syndrome is accompanied by nausea, experts diagnose disorders in the digestive system. serious condition causes poisoning by products, chemicals. If you feel sick when a pain syndrome appears, this may accompany such pathologies:

inflammation of the pancreas - pancreatitis;
intestinal colic;
peritonitis - inflammation of the peritoneum;
gastritis;
peptic ulcer.

Nausea appears if it cuts the lower abdominal cavity as a result of gynecological disorders that occur in a woman's body. These symptoms may occur if:

twisting of the appendages, peduncle cysts;
adhesive disease;
dysmenorrhea;
cyst rupture;
inflammation of the appendages after an abortion, childbirth;
premature detachment of the placenta;
ectopic pregnancy.

Resi

cutting pain in the lower abdomen in women often requires urgent medical intervention. anxiety symptoms can cause ulcerative colitis, an inflammation of the bladder. Cutting, burning during urination is accompanied by cystitis. Often the cause of such pain is:

the beginning of contractions before childbirth;
infection fallopian tubes;
endometritis (inflammation of the uterine mucosa);
malignant tumors of the reproductive system;
cervicitis (inflammatory process in cervical canal);
threat of termination of pregnancy;
detachment of the placenta;
uterine rupture;
miscarriage.

Pain in the stomach and lower abdomen

First painful symptoms appear at the start inflammatory process in the mucous membranes of the stomach. In this condition, a woman develops nausea, the pain is aching in nature, localized on the left side. When the stomach and lower abdominal cavity aches, this may signal the development of such processes:

erosion of the mucous membranes - peptic ulcer;
the appearance of neoplasms in the cavity;
the occurrence of a hernia;
inflammation of the pancreas, negatively affecting the stomach.

When pressed

When complaining of pain, the doctor performs palpation not only of the lower abdominal cavity, but also of its other areas. This helps to identify a hernia of the stomach, the presence of neoplasms, changes in the size of organs. When pressed, pain may occur. This condition appears when:

gastroesophageal reflux disease;
poorly digested food;
intestinal colic;
helminthic invasion.

Pain when pressing on the lower abdomen in women is a symptom of poor-quality food poisoning. Unpleasant sensations can occur if diagnosed:

peptic ulcer of the duodenum, stomach;
peritonitis;
acute appendicitis;
cholelithiasis;
exacerbation of gastritis;
urinary tract infections;
Crohn's disease;
gynecological pathologies;
ectopic pregnancy;
hernia.

Pain in the lower abdomen and discharge

pain syndrome in gynecological pathologies often accompanied by vaginal discharge. They differ in color, smell, intensity. The lower abdomen is painful in such diseases:

	Allocations	Peculiarities
endometritis	bloody	occur in the middle of the cycle
placental abruption
ectopic pregnancy (fallopian tube rupture)
gonorrhea, trichomoniasis	yellow, brown	Bad smell
chlamydia, mycoplasmosis		Bad smell
endometriosis	dark brown
	bleeding	plentiful
uterine cancer		putrid smell
inflammation of the cervix		burning sensation when urinating

In the morning

The lower abdomen of a woman hurts in the morning due to disruptions in work gastrointestinal tract. The reason for this condition is a large number of food eaten at night, which did not have time to be digested. The digestive organs could not cope with such a load. The pain causes a state of pregnancy, a feeling of hunger in the morning, if there was an early dinner. Discomfort is caused by pathologies of the digestive tract:

intestinal infections;
poisoning;
pancreatitis;
helminthic invasions;
peptic ulcer;
food allergies;
appendicitis;
neoplasms;
adhesive disease.

After meal

The lower abdomen often hurts after eating. The causes of this condition are associated with a violation of the digestive system. Pain syndrome, heaviness in the stomach, provoked by overeating, eating fried, fatty, spicy food. The condition is accompanied by belching, heartburn, vomiting, irrigation pain in the hypochondrium. The reasons for such sensations in women after eating may be:

gastritis (damage to the mucous membrane of the walls of the stomach);
appendicitis;
cholecystitis (inflammation of the gallbladder);
irritable bowel syndrome;
stomach ulcer.

