Lower back pain in women can occur for a variety of reasons. Among them there are both physiological and pathological. Therefore, it is important to figure out when to sound the alarm and see a doctor, and when it is enough to give your back a rest for a few days. But since many diseases accompanied by back pain can cause severe complications and even disability, you should be very careful about your health and, if signs of deviation from the norm appear, make an appointment with a doctor as soon as possible.
Diseases that cause lower back pain and pulling in the lower abdomen
The nature of the pain can be completely different - from sharp cutting to moderate pulling. Each condition characterizes a particular disease. Delay in visiting a neurologist
It’s not worth it, because this is fraught with complications and the development of chronic diseases, which will make it very difficult to cure them. Among other things, some diseases that cause stomach and back pain cannot be delayed and require urgent, qualified help.
Appendicitis
Acute inflammation of the appendix is a condition in which the lower abdomen, lower back and back often hurt, and vomiting often occurs. The pain syndrome is sometimes so severe that the patient loses consciousness. Appendicitis requires urgent surgical intervention.
Oncological diseases
The reason for the pulling in the lower abdomen and lower back pain may be the development of a tumor. This is due to the fact that the tumor, growing, puts pressure on neighboring tissues, which is why pain occurs.
Intestinal infections
If you have an infection, pain in the abdomen and back will be accompanied by severe intestinal upset, and the presence of mucus and traces of blood will be noticed in the stool. This condition, in addition to pain, is characterized by intoxication of the body, weakness, vomiting and many other manifestations.
Diseases of the musculoskeletal system
Pain in the lower back, back and lower abdomen is often associated with diseases of the spine. When a person develops osteochondrosis, a hernia, scoliosis or other diseases, irradiation can occur in the stomach and throughout the back, which is explained by the plexus of nerves responsible for sending impulses to the muscles of the abdomen and lower back.
Prevention of pain below the lower back
To minimize the risk of lower back pain, you should follow these rules:
- exercise;
- exclude smoking, drinking alcohol and drugs;
- avoid hypothermia;
- treat infections in a timely manner;
- use a corset during heavy physical activity;
- avoid back injuries.
Lower back pain occurs quite often in women. They may be associated with the influence of various factors - gynecological pathologies, spinal lesions, digestive disorders.
Lower back pain and pulling in the lower abdomen in women
A woman’s body is subject to constant influence of hormones, changes in hormonal levels and some kind of “shocks”. Because of this, women often experience such an unpleasant symptom as pain in the lower abdomen on the left or right and in the lower back. It is worth understanding why pain may occur and what to do in this situation.
Diseases of internal organs
Diseases of the pelvic organs, for example, adnexitis ( inflammation of the appendages
), often accompanied by pain in the lower abdomen and lower back. Along with the pain, there is an increase in temperature and a deterioration in general well-being. The stomach and lower back can also be pulled due to infectious diseases such as colpitis, vulvitis, trichomoniasis, candidiasis, etc.
During menstruation
If during menstruation the lower abdomen and lower back hurt greatly, this does not necessarily indicate the presence of abnormalities. During menstruation, the uterus expands, which puts additional strain on the back muscles, and contractions of smooth muscles can cause the stomach to ache. To exclude the possibility of diseases manifesting in this way, you should consult a doctor, and if he is convinced that everything is in order, you can relieve pain during menstruation yourself with the help of analgesics.
Oncological diseases
Often an unpleasant symptom with pain in the abdomen and back overtakes women due to the development of oncology of the ovaries, uterus or cervix. To eliminate this possibility, you need to regularly visit a gynecologist.
for routine examinations, and also not to miss alarm bells from your body.
Ectopic pregnancy
Pain in the lower abdomen and back in the lumbar region often occurs if, after pregnancy, the fertilized egg ends up in the fallopian tube and not in the uterus. This phenomenon is not uncommon, and untimely contact with a doctor can cause a pipe rupture and the death of a woman. If your stomach and back hurt, and at the same time you have a delay, do not hesitate to visit a gynecologist!
