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It hurts on the left side of the lower abdomen in women. We find out in which diseases the lower abdomen hurts on the left side

Often there is pain in the lower abdomen on the left in women. In medicine, such phenomena are called pelvic pain. They are sharp, pulling, cramping, blunt, sharp. The reasons that lead to pain in the lower abdomen on the left are different. This can be caused by the presence of problems in the intestines, other organs, diseases of the joints, bones or lymph nodes that are part of the small pelvis.

It happens that it hurts on the left lower abdomen or in the lumbar region. This is typical for people who have gastroenterological, gynecological or urological diseases, as well as those who have pelvic pathologies.

The fact that it hurts in the lower abdomen on the left in women is the reason for going to the doctor in 60-70% of all cases in gynecology and in almost 80-90% of cases in urology when men go to the doctor. With problems in the intestines or other organs of the gastrointestinal tract, about 60% of all patients turn to pain in the lower abdomen on the left, and only about 15% of such calls are associated with changes in the organs that are part of the small pelvis.

Pain on the left side of the abdomen periodically occurs in 20% of the total population of the earth, which is associated with problems in the internal organs. Most often they are in the intestines, in women this is caused by gynecological problems, and in men - by urological problems.

Pain in the lower abdomen on the left is associated with the presence of problems of those organs that are located here:

The spleen is a place for backup storage of blood. If it is removed, then the liver and lymph nodes take over the functions of the spleen;
small intestine, loops of the jejunum are located on the left. The main problems with this organ are blockages, intussusceptions, which cause the development of the inflammatory process;
the large intestine hurts when its secretory function is disturbed;
a girl or woman has a uterus and genital tracts on the left, as well as parts of paired genitals and kidneys;
left hip joint.

There may be pain in the abdomen on the right or left, often with the same disease, it gives in different directions. The reasons for its appearance are different. Abdominal pain can cause such diseases:

inflammatory processes;
dystrophic processes;
violation of blood circulation in certain organs;
functional changes in the intestine or other internal organs;
if cellular metabolism is disturbed in the focus of the disease.

Everything that is on the left in the abdominal cavity can cause pain if there are malfunctions in the work of these organs.

Causes associated with diseases of the spleen

At the initial stage of the disease, the fact that the lower abdomen hurts on the left side is affected by diseases of the organs located here. If present chronic diseases, then the pain may be reflective.

These are oncological diseases, and their symptoms increase as the tumor grows. At first, a person simply feels a frequent malaise, aching pain in the lower abdomen occurs after eating, a person quickly eats up, and may lose weight.

As the tumor grows, a pulling pain appears, the joints begin to ache, and there is a rapid abrupt change in temperature.

A blockage of the arteries may begin, from which a spleen infarction develops, and severe pain will be felt on the left under the ribs. If there is a torsion of the spleen, then the nerve bundles, veins and arteries are partially or completely twisted, while pain appears on the left in the abdominal cavity, the temperature rises, bloating occurs, sometimes nausea and vomiting.

Acute enlargement of the spleen is a consequence of the presence of inflammation or deterioration of the outflow of blood, with a sharp pain in the lower abdomen.

When purulent inflammation develops, an abscess of the spleen begins. If it is multiple, then the person's temperature rises, the stomach hurts at the bottom left. When a cyst forms, it fills with mucus, which may be the result of a ruptured spleen. If the cyst is small, then it does not hurt, while a large one leads to severe pain in the abdomen when pressed on the left hypochondrium, most often it is a dull pain.

Causes of bowel disease

The small intestine consists of the ileum, jejunum, and duodenum. Most often, if the left side hurts, this is due to problems in the jejunum.

When the mucous membranes of the specified organ cannot perceive certain products, malabsorption develops. In this case, a person has frequent bowel movements, bloating occurs, and a cramping acute pain appears, after defecation it gradually subsides.

The large intestine consists of the rectum, sigmoid, colon, and caecum. The answer in this case, why the lower abdomen hurts on the left in women, will be the presence of problems with the descending and colon.

The development of irritable bowel syndrome is most often associated with stress; in women, such pain in the intestines is exacerbated during menstruation. This pathology is characterized by flatulence, constipation or diarrhea, the left side of the abdomen hurts.

With the development of Crohn's disease, there will be pain in the intestines, diarrhea, and a decrease in appetite. All this is associated with the development of nodular inflammation of the gastrointestinal tract.

A common disease of the large intestine is ulcerative colitis, in this case, changes in the intestinal walls occur. Most doctors believe that such colitis is caused by heredity and a malfunction of the human immune system. In addition to pain in the left side of the abdomen, there is diarrhea with blood, heat and joints begin to ache.

With the development of intestinal diverticulosis, the formation of pathological sacs occurs, usually it develops in older people. The presence of diverticula interferes with the normal functioning of the intestine, the fermentation process begins in it, a lot of gases are formed, and unpleasant sensations appear that radiate to the left side, so it can hurt from the bottom left.

When polyps form on the mucous membranes of the colon, polyposis develops. This disrupts the normal functioning of the gastrointestinal tract, so a person often has diarrhea, which alternates with constipation, the process of water absorption is disrupted, which leads to dehydration.

With the development of malignant tumors, stabbing pain first appears from the side where the disease develops. Over time, its intensity increases, and the focus grows.

The presence of problems in the genitourinary system

When the renal pelvis expands, the outflow of urine is disturbed or the left kidney is affected, pain appears in the left side of the lumbar region.

