Pain or any other discomfort is a rather serious and alarming signal that may indicate the occurrence of pathologies of the genitourinary system. Do you suffer from pain in the lower abdomen during urination? Find out below the causes of the problem, and how to deal with it.

Why does abdominal pain occur when urinating?

It could be:

inflammatory process;

infectious lesion;

any sexually transmitted disease;

urolithiasis disease.

Causes of pain in men when urinating

The next group of diseases that can cause abdominal pain when urinating is

• urethritis,
• inflammation of the prostate
• and other similar diseases.

In addition to pain in these cases, burning in the urethra is added. Burning can be both at the beginning of urination, and at the end. If pains appear at the beginning, then, most likely, the urethra has become inflamed. The cause of inflamed processes in the urethra can be weakened immunity, hypothermia, sexual intercourse without protection, or active activity of opportunistic microorganisms.

Painful sensations can also occur when urinating in men as a result of inflammation of the urethra, and its cause is infection with various sexually transmitted diseases, such as gonorrhea, genital herpes, and so on. Microbes are able to penetrate the prostate, and thereby provoke the development of inflammation. In this case, the tissues of the prostate swell, put pressure on the walls of the urethra. For this reason, there are pains in the lower abdomen when urinating. Pain can be detected in men and due to prostate adenoma. As a rule, men in their fifties and older suffer from this. If you experience pain in the lower abdomen when urinating, you should go to a doctor - a urologist.

Why does the stomach hurt in women when urinating?

If a woman has urination disorders only at night, then this indicates abnormalities in the rectum or in the cavity of the cervix. In this case, pain may be combined with burning during urination. This should be the reason for an immediate visit to a urologist for an examination, and the appointment of the correct treatment. If such symptoms are left unattended, then the disease can become chronic. In this case, its treatment will become much more complicated, and other problems may appear. accompanying illnesses.

With the pathology of the genitourinary system, such sensations arise. Pain occurs as a result of the inflammatory process, various infectious lesions and diseases that are sexually transmitted, as well as the appearance of kidney stones. As a rule, such pains are accompanied by such disorders, frequent urination, nighttime urges, in which the volume of urine increases. Similar pains can appear with innervation Bladder i.e. cystitis. This disease must be treated to avoid all possible complications. To do this, it is necessary to determine the cause, and then undergo a course of treatment.

Abdominal pain and frequent urination as symptoms of cystitis

Pain in the abdomen, especially in the lower abdomen, is specific when an inflammatory process occurs in the bladder, the so-called cystitis. The consequences of this disease are very serious. Therefore, without fail, it is necessary to establish the cause of the disease and undergo a course of treatment.

Cystitis is usually a female disease associated with the anatomical features of the female urinary tract. In women, the urinary ducts are wider and shorter than in men, so infections have much fewer obstacles to entry. The inflammatory process is usually accompanied by discomfort during urination, as well as aching and pulling pains in the abdomen and a constant feeling of incomplete, partial emptying during urination. The quantity and quality of urine with cystitis also changes.

In urology, frequent patients are people who complain that frequent urination does not allow them to lead a normal life from constant pain and discomfort. Sharp pains in the lower abdomen and frequent visits to the toilet become an unpleasant and painful procedure. In diseases of the genitourinary system, the stomach hurts and frequent urination are the most characteristic signs. They may indicate a disease of cystitis and renal colic, which are caused by a stone descending into the ureter, but pain can be felt in the lower abdomen and even thighs. When conducting tests, the number of bacteria and a high content of erythrocytes and leukocytes are revealed.

If the stomach hurts a lot, frequent urination is already a reason to seek help from a urologist, because these are most likely symptoms of the inflammatory process of the bladder.

If the pain appeared suddenly, this indicates acute cystitis. If the symptoms of cystitis appear more than 2, 3 times a year, then the disease has become chronic.

Abdominal pain, frequent urination, and other symptoms of acute cystitis

In women, abdominal pain, frequent urination is a sure symptom of cystitis. A person who at least once in his life experienced the pain that occurs with cystitis will remember this for a long time. Pain in the lower abdomen appears suddenly, pain in the lower back can join them, and visits to the toilet become intrusive, painful and frequent.