Diagnostic methods
After an appointment with a specialist, the following diagnostic control methods are usually used:
- ultrasound examination of the kidneys, pelvic organs and abdominal area;
- X-ray of the spine to check for changes in the intervertebral discs;
- MRI image, reflecting a broad picture of the processes occurring in the spine;
- biochemical analysis of blood, urine, cerebrospinal fluid, etc.
When determining the source of a painful symptom, a highly specialized specialist may prescribe additional types of studies based on the patient’s medical history.
Causes of pain in men
“It hurts in the lower abdomen, lower back and right side” - men often go to the doctor with such complaints. To understand what caused it, it is worth considering the cases in which such a symptom appears.
Prostatitis
Prostatitis
differs not only in that it pulls the lower back on the right and the stomach, but also in some other symptoms. For example, a man notes a burning sensation when visiting the toilet, as well as problems with erection. The cause of the disease is often stagnation of capillary blood, as well as the effect of bacteria on the body.
Bacterial infections
If unpleasant symptoms appear, when there is pain in the lower abdomen and lower back, the problem may lie in the penetration of pathogenic bacteria into the body. Bacteriological causes of pain are considered quite common. For example, stomach and back pain occur due to sexually transmitted diseases. In this case, a man may notice uncharacteristic discharge from the urethra, redness of the penis, impaired sexual function, etc.
Orchiepididymitis
It is an inflammation of the testicles, which can develop against the background of surgical interventions in the body, be a consequence of injuries or sexually transmitted diseases. In addition to abdominal and lower back pain, the man suffers from headaches, chills, nausea, and a fever.
Inguinal hernia
If the lower back hurts badly, and the pain radiates to the lower abdomen, and the pain itself is sharp and even unbearable, the cause may lie in an inguinal hernia. Sometimes hernia pain is even stronger than with appendicitis, and the patient has no choice but to call an ambulance.
Colitis
It is a pathology of the duodenum, or more precisely, an ulcer. The acute period of the disease lasts about a week, after which it becomes chronic, and the man constantly feels pain in the back and abdomen.
Diseases associated with pain in the sacrum
Pain below the lower back in women can be associated with a variety of factors. These include pelvic pathologies - salpingitis, vaginitis, adnexitis.
The same clinical picture is characteristic of spinal pathologies. These include intervertebral hernia, osteochondrosis, and scoliosis.
Similar symptoms often accompany cystitis, urolithiasis, and renal abscess. Sometimes such signs appear with lesions of the digestive organs - peptic ulcers, malignant tumors.
To establish the exact causes of problems, you need to conduct detailed diagnostics.
Gynecological problems
Common causes of lower back pain include gynecological pathologies:
- Inflammation of the appendages or uterus. With the development of adnexitis or endometritis, a woman also experiences aching abdominal pain, increased body temperature, nausea, chills, general weakness, and loss of appetite.
- Uterine fibroids. In this case, aching pain syndrome periodically appears, which is not associated with menstruation. There is also an increase in the abdomen, constipation, and bleeding during sexual intercourse. Heavy bleeding may occur during menstruation.
- Apoplexy of the ovary. This term refers to its rupture. This disorder is accompanied by the sudden onset of sharp pain, which is accompanied by nausea and vomiting, weakness, severe sweating and decreased blood pressure.
- Ectopic pregnancy. In the case of a rupture of the fallopian tube, the pain syndrome is diffuse and radiates to the lumbar area. Vaginal discharge is also observed, blood pressure drops, dizziness and fainting occur.
- Torsion of the pedicle of an ovarian cyst. In this case, the pain is localized on the left or right, tachycardia, pallor of the epithelium, nausea and single vomiting, and fainting appear.
- Endometriosis. This term refers to the growth of the endometrium in abnormal places. With the development of such a pathology, pain occurs during sexual intercourse and severe discomfort during menstruation. There is also a risk of spotting a few days before or after your period.
- Malignant tumors in the uterus or appendages.