If during childbirth or abortion there is a rupture of the ligaments of the uterus, a woman may develop Allen-Masters syndrome, which will be accompanied by cramping pains in the left lower abdomen, this happens due to stagnation of venous blood in the pelvic area.

When an unnatural proliferation of myometrial cells occurs, external genital endometriosis begins to develop. If the left ovary is affected, it will hurt on the left. Unpleasant sensations intensify during sex and menstruation, the symptoms are similar to an ectopic pregnancy.

If this process is observed in fallopian tubes Oh, then pain appears during palpation of the cervix, infertility develops. When the disease progresses on the vagina or labia, you can notice bloody nodules on the mucous membrane, there is severe pain in the lower abdomen, it is impossible to have sex because of discomfort.

Types of pain

The presence of dull pain most often complains of women with unilateral gynecological pathology. In inflammatory processes, it is usually also dull, while the temperature rises, the woman feels general weakness.

If purulent pathologies develop, then the pain can be pulling. In the presence of oncological diseases and their progression, the pain will intensify, this is due to the fact that the tumor presses on the nerve endings.

Sharp pain usually occurs when the intestines are bursting with gases. It may indicate the development of an expansion of the renal pelvis in an acute form, appear after a rupture of the ligaments or damage to the ovary, during the passage of stones through the urinary tract.

Stitching pain indicates the development of diseases of the intestines or kidneys. It can also be problems with the lower back, cartilage or joints, it may indicate that the cyst will rupture soon.

If the lower abdomen on the left of a woman is worried or the stomach often hurts, then this may indicate the presence of serious disorders in the body. Therefore, if it bothers you often or does not go away for a long time, it is necessary to consult a doctor, conduct appropriate examinations, establish the cause of such symptoms and begin effective treatment.

When pain is observed in the left side, one must take into account that many internal organs, so the root causes of discomfort can be very different.

Pain in the left side can be a symptom of various pathologies.

Important! In any case, when the patient's left side hurts, this should be paid close attention. Especially you need to be wary if the discomfort appeared unexpectedly and lasts more than half an hour. In this case, it is better to play it safe and call an ambulance or immediately consult a doctor on your own. Since a number of diseases require emergency surgery and hospitalization.

What organs are located on the left side

To answer the question of what can hurt in the left side, you need to know which organs are located here.

For the correct diagnosis, it is important to determine exactly where the discomfort is localized. Conventionally, 9 regions and 3 floors are distinguished in the anterior abdominal wall:

1st upper floor, epigastric, right and left hypochondrium are distinguished in it;
2nd middle floor, which consists of the left and right lateral sections, between them is the umbilical region;
3rd lower floor, suprapubic region, left and right iliac region are distinguished in it.

Conventionally, the anterior wall of the abdomen will be divided into 9 areas

What is on the left side of a person? Here are the digestive organs and genitourinary system, namely:

stomach (most of it);
spleen;
most of the pancreas;
loops of the small and large intestine;
left kidney, adrenal gland, ureter;
female reproductive organs, namely the left ovary and oviduct, part of the uterus;
male reproductive organs such as seminal vesicle, prostate.

Pain syndrome in the left side may appear, as a result of a violation in any of these organs. Depending on the root cause, it can have a different character, be constant or paroxysmal, aching, shingles, dagger, radiate to the back.

Also, pain in the left side can be caused by:

endocrine disorders (diabetes);
diseases of the cardiovascular system;
connective tissue pathology;
hernia;
respiratory diseases;
pathology of the nervous system.

Pain is divided according to the mechanism of their appearance, as well as according to the characteristics, which allows for the correct diagnosis:

Visceral pain that occurs when there is a violation of the peristalsis of the stomach and intestines, when there are spasms and stretching of the muscles of these organs. They can be dull and aching, for example, with increased gas formation, or cramping, if the patient has intestinal colic. Often they radiate to adjacent parts of the body.
Somatic pain, in most cases, has a clear localization and is observed constantly. It appears due to irritation of the peritoneum, for example, when a stomach ulcer ruptures. In this case, the pain will be sharp and cutting, aggravated by movement and breathing.
Reflected pain appears due to the irradiation of unpleasant sensations. It arises in the organs localized not in the left side, it radiates here. For example, discomfort in the side can appear with left-sided lower lobe pneumonia, inflammation of the pleura, and a number of other pathologies.

Pain in the hypochondrium on the left

The nature of the discomfort

Pain in the left side under the ribs can be:

Acute. If a dagger sharp pain suddenly appeared under the ribs on the left, then you need to immediately call an ambulance. As a rule, it is observed in violation of the integrity of the stomach, small intestine, spleen, kidney. If acute pain on the left under the ribs is observed when inhaling after a fall or an accident, then this indicates severe damage to the internal organs. Any of these conditions can end in the death of the patient.
Dull. If for a long time there is a dull diffuse pain on the left in the hypochondrium, then this indicates sluggish diseases of the digestive tract, such as gastritis, pancreatin.
Aching. Such pain, watching constantly, also indicates sluggish inflammation. It is characteristic of inflammation of the colon and duodenum 12. Often it is a sign of angina pectoris, coronary artery disease, pre-infarction condition.

Diseases in which pain is observed in the left hypochondrium

Discomfort in the left hypochondrium can be observed with the following pathologies:

Gastritis. With inflammation of the gastric mucosa, aching pain is observed in the left hypochondrium.