Pain in the lower abdomen and fever

Often, pain in women is accompanied by symptoms of intoxication of the body. Fever, weakness, nausea, diarrhea can occur as a result of poisoning with chemicals, food, alcohol. Hyperthermia and pain syndrome in the lower abdominal cavity are accompanied by such pathologies:

intestinal obstruction;
hernia;
acute appendicitis;
adhesive processes;
varicose veins of the pelvic veins;
enterocolitis;
acute cystitis.

When the stomach hurts and the temperature rises, these may be symptoms of kidney disease. In women in this case, urinary retention is observed, nephrolithiasis, pyelonephritis are diagnosed, infectious pathologies, the causative agents of which are harmful bacteria, fungi. Hyperthermia often accompanies such gynecological problems:

inflammation of the uterine appendages;
violation of the menstrual cycle;
consequences of an abortion;
rupture of an ovarian cyst;
postpartum inflammation;
ectopic pregnancy;
placental abruption;
uterine myoma.

When walking

When the lower abdominal cavity hurts and the symptoms in women increase with movement, this is a signal for the development of pathologies of the gastrointestinal tract, cardiovascular, genitourinary system. Such signs are typical for diseases of the spine. Pain when walking may be accompanied by:

cystitis;
pyelonephritis;
appendicitis;
urolithiasis;
injuries of the kidneys, pancreas;
fracture of the pelvic bones;
thrombosis, rupture, blockage of the vessels of the abdominal wall;
osteochondrosis of the lumbar spine;
myocardial infarction;
hernia;
pneumonia;
pericarditis;
pleurisy.

Often, painful symptoms when walking are noted in pregnant women as a result of sprains during fetal growth. The lower abdomen hurts in a woman who has the following pathologies reproductive organs:

fibromyoma of the uterus;
sepsis as a consequence of abortion;
endometriosis (pain increases during menstruation, sexual intercourse);
adhesive processes;
sexual infections (chlamydia, mycoplasmosis, gonorrhea);
risk of miscarriage;
ectopic pregnancy.

Pain in the lower abdomen and diarrhea in women

The appearance, in addition to soreness in the lower part of the abdominal cavity, diarrhea is a sign of pathologies of the gastrointestinal tract. The condition is accompanied by weakness, nausea, bloating, fever. Symptoms of the disorder can occur when fasting, overeating, eating fatty foods, the development of such pathologies:

irritable bowel syndrome;
celiac disease (intolerance to vegetable protein gluten);
autoimmune hepatitis;
acute ischemia intestines;
ulcerative colitis;
obstruction of the colon;
appendicitis;
cholecystitis;
stomach ulcers.

Give to the lower back

If a woman feels that her lower abdomen aches and radiates to the lumbosacral region, first of all, you need to visit a gynecologist. Such symptoms are noted with numerous pathologies of the female reproductive system. The appearance of signs may accompany the development of:

uterine fibroids;
polycystic ovaries;
prolonged menstruation;
bending of the uterus;
twisting of the appendages;
ectopic pregnancy;
adhesive process;
apoplexy (ovarian rupture);
vaginitis (inflammation of the vagina);
threats of miscarriage;
torsion of the pedicle of an ovarian cyst.

When the lower abdomen and lower back ache, the cause may be associated with the development of osteochondrosis of the spinal spine, in which the nerve roots are pinched. There are reasons for the appearance of such signs common to women and men. These include:

intestinal infections;
appendicitis;
urolithiasis disease;
colitis (inflammation of the colon mucosa);
infections of the genitourinary system;
intervertebral disc injuries;
varicose veins of the small pelvis;
haemorrhoids.