Complications from the urinary system
Pain can be a consequence of pathologies of the kidneys or urinary tract. With the development of kidney damage, cystitis or urolithiasis, other symptoms appear. These include the following:
- temperature increase;
- bloody impurities in the urine;
- accumulation of purulent masses in the urine;
- increased sweating.
Pyelonephritis
This pathology is characterized by frequent and painful urination. In this case, a person experiences a dull and aching pain in the lower back.
In addition, discomfort is often observed even with ordinary touching this area. Pyelonephritis should be treated under the supervision of a doctor.
Spondyloarthropathy
Young people are more susceptible to this pathology. This causes slight discomfort in the lower back.
A characteristic feature of spondyloarthropathy is considered to be lower back pain when a person is at rest. Increased physical activity helps reduce discomfort.
Complications during menstruation
The occurrence of pain during menstruation is due to hormonal levels in a woman’s body. Progesterone leads to a decrease in the pain threshold, which makes even small contractions of the uterus very painful.
Also, discomfort during menstruation can be caused by irritation of the intestinal walls under the influence of hormones and fluid retention, expanding tissues and organs. As a result, they put pressure on the lower back.
Osteochondrosis and osteoarthrosis
The cause of spinal pain is often osteochondrosis and osteoarthritis. Also, discomfort may be associated with complications of these disorders - hernias and pinched nerves.
The development of spinal pathologies in women is due to the influence of a number of factors. These include:
- wearing uncomfortable high-heeled shoes;
- physical inactivity;
- increased physical activity.
Spinal pathologies not only affect the lower limbs, sacrum and coccyx, but also prevent full physical activity.
Renal colic
Pain in this pathology cannot be confused with other abnormal processes in the body. Renal colic is characterized by acute and intense discomfort in the lumbar region. It is usually one-sided. In rare situations, the discomfort is symmetrical.
Initially, with this diagnosis, nagging pain appears. Then severe spasms occur in the lower back and perineum. They are accompanied by an increase in temperature and dysfunction of urination.
The causes of renal colic include stones and acute inflammation of a purulent nature.
Malignant neoplasms
Low back pain can be a symptom of cancer. Malignant bone lesions can affect spongy structures, which include the vertebrae.
At the initial stage of development, pain is periodic. Then they grow and cause problems with motor activity.
Climax
The development of menopause is primarily associated with the cessation of ovarian function and changes in the structure of this organ as a result of hormonal changes. This leads to the appearance of pain in the lower back.
Additionally, women experience flushing of the face and excessive sweating. After the end of menopause, the discomfort goes away on its own.
What to do in case of acute pain
When the lower abdomen and lower back hurt, we often start looking for reviews from other people who have already encountered such a situation in order to understand the reason and determine the course of action for ourselves. It is worth understanding that it is unlikely that you will be able to make an accurate diagnosis for yourself; here you need to immediately seek qualified help from specialists. If the pain is acute and sharp, it is best not to hesitate and call ambulance workers so that you can be examined and brought to the clinic as soon as possible for diagnosis and diagnosis. After this, you will be prescribed treatment, and you can expect an improvement in your condition.
Causes of exacerbation and symptoms
Various factors can cause pain in the sacral area, but the main one is the displacement that patients receive at birth or injury. Displacements are divided into two groups:
- in the area of the right pelvic bones;
- in the area of the left pelvic bones, the symptoms are different for each side.
In the event of an injury to the left side, disturbances in the functioning of the blood flow in the left leg occur, swelling and severe pain, periodic attacks of cramps, unstable functioning of the cardiac and respiratory systems, constipation and excess weight are possible. In case of injury on the right side, pain in the right leg, short-term cramps, disturbances in the digestive system, diarrhea and significant weight loss occur.
General malaise and acute pain in the area of the coccyx and sacrum can be caused by injuries experienced in the past - a fall, a blow, a bruise, that is, injury to the spine, which resulted in pinched nerves. The pain is quite strong, cramping or aching. In the absence of serious damage, the pain goes away on its own after some time, provided that you remain calm. Sometimes pain symptoms may appear later.