In addition, the following symptoms appear:

nausea, vomiting;
heaviness in the pit of the stomach, aggravated and manifested when eating or immediately after eating;
heartburn;
belching;
bitterness in the mouth;
constipation or diarrhea.

Signs unrelated to the digestive organs may also develop:

heart pain, arrhythmia;
pallor;
excessive sweating;
drowsiness;
symmetrical disorders of sensitivity in the arms and legs;
anemia caused by vitamin B12 deficiency.

stomach ulcer. The clinical picture depends on the severity and duration of the pathology. With a stomach ulcer, left-sided pain is observed after eating.

In addition to them, there are such signs as:

heartburn;
sour belching;
nausea and vomiting after eating;
weight loss.

Important! If perforation of a stomach ulcer develops, then there is a sharp dagger pain, blanching of the skin, weakness, fainting is possible. This is a dangerous condition that requires urgent hospitalization.

Tumor of the stomach. If there is a constant pain syndrome in the left side, which does not depend on food intake, then this may indicate oncology. There are no specific symptoms of cancer. The patient may experience the following symptoms:

loss of appetite;
aversion to meat;
dyspeptic disorders;
weight loss
anemia;
vomiting and feces mixed with blood (observed in the later stages, when the neoplasm decays).

In addition, pain in the left side can be associated with overeating, mechanical damage to the stomach.

Pain in the left hypochondrium is provoked by pathologies of the spleen:

Enlargement of the spleen(splenomegaly), as a rule, develops with Filatov's disease. In addition to pain, there are:

asthenia;
persistent headaches, including migraine;
vertigo;
arthralgia and myalgia;
excessive sweating;
frequent viral diseases;
tonsillitis.

In addition to pain in the left side with splenomegaly, migraine may develop.

Spleen rupture characterized by the appearance of sharp left-sided pain in the hypochondrium after physical impact on the organ. One of the main signs of pathology is the appearance of a bruise around the navel, a hematoma can be observed in the left side of the abdomen, pain can radiate from the hypochondrium to the back. In this case, you need to urgently call an ambulance.

In addition, pain in the left hypochondrium can be observed:

with a hernia of the diaphragmatic opening of the esophagus;
with pathologies of the heart and blood vessels, such as cardiomyopathy, in which, in addition to pain, there is tachycardia, fatigue, coronary artery disease, accompanied by aching pain, burning behind the sternum, shortness of breath, increased heart rate, nausea;
with diseases of the respiratory system, namely left-sided pneumonia, as a rule, the pains with it are dull, slightly pronounced, but when coughing, the patient may notice that he has colitis in the left side and chest; with the development of pleurisy, pain intensifies not only when coughing, but also when breathing, changing the position of the body;
with intercostal neuralgia, with it the nature of pain can be very diverse, it can be acute, aching, dull, burning;
with diseases of the connective tissue and spine;
with injuries.

Left-sided pain in the iliac region

Pain in the lower abdomen on the left with diseases of the gastrointestinal tract

Left-sided pain in the lower abdomen can be observed, with such pathologies as:

Colitis, in which, in addition to aching pain in the lower abdomen, there are:

false urge to empty the bowels;
flatulence;
diarrhea, sometimes with mucus and blood.

With nonspecific ulcerative colitis, not only inflammation of the walls of the colon is observed, but also ulceration of the mucosa, in which, in addition to the symptoms described above, the following signs may appear:

heat;
weakness;
loss of appetite;
weight loss
arthralgia;
violation of water-salt balance.

Intestinal obstruction. Its earliest manifestation is pain in the abdomen, they are observed regardless of the meal and can appear unexpectedly at any time of the day or night. They are of a convulsive nature. With the progression of the pathology, they usually subside after 48-72 hours, but this is a dangerous symptom.

Also observed:

constipation;
bloating and asymmetry of the abdomen;
nausea and repeated vomiting.

Also, pain in the left lower abdomen can be observed with bowel cancer. They are usually lubricated and weakly expressed, but still they are constant and not associated with eating.

In addition, there are:

constipation;
bloating and rumbling in the intestines;
impurities of blood in the stool.

Left-sided pain in the lower abdomen in diseases of the female reproductive organs

Pain in the lower abdomen on the left side can be observed in diseases of the female genital organs, such as:

inflammation of the appendages, with which pain can be observed not only in the lower abdomen, but also in the inguinal and lumbar region, in addition to them, fever, asthenia, cephalgia, myalgia, problems with urination are possible, dull pain in the left side, groin is characteristic of chronic disease, in the vagina, disorder of menstruation and sexual function;
torsion of an ovarian cyst, in which, in addition to severe pain, there is a violation of general well-being, hypotension, fever, vomiting;
an ectopic pregnancy, which can cause a rupture of the oviduct or ovary, resulting in a sharp unbearable pain.

Important! When an ectopic pregnancy is terminated, urgent hospitalization is required, since in this case there is a threat to the life of the patient.

Pain in the left side behind can be observed with heart disease. This symptom is most often characteristic of myocardial infarction, although it can also be observed with angina pectoris, aortic enlargement, and pericarditis. With myocardial infarction, there is a sharp pain in the heart, which passes into the left shoulder blade, side, upper limb, neck. In addition, it appears:

cold sweat;
nausea;
dyspnea;
dizziness;
pre-fainting state.

In addition to pain in the left side with myocardial infarction, cold sweat can be observed.

The manifestation of pain in the lower abdomen most often forces women to contact a gynecologist to establish the causes of such symptoms. And aching pain lower abdomen and sharp pain in the lower abdomen it is equally alarming, especially if it hurts badly and for a long time.