Give to the anus

Discomfort in the lower abdomen in women is often accompanied by sharp or aching pains that radiate to the area anus. Such symptoms indicate the presence of inflammatory processes in the pelvic area. Pain radiating to the anus may be a confirmation of the development of:

hemorrhoids;
rectal fissures;
paraproctitis (inflammation of the anal glands);
accumulation of fluid in the pelvic cavity.

Pain in the lower abdomen radiating to the area anus found in gynecological pathologies. They are often accompanied by vaginal discharge. Such symptoms are observed in the case of ectopic pregnancy, threats of miscarriage, the appearance of benign neoplasms - fibroids, fibromyomas. Symptoms may accompany inflammatory processes:

uterine appendages (salpingoophoritis);
vaginal mucosa (colpitis);
the inner layer of the uterus (endometritis).

The appearance of pain in the abdomen, radiating to the anus, is characteristic of pathological processes occurring in the ovaries. This condition is sometimes observed in the formation of:

hyperfunction as a result of stimulation before IVF (in vitro fertilization);
polycystic;
apoplexy (sudden tissue rupture with bleeding);
twisting of the cyst leg;
suppuration.

Diagnostics

Since pain in the lower part of the abdominal cavity accompanies numerous diseases, it is important to conduct a correct diagnosis. The doctor chooses methods of research, starting from the symptoms pathological condition. Necessarily conducts palpation to clarify the localization of the pain syndrome. During the reception, he collects an anamnesis, finds out:

nature, possible causes of pain;
frequency of manifestations;
additional symptoms.

Mandatory for all patients are general, biochemical analysis blood, urinalysis. If you suspect a disease of the digestive system, carry out:

analysis of feces for occult blood;
intragastric pH-metry (measurement of acidity);
scatological examination of feces;
endoscopic retrograde cholangiopancreatography;
study gastric juice;
FGDS - fibrogastroduodenoscopy, examining the stomach, duodenum, esophagus.

To detect neoplasms pathological changes specialists prescribe CT scan - computed tomography of organs located in the abdominal cavity, depending on the proposed location. In the event of a painful syndrome as a result of problems with the urination system, the following are used for diagnosis:

cystoscopy - examination inner surface Bladder;
cystography - radiographic determination of changes in the organ;
bacteriological examination of scrapings from the urethra to determine sexually transmitted infections.

If the cause of pain is associated with gynecological problems, the doctor prescribes blood tests for the presence of HPV (human papillomavirus), genital infections, and, if necessary, for tumor markers. Additionally, the following studies are carried out:

vaginal smear (note increased content leukocytes);
Ultrasound of the pelvic organs;
bacteriological culture scraping from the vagina, cervix to identify genital infections.

What to do if the lower abdomen hurts

The doctor prescribes treatment for the woman depending on the symptoms. Much attention is paid to the nature of pain. You need to do the following:

Pain symptoms	Pathologies	Events
Moderate, persistent		examination in the clinic testing performing ultrasound of the pelvic organs, abdominal cavity
Strong, sharp pains		call an ambulance
	ectopic pregnancy torsion of the ovarian cyst acute appendicitis	emergency surgery
	uterine fibroids ovarian cysts cholecystitis oncology	planned operation

When the diagnosis is confirmed, doctors of the relevant specialization - a gynecologist, a nephrologist, a gastroenterologist - prescribe a treatment that includes conservative methods:

medications to relieve inflammation;
drugs that relieve pain, spasms;
antibiotics for bacterial infection;
means to maintain immunity;
vitamin complexes;
physiotherapy procedures;
acupuncture;
performing therapeutic exercises;
diet use;
observance of hygiene rules.