Usually, after a course of treatment and rehabilitation, the pain in the sacrum caused by injury disappears. If painful sensations persist after therapy, you should consult your doctor.
Sacrodynia can be triggered by:
- long periods of sitting (office work);
- physical activity;
- overweight;
- stress and emotional overstrain;
- digestive problems;
- the formation of blood clots;
- premature varicose veins.
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Which doctor should I contact?
To find out the reasons why the lower back and stomach hurt, you need professional intervention, examination by a doctor and modern diagnostics. To understand who to contact, you should pay attention to the symptoms associated with pain. If, in addition to an aching stomach, there is discharge from the genitals and disruptions in the reproductive system, a gynecologist or andrologist will help you. For pain in the back and abdomen with numbness of the limbs, a neurologist should come to the rescue. If you are faced with such a problem for the first time, then the right solution would be to visit a therapist. His specialization will allow you to determine which specialist to refer you to for a detailed examination, diagnosis and treatment when your lower back, buttocks and lower abdomen hurt.
Treatment of sacrodynia
What to do when women have pain below the lower back? Therapeutic therapy for sacrodynia should eliminate the source of pain. Self-medication is not recommended. The course of treatment should be drawn up by the attending physician, taking into account the established diagnosis, the presence of concomitant diseases and the general condition of the patient.
The main elements of therapy include:
- taking medications . Analgesics, anesthetic novocaine blockades (for severe attacks), NSAIDs, drugs to relieve muscle spasms, antibiotics, sedatives, B vitamins, hormonal drugs are prescribed in the form of tablets or injections;
- local impact . The use of medicinal patches reduces muscle spasms, relaxes muscles, relieves swelling and pain;
The course of taking medications and local ointments is selected strictly by the doctor after determining the cause of pain below the lower back in women.
- physiotherapy . UHF therapy, Bernard currents, electrophoresis with hydrocortisone, massage, acupuncture, Lyapko applicator. These procedures reduce the intensity of painful sensations, relieve muscle tension, suppress the inflammatory process, improve blood flow, restore the correct position of the pelvic organs, strengthen the immune system;
- physiotherapy . _ It is prescribed only after acute pain in the lower back is relieved, when the patient needs complete rest. A set of exercises for pain is selected individually by the attending physician and includes exercises to develop the lumbosacral region;
- orthopedic corset . This design is a supporting bandage for the spine, which limits its mobility and reduces the load on bone and cartilage structures;
- surgical intervention . Excruciating pain in the sacrum, which cannot be eliminated by taking analgesics and drug blockades, requires a more serious approach - surgery. During the intervention, the affected part of the joint of the lower back, coccyx is restored, or the bone and cartilaginous structures and tissues are completely replaced.
Treatment of pain in the lumbosacral region should not be limited to the use of painkillers and topical agents. In most cases, sacrodynia is a symptom of more serious pathologies that require timely diagnosis and treatment. Then you can hope for a favorable outcome and the elimination of painful sensations.
Diagnostic procedures
To find out the causes of pain, you need to consult a neurologist or orthopedist. The specialist will take a medical history, conduct an examination, and then prescribe diagnostic procedures. Do not refuse them: without instrumental and laboratory diagnostics, it will be difficult to find out the causes of pain and prescribe the correct treatment. The following studies are usually necessary:
- X-ray;
- MRI;
- CT;
- Ultrasound of internal organs;
- tests;
- and other types of examinations.
General recommendations for treating injuries
- Immediately after injury, apply a cold compress to the injury site. This will prevent the development of the inflammatory process.
- Avoid physical activity and limit mobility of the injured area.
- Use painkillers and anti-inflammatory drugs as medical treatment. The use of local ointments and rectal suppositories based on NSAIDs is allowed.
- As the pain decreases, after 3-4 days you are allowed to perform light exercises from the exercise therapy course to warm up the lumbosacral region.
If the injury does not involve fractures, then after 2-3 weeks a complete recovery occurs: the pain goes away and the person returns to his normal life.