However, very severe pain in the groin may also indicate the manifestation of neurological or surgical pathologies. Therefore, both acute cutting and dull aching pain in this part of the abdomen is an occasion to immediately visit a doctor and undergo a complete diagnosis.

Pain in the lower abdomen in women on the right and left

Determining the causes of pain in the lower abdomen in women, doctors divide them into two conditional groups. The reasons why a woman's lower abdomen hurts can be organic and functional .

Organic causes of pain and cramps in a woman

diseases of the genital area in women (, ovarian apoplexy , uterine fibroids , ovarian cyst , torsion of the ovarian cyst , );
discomfort and pain associated with the use intrauterine device ;
surgical pathology of the acute type, diseases of the gallbladder, urinary system (,);
dull, cutting, pulling and other types of pain associated with (threat of interruption, colic after medical abortion, premature detachment of the placenta).

Functional reasons

menstrual irregularities ( dysfunctional uterine bleeding , algomenorrhea );
pain sensations when ovulation ;
stasis of blood that is released during menstruation ( hematometer , ).

It should be noted that pain in the lower abdomen can have a different character. It can be sharp, sharp, aching. Sometimes it is accompanied by swelling, strong discomfort in the lower back. In some cases, during sexual contact, a woman feels discomfort immediately after the act.

It is important to determine as quickly as possible what causes spasms in women in this area. The causes of spasms will be determined by the gynecologist or will refer the woman to the appropriate specialist.

In diseases of the genitourinary system, pain in the lower abdomen in women on the left may appear. If the lower abdomen on the left of a woman hurts, the causes of this condition may be a number of diseases in which a pulling, stabbing, aching pain is manifested. First of all, sharp pains and bloating can indicate bowel diseases. Sometimes it hurts in the left side and after overeating, eating low-quality food. It must be borne in mind that one of the kidney diseases can also manifest itself in this way. Pulling in the left side and with a number of diseases of the reproductive system. But if it hurts or pulls in the left side, the doctor should determine the reasons. Only a specialist clearly understands and determines what is on the left lower abdomen in women.

The cause of discomfort can also be neurological diseases, in which the pain usually pulsates, shoots.

It happens that pain in the lower abdomen is associated with hypothermia - for example, a woman may suffer from such sensations after her feet are frozen, etc.

Pain in the lower abdomen on the right in women can also be different. Often aching, pulling pain can be associated with diseases of the intestines, kidneys, during attacks, acute. The specialist clearly understands what is on the right and, accordingly, the pathologies of which organs can occur.

Inflammation of the appendages and uterus

If the uterus or appendage becomes inflamed, the disease begins acutely: the temperature rises, pain in the lower abdomen is noted. If a woman has pain in the lower abdomen on the left or right - on either side. When there is aching or sharp pain and burning in the middle. If a woman goes to the doctor with complaints of pain on the left side or on the right side, the specialist conducts a vaginal examination. In case of inflammation of the appendages, there are pasty appendages with sharp pain. With complaints that it hurts in the middle, and suspicions of endometritis, a softened and enlarged uterus is felt, which can hurt on palpation.

Severe pain in the left side of the lower abdomen, as well as on the right or in the middle, is observed in the acute course of these ailments. At chronic endometritis and adnexitis pain aching, dull. There is heaviness in the area of the appendages, palpation determines the sensitivity of the uterus. If you press in the lower abdomen, and then abruptly release, then it will hurt more when you release it. Sometimes a woman complains that her rectum hurts.

With such diseases, it may seem to a woman that the pain in the intestines on the left lower abdomen will fade and stabbing or throbbing pain develops in it. But it is possible to determine exactly why it hurts on the left only in the process of research. Men should also consult a doctor, because only a specialist can determine why pain in the lower abdomen on the left develops in men.

Prescribing treatment for inflammation of the appendages and uterus, the doctor attributes infusion therapy, vitamins, anti-inflammatory drugs.

endometriosis

When manifested endometriosis the uterus, appendages, and also the posterior cervical space are affected. This disease is characterized by the spread of cells outside the uterus that look like. As a rule, in this state, pain in the lower back and lower abdomen manifests itself before menstruation, increases during menstruation.

If it develops endometriosis of the uterus , then it hurts, pulls and pricks in the middle below.

With the development adnexal endometriosis aching in the part where the groin area is determined.

At retrocervical endometriosis - behind the forehead.

Pain sensations become more intense, with a pronounced adhesive process in the small pelvis. But with endometriosis, the menstrual cycle is also disrupted, the nature of menstruation changes, it develops.

In this condition, it sometimes seems to a woman that the causes of spasms are that the intestines hurt. It is up to a specialist to determine exactly what can hurt and make a diagnosis. Endometriosis is treated hormonally, sometimes surgery is necessary.

Ovarian apoplexy

Apoplexy , that is, hemorrhage in the ovarian tissue, in women develops between menstruation.

This disease manifests itself after ovulation. When it's torn follicle , damage to the vessels of the ovary occurs, as a result of which bleeding into the abdominal cavity and into the ovary is noted. This can happen after the act, after physical activity. With intra-abdominal bleeding, a woman suffers severe arching pains in the lower abdomen in the place where the affected ovary is located. Also noted posthemorrhagic anemia , at which pressure decreases, the skin turns pale, the woman loses consciousness. In this condition, an urgent operation is needed.

uterine fibroids

Drawing pains in the lower abdomen are observed with uterine myoma if the tumor reaches a large size and compresses the organs that are located nearby. In this case, the stomach aches and pricks, there is a dull, pulling pain. With the development submucosal myomatous node pains are stitching, cramping. There is also bleeding. In such cases, surgical intervention is necessary.