The treatment of a specific disease is prescribed by the doctor, taking into account the nature of the pain, all the symptoms of the disease. The following methods are used:

Disease		Therapy Methods
endometriosis	gynecologist	hormonal, anti-inflammatory drugs, electrophoresis
Gonorrhea, trichomoniasis	venereologist	antibiotics
Pancreatitis	gastroenterologist	diet, analgesics, enzymes, antispasmodics, H2-blockers
stomach ulcer	gastroenterologist	antacids, cytoprotectors, antiulcer agents, probiotics
		antiseptics, antibiotics, antispasmodics, analgesics

Video

The fair sex often experiences discomfort in the pelvic area due to the peculiarities of physiology. Mood changes, weakness, drowsiness, dizziness are added to the discomfort. If the problem worries often, does not coincide with the monthly cycle, you need to think about why a woman has. What to do, what measures of therapeutic influence to use - the doctor will tell you based on the results of the diagnosis.

If the pain becomes persistent, restricts mobility, reduces the quality of life, you should not delay a visit to the clinic: many causes of discomfort are far from harmless. The doctor will determine why the lower abdomen hurts, will give the woman needed help.

Why does the stomach and lower back hurt in women

Practice shows that the occurrence of pain in the lower back and abdomen in women is a common problem.

To find out its causes, the doctor asks the patient clarifying questions:

what is the nature of the discomfort (dull, shooting, paroxysmal);
how often discomfort occurs;
whether the patient's body temperature rises;
where the pain is localized: it covers the lower back, the center of the abdomen, the side;
are there any concomitant symptoms(dizziness, nausea, problems with urination, etc.).

According to the results of an oral survey, the doctor makes an assumption why the lower back hurts, which is confirmed or refuted after laboratory tests.

Unpleasant sensations are not always associated with menstruation. They are often called serious pathologies organisms other than gynecological problems.

Bowel disease

The cause of discomfort in the pelvic area is intestinal disease.

They cause the following set of symptoms:

the patient has a stomach ache;
discomfort is given to the lower back, groin and chest area;
increases gas formation in the intestines, because of which it seems to a woman that her stomach is “bursting” from the inside;
there is nausea, vomiting, loss of appetite;
the chair is broken.

If the patient has pain in the intestines, the doctor may suspect the following problems: infection, poisoning, intestinal obstruction, ulcerative colitis, perforation small intestine etc. To eliminate discomfort, you must definitely contact a doctor: delay or use folk methods leads to a worsening of the situation, the progression of the disease.

special attention requires a case if the pain becomes cramping in nature. It is necessary to call an ambulance: a similar symptom indicates the danger of the disease for the life of a woman.

kidneys

Abdominal pain radiating to the back is a manifestation of the following ailments associated with the kidneys: pyelonephritis, cyst, development malignant neoplasms, kidney failure. They arise due to malnutrition, hypothermia, hereditary predisposition, and other factors.

Drawing pains in the lower abdomen and lower back are complemented by the following characteristic symptoms:

discomfort during urination;
impurities of blood among the urine;
cloudy urine;
nausea, bouts of vomiting;
diarrhea;
swelling on the legs, on the face;
migraine;
promotion blood pressure;
general fatigue, depression.

If the problem worries the patient long time, you need a visit to the doctor, who will make an accurate diagnosis, prescribe treatment.

Urolithiasis disease

Aching pains radiating to the lower back - a sign of urolithiasis. It affects patients aged 25-50 years. Doctors explain the problem adverse influence bad ecology, wrong way of life of patients.

Appendicitis

Unpleasant sensations appear unexpectedly, rapidly growing. The patient may develop a fever, which indicates purulent form illness.

The pains capture the epigastric region, then they pass to the stomach and lower back, the right side is especially disturbing. At purulent appendicitis discomfort is weaker, due to the loss of sensitivity of the nerve endings. Possible loss of consciousness, bouts of vomiting.

Often a woman feels that discomfort on the right grabs her leg. This forces her to limp when walking. Gradually added general weakness, irritability, urination disorders and diarrhea.

In the absence of medical intervention, acute appendicitis entails fatal outcome . When symptoms appear, call ambulance. Before her arrival, the patient should be put to bed, something cold should be placed on the right stomach or under the lower back. Taking painkillers is strictly prohibited.

Video

Video - how to identify an inflamed appendix?

