Abdominal pain was once dismissed as typical female suffering. Men may be affected by lower abdominal pain - albeit less frequently. The causes of abdominal pain are very different because they are not a disease but a symptom. The types of ailments are just as diverse: whether very severe pelvic pain or a slight abdominal pulling, convulsive or throbbing, left, right or centered - all these features are for the history and should therefore be closely monitored. Also, the doctor will ask whether the abdominal pain occurs after eating or drinking certain beverages, whether this pain in the abdomen for the first time appear or represent a chronic problem.
Strong abdominal pain as an alarm signal
Severe abdominal pain can be an indication of serious illness. Here, especially the accompanying symptoms are decisive, such as blood in the stool, blood in the urine, nausea, diarrhea, vomiting or fever. It is also important to clarify whether the abdominal pain radiates to other regions, such as the upper abdomen, the back or the thighs. Possible causes and diseases associated with abdominal pain could be:
- Kidney disease: renal colic, kidney stones or pyelonephritis
- Urinary Tract Disorders: ureteral stones, bladder stones, cystitis, neurogenic bladder dysfunction and irritable bladder
- Diseases of the intestinal tract: colon cancer, intestinal obstruction, obstruction of intestinal vessels, intestinal polyps, diverticulitis and abscesses, constipation, appendicitis, acute intestinal infection, irritable bowel syndrome or inflammatory bowel disease such as Crohn's disease or ulcerative colitis
- Inguinal hernia or abscess in the lumbar muscle
- Adhesions and scarring of previous operations
- Depression, stress, burn-out syndrome
- Sexual disorders, abuse and traumas, personality disorders
- disc prolapse
- spine injury
Abdominal pain man
In addition to the above-mentioned causes, gender-specific diseases can also be manifested by abdominal pain. In men, additionally painful and discolored testicles as well as pain in the groin area may indicate a testicular torsion (twisting of the testicle).
In addition, testicular cancer, testicular and epididymal inflammation, as well as prostate cancer, prostate adenomas and prostatitis (prostate inflammation) cause abdominal pain in men. Especially young men often suffer from chronic prostatitis, which is usually noticeable by urinary tract dysfunction. In contrast, seminal vascular inflammation often causes problems when urinating.
A benign prostate enlargement usually occurs in men over the age of 30 years and becomes the true common disease with increasing age: Almost half of men over 50 and almost every man over 80 has an enlarged prostate. However, treatment is rarely necessary.
Abdominal pain woman
Many women-specific diseases are also associated with abdominal pain: such as endometriosis, a painful disease of the endometrium. But also a fibroid, an inflammation of the fallopian tube and ovary, ovarian cancer or an ovarian cyst lead to abdominal pain.
In addition, abdominal pain associated with vaginal discharge, bleeding / severe bleeding (including menopause) may indicate uterine disorders, such as uterine cancer, cervical cancer, uterine erosion, uterine backwards, or uterine infections. Malformations, vaginal constrictions and varicose veins in the pelvic area can also trigger abdominal pain. In the latter case, the pain radiates down to the legs and often appears after sitting or standing for a long time.
In contrast to these clearly diagnosable diseases, up to 25% of women of childbearing age suffer from chronic abdominal pain, also called chronic urogenital pain. Often, no physical causes are found; Therapy success is low. Diagnoses such as vestibulitis (focal vulvitis), Levator Ani syndrome, interstitial cystitis or vulvodynia are extremely rare and usually only after a multi-year medical marathon, but limit the affected people significantly in their quality of life.
Abdominal pain: period
Women are much more likely to suffer from abdominal pain than men. Most women's hormone fluctuations in the female cycle cause abdominal pain - many women complain of slight tearing in the abdomen just before or during the period. Some women, especially young girls, suffer from spasmodic or colicky, very severe abdominal pain during menstruation. Women who have lower abdominal pain in the middle of the cycle feel their ovulation.
Due to the hormonal changes during the cycle, abdominal pain can be accompanied by depressive moods, nervousness and irritability, tiredness and loss of performance, acne, low blood pressure, palpitations, dizziness, headaches, migraines, loss of appetite, vomiting, constipation or diarrhea, bloating and nausea,
Severe abdominal pain during the period is called dysmenorrhoea. Here can possibly help a hormonal drug such as the pill for abdominal pain. Otherwise, homeopathic medicines, herbal remedies such as chaste tree and magnesium supplements may expel abdominal pain. Proven home remedies for abdominal pain during the period are a hot bath or a hot water bottle on the abdomen.
Abdominal pain and pregnancy
While pelvic pain in pregnancy is not uncommon, it should be monitored closely, as it may give an indication of serious complications. Most often, stretching of the uterine round ligament and growth of the uterus lead to abdominal pain during pregnancy. This can be a slight abduction (usually at the beginning of pregnancy), but with progressive growth of the child also cause spasmodic, severe abdominal pain.
If there is a suspicion of being pregnant, because the menstrual period is absent, and then suddenly abdominal pain and spotting, could be an ectopic pregnancy. Severe bleeding and abdominal pain may indicate a miscarriage or an abortion. Furthermore, pelvic pain occurs during pregnancy during placental detachment, as premature labor or in connection with a fibrous tumor (fibroma).