Torsion of the peduncle of an ovarian cyst

A similar condition can develop due to sharp turns, tilts, with physical effort. Why it hurts below in this case is simply explained: if the leg is twisted 90 degrees, the outflow of venous blood is disturbed, and swelling of the cyst develops. In this case, only a doctor can confirm the reasons for the woman’s pain in the lower abdomen.

If a 360-degree twist occurs, arterial blood does not enter the cyst and, as a result, the pain is already acute, cutting, sometimes shooting. There is also a picture of an “acute” abdomen: on the side where the cyst is enlarged, severe pain develops, spasm develops, the woman feels sick, vomiting begins. The temperature rises, the lower back aches. This condition can develop regardless of the menstrual cycle: both in the middle of the cycle and during menstruation.

What should I do if a woman develops this condition? The answer is unequivocal: emergency treatment is needed - removal of the cyst, while the leg does not unwind.

Appendicitis

Causes of spasms can be associated with an attack appendicitis . It should be taken into account that this disease begins with an increase in temperature and pain, which is first felt in the epigastrium, and then in the iliac region. In addition, there is intoxication, weakness, vomiting, sometimes diarrhea, loss of appetite.

The pain in the iliac region is sharp, however, its intensity can be different - sometimes it is constant, sometimes it is intermittent pain. It starts in the center, gradually shifts to the right side, increases with movement, with coughing, when a person changes the position of the body.

At the very beginning of the development of such symptoms, it is important to consult a doctor, since without timely surgical intervention it is possible peritonitis and then death.

It is important to consider that the symptoms of appendicitis are easily confused with signs of other diseases. It looks like pain in the intestines, bloating, stomach diseases, neurological ailments, premenstrual colic. In some cases, stitching pains are noted after eating due to overeating. The causes of pain in the lower abdomen in men can also be associated with urological diseases. Therefore, the abdomen must be palpated by a specialist.

Cholecystitis

Most often inflammation of the gallbladder happens if there are stones in it. The course of the disease is acute - there is a stabbing pain in the lower back and lower abdomen, the temperature rises, the person feels sick, itching of the skin is worried as a result of increased. It hurts in the groin on the right in women, in the lower abdomen, in the right hypochondrium, radiates to other organs: the back hurts, radiates to the lower back. Discomfort becomes more pronounced after eating.

With cholecystitis, the doctor prescribes a diet, drugs that activate the outflow of bile. If the stones are large, there is no other method of treatment than surgery.

Pyelonephritis, cystitis

The causes of such ailments are associated with infection in the urinary tract. During the inflammatory process bladder acute pain develops in the groin, which becomes more acute when urination occurs.

Sometimes it is very difficult for a woman to write, because during this process it cuts a lot.

At pyelonephritis the lower abdomen and lower back hurt, as a rule, it radiates to the lower back and pulls the lower back periodically. Your back may hurt. The temperature also rises, sometimes nausea and diarrhea appears. But the problems with urination are most pronounced: women complain that at this time it cuts in the lower abdomen. And often the complaint sounds like this: “I periodically pee when I sit down, cough, it worries me if I tense up, lifted a heavy one, with pressure.” In laboratory tests, inflammatory urine tests are noted.

Both pyelonephritis and cystitis are treated with antibiotics, as well as nitrofurans.

Pregnancy ectopic

When a fertilized egg is implanted outside the uterine cavity (it can be an ovary, abdominal cavity, fallopian tube). In this condition, a woman with a tubal abortion shows periodic pain in the area where the groin is. Paroxysmal pains, as before or during menstruation. If there is a rupture of the pipe, the pain is acute. In this case, pain is given to the vagina, felt in the rectum, in the supraclavicular region. During an attack, bleeding may occur. With an ectopic pregnancy, there is a delay in menstruation, a pregnancy test is positive.

In this condition, there is a pronounced intra-abdominal bleeding therefore surgery must be carried out immediately.

Pain before, during and after menstruation

Before menstruation

Sometimes pain in a woman and a girl begins to appear already in the middle of the cycle. Stomach aches before menstruation algomenorrhea . Most often, this condition is noted in young girls, in connection with the establishment of a hormonal background, as well as the development and growth of the genital organs.

The lower abdomen in girls and women before menstruation can also hurt due to other reasons. The following reasons are possible:

endometriosis ;
bending of the uterus;
inflammation of the pelvic organs;

If pain is felt, as with menstruation, but there is no menstruation, and this happens regularly, you should consult a doctor with such complaints.

During menstruation

Due to the same reasons, often girls and women suffer from severe pain during menstruation. Sometimes the stomach below only pulls and aches, but in some cases, menstruation can be very painful. Some women complain that it hurts so much that it interferes with their full work.

Why such sensations develop during menstruation, a gynecologist should figure it out.

Often the reason for this is underdevelopment of the uterus , its incorrect position, inflammation of the genital organs, a high level of excitability of the central nervous system.
More often it hurts badly during menstruation in nulliparous women.
Also, a similar condition is noted when using intrauterine contraceptives, which occurs due to the fact that there is a foreign body in the uterus.
During menstruation, it sometimes hurts in the lower abdomen for the first time after, in the first months, when menstrual flow appears after.
Secondary algomenorrhea is diagnosed in the presence of fibromatous nodes, inflammatory processes, after surgery - abdominal and gynecological.