Menstruation

According to statistics, 70% of women experience discomfort in the abdomen and lower back during menstruation. The main cause of discomfort is a change hormonal background. The muscles of the pelvic area and the uterus begin to contract, which irritates the nerve endings.

Appears characteristic symptom- pulls the lower abdomen of a woman.

It is accompanied by other unpleasant manifestations:

chest pain;
mood deterioration: the woman becomes lethargic, nervous;
increased fatigue;
slight increase in body temperature;
liquid stool;
dizziness, etc.

Practice shows that monthly discomfort pursues mainly nulliparous women. The symptomatology is dangerous because it can be explained not only by natural cyclic processes, but also by venereal diseases, endometriosis, inflammatory processes in the ovaries and fallopian tubes. Therefore, it is important for a woman to listen to her own body and be able to distinguish the norm from the signs of illness.

Pain during pregnancy

Women "in position" often complain that their lower abdomen and lower back are pulled. Usually, unpleasant symptoms regarded by doctors as the norm. On the early dates(first and second trimester) they are caused by a shift in the center of gravity of the spine, weight gain, increased muscle tone in the pelvic area.

On the later dates the weight of the fetus reaches three kilograms. Future mother it is not easy to carry such a weight, so her lower back constantly worries. The load on the genitourinary system increases, swelling occurs, so the lower abdomen aches. Sometimes the discomfort becomes so severe that the woman prefers to sit or lie down most of the time.

Pain sensations are regarded as the norm, if they are not sharp, shooting in nature, the stomach does not become hard. In these cases, you need to consult a doctor and be examined.

Ectopic pregnancy

characteristic feature dangerous state. Discomfort is often localized in the right or left side - closer to the affected fallopian tube, aggravated by walking or turning the body. woman notices bloody issues from the vagina.

Pain in the lower back and in the pelvic area gradually increase, becoming unbearable, cramping. An ectopic pregnancy is life-threatening for the patient, therefore, if its first symptoms occur, you should immediately consult a doctor.

Diagnostics

To make a diagnosis, the doctor conducts an oral conversation with the patient in order to identify her complaints. He is interested in where the pain is localized: from below, on the side, encircles the stomach and lower back, etc., what character it has, how often it appears, what additional symptoms it accompanies.

To make a correct diagnosis, laboratory tests are needed:

general blood test - elevated ESR level indicates the development of the inflammatory process in the body;
general urine analysis - elevated level leukocyte count indicates kidney disease;
Ultrasound of the pelvic organs - allows you to exclude or confirm diseases of the genitourinary system;
X-ray - reveals osteochondrosis and other diseases of the spine;
absorption densitometry - diagnoses osteoporosis;
irrigoscopy - the doctor examines the colon and identifies problems in the gastrointestinal tract.

Based on the results of the research, the doctor draws conclusions about what caused the discomfort in the lower back and what to do in this case.

Treatment

When the doctor has found out why the patient has both back and stomach pain at the same time, he prescribes treatment. Methods of therapeutic influence differ depending on the cause of discomfort.

If your back hurts for a reason acute appendicitis, the patient is prescribed surgery in 100% of cases. Rejection surgical intervention leads to death.

If intestinal problems are detected, the patient is prescribed absorbents and (or) antibiotics, substances that normalize the microflora of the gastrointestinal tract. It is necessary to adjust the lifestyle and abandon bad habits, diet. Ignoring the prescriptions of the doctor will lead to the transition of the problem to the chronic stage.

Usually the second phase of the menstrual cycle is painless. However, in some women, after ovulation, the stomach pulls. It could be normal, a sign of pregnancy or diseases such as appendicitis or endometriosis.

If such a symptom appears, it is necessary to report it to the gynecologist at the next examination. However, there are some signs by which a woman can first find out what is happening with her body.

ovulatory syndrome

This is the most common cause of pain immediately after. The process accompanies the release of the egg from the mature follicle to the surface of the ovary. The synthesis of progesterone increases, which increases the fragility of blood vessels and increases basal body temperature. Bloating is noted, clothes become tighter for a while.