After menstruation

Only a specialist after the examination can accurately answer the question of why the lower abdomen hurts after menstruation. But most often the causes of such manifestations are associated with endometriosis of the uterus (as a result of increased blood circulation in the organ). In this case, the lower back may hurt. If the endometrial tissue grows, the ovaries may hurt. If the ovary hurts on the right, the causes can also be associated with endometriosis.

The reasons for such sensations may also be associated with an increase in the size of the endometrioid cyst after menstruation. Discomfort is also manifested in chronic endometritis. However, why the lower abdomen is pulled after menstruation can only be known for sure after a special study.

Pain in the lower abdomen during ovulation

Many women wonder why ovulation the lower abdomen hurts and can such a condition be dangerous. As a rule, such sensations develop in the middle of the cycle and do not cause too much discomfort. Women note that the stomach aches like before menstruation. Immediately after ovulation, it pulls the lower abdomen and lower back. Sometimes there is a slight discharge in the form of a few drops of blood. When ovulating, as a rule, it hurts on the sides: on the left or on the right. Unpleasant sensations develop in the corner in which the ovary “works” in this cycle. Less common is aching pain or stabbing in the middle.

Basically, this is a physiological phenomenon that does not require treatment. Rarely there are complaints that the pain is strong, throbbing, cutting. It makes sense to ask the gynecologist why the stomach hurts during ovulation if this condition occurs regularly and causes severe inconvenience.

After sexual intercourse, unpleasant feelings arise in some women. This often happens at night. Why and what can hurt depends on many factors.

Often, if in this case the lower abdomen is pulled, the reasons may be related to frustration , that is, with moral dissatisfaction. Why the lower abdomen is pulled after sexual contact, only a doctor can accurately determine. You can ignore such a symptom if this happens rarely in women and the pain is mild. By the way, men can also have pain in the stomach after intercourse. And some women claim that they felt pain during conception. But if you constantly pull on the right or left, you should definitely contact a gynecologist.

Why can women have pain in the lower abdomen and what causes it?

adnexitis and endometritis in a chronic form;
adhesive disease of the pelvis ;
endometriosis , as well as tumor , seal ;
chronic ;
diseases of infectious origin ;
vaginal dryness (due to insufficient excitation, with menopause );
damage due to very rough sexual contact.

In medicine, pain associated with different stages sexual contact is called dyspareunia . Pain can be different - sometimes a woman complains that she presses, pulls, burns, tingles in the inguinal zone.

Can at Pain manifests itself, depending on the intensity of the disease. Thrush is an infectious disease in which discharge appears, which can cause discomfort. At the same time, the woman is worried about itching - it itches in the genital area, as well as discomfort in the lower abdomen.

Pulling, and later sharp pain on the left or right side pregnancy can be disturbing if there is a threat of miscarriage, so if a woman is pregnant, and she has a stomachache before menstruation during pregnancy, you should, without delay, find out what this is happening from.

If there is a threat of miscarriage, cutting, stabbing, pulling pains appear as a result of uterine contraction up to 22 weeks of pregnancy. A woman complains that her back aches, sometimes spotting appears, as during menstruation. Whether the stomach can hurt, how strong such pains are, depends on the condition of the woman.

However, in pregnant women, it periodically hurts on the right or hurts on the left in almost everyone. And such aching pains are often associated with the growth and development of the fetus. But still, if a woman has a delay in menstruation, and she suspects pregnancy, why the lower abdomen hurts, it is better to ask a specialist whose profile is gynecology.

Pain during pregnancy can be divided into two groups.

Sharp cutting pain may be a symptom spontaneous abortion . But if the left side pricks during pregnancy on later dates, this does not always mean that some problems appear.

The right or left side, as well as the lower abdomen, can pull due to the following phenomena:

Even if a woman has a slight delay, but she seeks to keep the pregnancy, if such sensations appear, she needs to consult a doctor. Attentive to such symptoms should be those who are already in the middle of pregnancy.

It is necessary to tell the specialist about various uncomfortable sensations in the stomach - if the stomach becomes numb, while it brings the legs together, the back hurts a lot, etc. The longer such sensations continue, the more dangerous this condition can be.

Therefore, every woman interested in the birth of a healthy baby should be conscious of her health and carefully “listen” to her body.

The lower abdomen hurts on the left - a similar complaint can often be heard from women. The occurrence of pain in the abdominal cavity is a serious cause for concern. Unpleasant sensations can be caused by various reasons - dangerous or not. You should not postpone going to a specialist, believing that the pain will subside on its own. It can be caused by diseases that require urgent treatment. The doctor will perform a general diagnostic examination and make his verdict. The effectiveness of subsequent treatment will depend on the correct diagnosis.

In the course of a medical survey, the nature of pain sensations and the presence of concomitant symptoms are clarified. Pain may be accompanied by fever, nausea, weakness. The initial examination is not final. Additional tools and laboratory methods diagnostics. Ultrasound of the pelvic organs, x-rays, blood or urine tests are all necessary procedures to obtain accurate information about the cause of pain.

Types of pain in the lower abdomen on the left

Why does the lower abdomen hurt on the left? To answer this question, you need to determine what kind of pain can bother a person. Depending on the nature of the discomfort, their cause can be identified. The pain can be aching, sharp, strong or pulling.