These are common symptoms. If the pain does not go away after ovulation has occurred, there are several explanations for this:

the release of the egg from a large, tense follicle, which is accompanied by temporary damage to the surface of the ovary;
simultaneous contraction of the fallopian tubes to capture and advance the egg;
excessive accumulation of cervical mucus in the cervical area;
constipation associated with ovulation.

Unpleasant sensations occur approximately 2 weeks before the expected onset of menstruation. Discomfort can occur on either side of the abdomen, depending on whether the right or left ovary is located. dominant follicle. Soreness immediately after ovulation is felt by about 20% of women. Usually it is short and weak, but sometimes it can be quite intense.

Before the egg is released from the ovary, it stretches the membrane that covers it. This stretch causes irritation pain receptors in the organ capsule. After the release of the oocyte from the cavity of the follicle, a certain amount of serous fluid and blood. They irritate the surface of the peritoneum and also lead to soreness in the middle of the cycle.

In some cases, the pain is so strong and prolonged that it resembles the symptoms of adnexitis or appendicitis.

characteristic diagnostic signs does not exist. The doctor makes this diagnosis by ruling out other conditions. Anti-inflammatory drugs are recommended to relieve pain.

Another option that helps alleviate the condition is a warm heating pad on lumbar region relieving spasm of smooth muscles. In severe ovulatory syndrome, which recurs constantly, may be prescribed oral contraceptives. Medicines effectively relieve or prevent the characteristic pain in the lower abdomen.

late ovulation

Some women note that their lower abdomen and lower back are pulled for a few more days after ovulation. This is fine. If this condition continues for 4 days or more, it is better to consult a gynecologist to rule out serious diseases.

First of all, it is necessary to determine whether ovulation really occurred at that moment, and not later. To calculate this day, you need to know the start date of the last menstrual bleeding and the average length of the menstrual cycle. Its middle will be the approximate time for ovulation (in more detail, about methods for determining the day of ovulation, in our article on).

If the pain appeared later (for example, 4 days after the calculated date), it is likely that ovulation has occurred.

The shift in the release date of the egg later than usual can be caused by many reasons:

gynecological infectious diseases;
the first year after the birth of a child;
the first 3 months after termination of pregnancy;
constant stress and overwork;
violation of the production of hormones in the pituitary gland.

Premenstrual syndrome

If a woman pulls her lower abdomen a week after ovulation, this may be a manifestation of premenstrual syndrome.

Other symptoms of this condition:

bloating;
nausea;
instability of mood;
soreness of the chest;
constipation or loose stools;
headache;
fatigue;
pain in the lower back.

For most women, a few days before the onset menstrual period only signs such as breast tenderness, bloating and muscle pain appear. These are normal premenstrual symptoms.

With an increase in the intensity of these symptoms, the addition of headaches, psycho-emotional instability, which in combination disrupts the daily activity of a woman, they talk about. For some women, it occurs as early as adolescence, for others it develops after the age of 30 and intensifies as menopause approaches.

Premenstrual syndrome is associated with hormonal changes during the menstrual cycle. It is not known why some women have it more pronounced than others. However, it has been found that there is hereditary predisposition to this pathological condition.

The likelihood of pulling pains a few days after ovulation increases if a woman does not receive enough vitamin B6, calcium or magnesium from food. Stress, lack of physical activity and excessive consumption of caffeinated drinks increase the discomfort.

At premenstrual syndrome the intensity of pain in the abdomen may vary from cycle to cycle. Sometimes the symptoms of pathology are so severe that they lead to the development of premenstrual dysphoric disorder, which is accompanied by depression, refusal to communicate and other emotional disorders.

To get rid of PMS, it is recommended to eat more whole grains, protein, low-fat dairy products, fruits and vegetables. Should be increased physical activity, additionally take vitamin B6 and calcium, reduce the intake of salt, coffee, chocolate and alcohol.