The appearance of a sharp pain may indicate an ectopic pregnancy. Often, with appendicitis, it first deploys on one side, and then covers the entire abdominal cavity. At first, the pain syndrome is felt weakly, but over time it intensifies. With a rupture of the fallopian tube, the pain will become so sharp that it will be impossible to endure.

Severe persistent pain in the lower left side of the abdomen may be evidence of serious intestinal pathologies and diseases of the genitourinary system. The appearance of cystic growths of the ovaries is not excluded. The stronger the pain, the more it should disturb. Vomiting and fever may indicate torsion of the cyst stem.

The nature of the pain in the lower abdomen on the left side can be pulling. A similar syndrome may indicate diseases of the kidneys, intestines, reproductive system. For example, irritable bowel syndrome is often accompanied by constipation, bloating, and nagging pain. But in the absence of additional symptoms, it is not necessary to think about an irritated intestine. The problem will concern the kidneys or other internal organs.

Aching pain in the lower left side of the abdomen is a common phenomenon that speaks of problems with the stomach and pancreas: from ulcers to cancer. Additional testing is required to make an accurate diagnosis. It is possible that the cause is a diaphragmatic hernia. With aching pain in women, which is shingles in nature, one should be wary of serious gynecological abnormalities. You should be wary if the pain is accompanied by bloody discharge, vomiting and general weakness. You need to call an ambulance immediately.

Gynecological pathologies as causes of pain in the lower abdomen

The main causes of such pain include:

pathological diseases of the urinary tract;
neoplasms: malignant and benign;
damage to the sigmoid colon and ectopic pregnancy;
inflammation of the uterus and appendages.

The formation of tumors can provoke pain in the lower abdomen on the left side. In gynecological practice, neoplasms on the ovaries always lead to pain. This is due to the pressure of the tumor on the internal organs. Women who have gone through menopause should be especially wary. They are at risk. Pain manifests itself already in the early stages of tumor development.

After menopause, the possibility of getting ovarian cancer is great. Initially, a malignant tumor does not make itself felt. Pain appears after a while and intensifies as it grows into the pelvic cavity.

In medicine, there is the concept of chronic and acute gynecological pathology. Dull pains in the lower left side of the peritoneum indicate the presence of chronic inflammatory processes in the uterine appendages. But this kind of pain should not be neglected. The discharge of pus and mucus should alert. They remind of irreversible changes in the left uterine appendage. Immediate treatment is required so that infertility does not become the main problem.

In acute gynecological pathology, immediate medical intervention is often required. Cutting, cramping pains can be a sign of an ectopic pregnancy and acute inflammation of the appendages. If the pain is accompanied by pallor of the skin, dizziness and general weakness, we can talk about internal bleeding.

Often, pain radiates to the subclavian region when blood or pus spreads into the pelvic area. In acute inflammation of the appendages, one pain is not enough - vaginal purulent discharge an increase in overall body temperature. Inflammation of the appendages leads to localization of pain closer to the inguinal region, which may indicate the occurrence of salpingo-oophoritis and adnexitis. Immediate surgical intervention in this case cannot be avoided.

In some cases, pain should be associated with the passage of the menstrual cycle. The pain syndrome can manifest itself on the right or left side. Girdle pain is not excluded. It happens that women live all their lives with such unpleasant symptoms during the cycle. These pains should not be feared unless other alarming symptoms are observed. The reason for going to the doctor will be clot-like and rather thick spotting. In addition, the pain can become even stronger and move from the left side to the groin. This indicates an inflammatory process that requires immediate medical intervention.

Pain in the lower abdomen on the left side during pregnancy

On the early dates pregnancy, the appearance of severe pain, concentrated in the left side of the abdomen from below, is not ruled out. But such ailments are not always dangerous for the body. In some cases, pain syndrome can be provoked by the fact that the fetal egg has attached to the uterus on the left side. Even the growing organ itself can lead to unpleasant symptoms.

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But do not carelessly treat well-being during pregnancy, if it is accompanied by severe enough pain.

Pain can mean a threat of miscarriage with uterine hypertonicity. But the doctor can dispel the fears of the expectant mother, since the pain may be due to cystitis or indigestion. The protracted nature of the pain should alert the expectant mother and force her to contact a medical specialist.

Pain as evidence of problems with the sigmoid colon

While driving or walking for a long time, the pain in the lower abdomen on the left side can become stronger, increase every minute. Then we should not talk about gynecological reasons. The problem lies in the defeat of the sigmoid colon, which can suffer from dysentery. If the cause of the pain is a lesion of this organ, mucus, pus or blood is found in the feces.

The need to contact a medical specialist is obvious. The inflammatory process can rapidly spread to the rectum and lead to problems with the stool. The deplorable result can be the formation of a malignant tumor. Inflammatory degenerative processes often affect the sigmoid colon due to the fact that fecal masses are finally formed in it. Circulatory disorders, ulcerative colitis, infectious diseases rectum - all this can lead to pain in the lower abdomen on the left.

Inflammation of the lower sections of the large intestine is a clear cause of severe pain in the lower left side of the abdomen. Unpleasant sensations may be associated with difficulty emptying. The result is bloating and pain. If the inflammation is not severe, the doctor may prescribe appropriate medications. In the future, you will have to abandon the use of certain products.

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Whatever caused the pain in the left lower part of the abdominal cavity, they should not be ignored.

Content

Several vital organs are located in this area of the abdomen, so its soreness can have many causes. To determine the etiology of pain, its nature is important: cramping, pulling, cutting, stabbing, etc. The time of onset of the symptom, its duration and accompanying signs are also taken into account.