Pregnancy

Painful sensations - probable early sign pregnancy. They appear due to such reasons:

Promotion of a fertilized egg fallopian tube to the uterus, which is accompanied by a contraction of the smooth muscles of the tube.
Attachment of the fetal egg to the surface of the endometrium in the uterus.

Breast engorgement, the appearance or increase of pain in the lower abdomen 5-6 days after ovulation indicate a possible pregnancy. "Drawing" sensations can persist for a long time. In these cases, it is better to wait for the delay of menstruation and take a test.

Implantation pain may appear later - 10 days after fertilization. It resembles discomfort during menstruation, but is less pronounced. It is not dangerous for the course of pregnancy.

With increased pain, a change in its nature or duration, you should consult a doctor earlier to exclude possible complications.

Follicular cyst

An ovarian cyst occurs if ovulation has not occurred, or a fluid-filled cavity has formed at the site of a burst follicle. This condition often disappears spontaneously. However, cysts can cause pain and bloating. A large ovarian cyst may be accompanied by unpleasant pulling sensations like before menstruation.

Also called benign or functional ovarian cysts. They often occur in middle-aged women after ovulation. Most of them are painless and do not harm the body. They never degenerate into a cancerous tumor.

Risk factors for cyst development:

a past ovarian cyst;
irregular menstrual cycle;
the onset of menstruation at 11 years of age and earlier;
the use of drugs for infertility;
hormonal disorders;
obesity;
frequent stress.

Gradually resolves on its own. Its presence may also be accompanied by such symptoms:

distension in the lower abdomen;
nausea or vomiting;
soreness of the chest;
change in the length of the menstrual cycle.

At any time of the cycle, such a formation can burst, which is accompanied by a sharp pain in the abdomen. In addition, 10-12 days after the formation of a cyst, fluid may begin to be released from it, which irritates the surface of the ovary and causes discomfort.

Should be contacted immediately medical care if there is severe sudden pain in lower section abdomen accompanied by nausea or fever. This may be a sign not only, but also of other serious medical situations. In such cases, it is important that the doctor examines the patient in time and makes a diagnosis.

If the patient is diagnosed follicular cyst asymptomatic, treatment is not required. If it becomes large enough, it causes severe discomfort or blocks the blood supply to the fallopian tube or ovaries, a doctor may recommend surgery. To prevent the formation of such a pathology, oral contraceptives or other procedures are prescribed in the future to restore hormonal balance.

Other causes of pulling pains in the lower abdomen

If after ovulation the lower abdomen "pulls" for several days or more, this may be different reasons- from uterine fibroids to tumors of the genital organs.

Inflammatory diseases of the pelvic organs are often a consequence, or. These diseases can lead to damage to the ovaries, uterus and fallopian tubes, and in the future become the cause of infertility.

They present with symptoms such as:

lower back pain;
plentiful vaginal discharge with an unpleasant odor;
fever and chills;
nausea and vomiting;
pain when urinating;
pain during sexual intercourse.

Symptoms may be mild or resemble other diseases. Therefore, with the appearance of pain both after ovulation and in other phases of the cycle, a consultation with a gynecologist is necessary.

– benign education growing at the bottom or in the wall of an organ. It causes discomfort in the abdomen and lower back, abundant menstrual flow, pain during intercourse and problems with conception. Most often, fibroids occur in women 30-40 years old.

Other diseases that may coincidentally coincide with the period after ovulation and cause pain:

appendicitis;
renal colic, with urine often stained with blood;
irritable bowel syndrome is also accompanied by constipation or diarrhea and flatulence.

In any case, if a woman wants to know the exact cause of a painful condition, it is better for her to be examined by a gynecologist.

The doctor may prescribe:

microscopic analysis of smears from the surface of the vagina and cervix;
blood and urine tests;
blood tests for hormone levels;
ultrasound or tomography;
in unclear cases - laparoscopy.