Classification of pain syndrome

Depending on the etiology, the pain has a different character. You need to pay attention to the frequency of its occurrence. It can accompany a person constantly, occur periodically or episodically. According to the nature of sensations, the following types of pain are distinguished:

dull or sharp;
pulling or aching;
constant or cramping;
pulsating;
weak or intense;
cutting or stabbing.

Why does the left side of the lower abdomen hurt

The causes of pain in the left lower abdomen in men and women may differ even with the same symptom. Anatomically, the rectum and sigmoid colon, elements of the reproductive and urinary systems, and the left hip joint are located here. Pain can also be caused by problems with other organs. In this case, she simply gives to the left side.

bowel problems

Pain in the left lower abdomen may indicate intestinal pathology. Diseases that are risk factors for the development of such a symptom are typical for both women and men. Possible causes of left-sided pain syndrome:

Disease	The nature of the pain
Nonspecific ulcerative colitis	Drawing, accompanied by weight loss, painful tenesmus, frequent diarrhoea.
Crohn's disease	Paroxysmal, occurs when the urge to empty the intestines.
Intestinal polyps	Occurs rarely, associated with defecation disorders.
Malignant tumors	Constant, ranges from dull aching to intense.
irritable bowel syndrome	Cutting, cramping, can occur to the left and right of the navel. Accompanied by diarrhea, heartburn, constipation.
Sigmoiditis	Sharp, cramping, extending to the lower back and left leg.
Diverticulosis of the sigmoid colon	Cramping, sharp, sometimes aching. Accompanied by heaviness in the stomach, which decreases after defecation.
Bowel obstruction	Spastic, accompanied by asymmetric swelling, strong seething.

Spleen dysfunction

The location of the spleen is the left hypochondrium. Soreness with its pathologies occurs in the indicated area and spreads down the abdomen. Typical causes of the symptom:

Disease	The nature of the pain
Spleen enlargement	Painful cramps in lower left side, with feeling of fullness in stomach.
Spleen infarction	Sharp, descending from the left hypochondrium from top to bottom of the abdomen. Increases with inhalation, coughing, movement.
Abscess of the spleen	Spasmodic pain in the left hypochondrium, extending to the left side of the chest, lower abdomen.
Volvulus of the spleen	Arises on the left under the ribs and descends from the bottom of the abdomen. The condition is gradually deteriorating.
Lymphocytic leukemia, myeloid leukemia	It develops after eating and when you press on the projection area of the spleen. It only gets stronger with time.

Urological pathologies

One of the common causes of pain in the left lower abdomen is the pathology of the urinary system. This symptom occurs when there is a violation of the discharge of urine from the kidneys, in women - with inflammation of the fallopian tubes, in men - with the formation of stones in the ureters. Urological pathologies in 65–90% of cases are a factor that provokes pain in the lower abdomen in women and men. The most common reasons:

Diseases	The nature of the pain
Causes in men
Urolithiasis disease	The pain then subsides, then intensifies, but does not completely go away. Sometimes severe bouts of renal colic occur.
	Cutting and pain along the entire length of the urethra, profuse mucous discharge from it.
Causes in women
	Aching, accompanied by frequent urination.
Cholecystitis	Occurs more often on the right. If the pain syndrome subsequently begins to give from the bottom left, then this indicates the progression of cholecystitis.
Allen-Masters Syndrome	Cramping, in the left side, near the anus.
Pyelonephritis	Gives to the lumbar region, thigh and other parts of the body, often bilateral.

Malfunctions of the organs of the reproductive system

Pain in the left lower abdomen in women is more often associated with the reproductive organs. Men with diseases of the genital area are less likely to experience this symptom. Potential reasons include:

Disease	The nature of the pain
Causes in men
Prostatitis	The prostate gland is in contact with the rectum from behind, and it is projected from the bottom of the abdomen on the left. This is what causes pain on the left.
Epididymitis	Sharp pain in the scrotum, radiating to the left side. The pain syndrome increases, the testicles begin to swell.
Causes in women
Ectopic pregnancy	Intense, pulling, can also occur on the right side. It is accompanied by a delay in menstruation, bloody discharge from the vagina.
Ovarian cyst	It can be from pulling to acute and paroxysmal. Pulls the pelvic area on the left, the cycle is constantly broken.
endometritis	Increases with tension, accompanied by chills, a sharp rise in temperature, vaginal discharge.
endometriosis	Very strong, can give to the area on the left, in the groin. It is aggravated by sitting for a long time, during intercourse, during menstruation.
Malabsorption	Bursting, pulling, can become cramping.

Other reasons

A separate group of causes includes orthopedic pathologies and special conditions associated with pregnancy and contraceptive methods in women. So, left-sided pain in the lower abdomen can be caused by:

Possible reason	The nature of the pain
Herniated disc	Pain syndrome develops in the lower back, gives in the lower abdomen on the left.
Pinching of the sciatic nerve	Strong, affects the lumbosacral region, does not allow a person to sit.
Causes in women
High risk of miscarriage in the first trimester	Moderate, pulling.
Placental abruption	Intense, acute, localized on the left or in the lower abdomen.
contraceptive coil	The pain syndrome is accompanied by an increase in body temperature, general malaise.

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Attention! The information provided in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment, based on the individual characteristics of a particular patient.

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Causes of pain in the lower abdomen on the left in men and women