Characteristic for acute cystitis may be:

Soreness in the bladder, lingering pain in the lower abdomen or back.

Fairly frequent urination. An infection that enters the bladder irritates the mucous membrane and causes the bladder to constantly contract. So there may be a false urge to urinate, which make the patient depressed and forced to constantly run to the toilet. The very process of urination becomes painful, pain appears and sometimes it is impossible to hold urine and it is released voluntarily.

During urination, pus is noticed. And with the affected mucous membrane - blood, the urine itself is cloudy, which is hallmark infections. This also indicates that pus, bacteria, leukocytes are excreted in the urine, and a cloudy color and a putrid odor are possible.

With the development of such a disease, it is obvious that, most often, frequent urination occurs and the pain becomes much stronger. The sudden onset of a disease in urology is the appearance of signs of an inflammatory process of the bladder, which is typical for a disease such as chronic cystitis.

Abdominal pain and frequent urination - as symptoms of chronic cystitis

Chronic cystitis can also appear with other types of diseases of the genitourinary system. This:

Formation of stones in the bladder

Tumor formation in the bladder

Prostate adenoma

Pyelonephritis

Vesical ureteral reflux

If you notice this kind of signs of cystitis, you should immediately seek help from a doctor for further examination and a series of tests. Do not self-medicate and hope for a positive result. If you have a stomach ache, frequent urination, do not wait and contact your doctor immediately.

Causes of frequent urination and toilet visits with cystitis

The most common cause of cystitis in women is:

severe hypothermia of the body, especially hypothermia of the pelvic area;

insufficient hygiene;

wearing tight and tight underwear;

long sitting position;

frequent constipation;

vaginal infection;

as a result of the inflammatory process that began in the intestines.

The mucous membrane of the bladder is irritated by the infection, and the bladder is constantly contracting, there are false urges to urinate. This is very depressing for a woman, in her head there are only thoughts about this problem. The amount of urine excreted during cystitis does not change, only the frequency of going to the toilet changes. The process of urination is accompanied by pain, pain, and pain persists after urination. In the inflammatory process of the neck of the bladder with strong urges, urinary incontinence appears.

The composition of urine changes, pus is determined in it, and with a strong lesion of the mucous membrane and blood. Urine becomes cloudy, which indicates the presence of infection, has a putrid odor. Moreover, with the development of the disease, the pain becomes stronger, urination more often.

Sometimes both women and men experience dull pulling pains when urinating in the lower abdomen, radiating to the genital area. Most often, these symptoms are observed with cystitis. In addition to pulling pain during urination, with cystitis, clouding of urine, fever, and frequent urge to urinate are observed.

Examination of the patient by a doctor if there are pulling pains during urination

When probing, sometimes there are pains in the lower abdomen, this may indicate incomplete emptying of the bladder. Pain in the lower back sometimes indicates an infectious process in the kidneys, it is possible. Drawing pains sometimes indicate a gynecological pathology. In men, acute prostatitis is possible.

With an objective examination, the doctor cannot make an accurate diagnosis, so you need to make a laboratory and instrumental study. Need to check . Their presence in the urine indicates that inflammatory processes occur in the urinary tract. You also need to examine the urine for nitrite, a product of the vital activity of bacteria. If the analysis is positive, it is necessary to identify the pathogen and prescribe the necessary antibiotics.

Bacteriuria is one of the manifestations of cystitis. This is the process by which microorganisms appear in the urine. During pregnancy, bacteriuria increases the risk of preterm birth.

In men, cystitis is more often associated with the prostate and is accompanied by nagging pain during urination, high fever, incomplete emptying of the bladder. Violation of the normal outflow of urine occurs due to prostate enlargement and, as a result, squeezing of the bladder neck. In these cases, it is necessary to do ultrasound and ultrasound.

How to prevent pulling pain during urination due to cystitis?

Antibacterial therapy is the main treatment for cystitis. Usually, the doctor prescribes levofloxacin, trimethoprim, ampicillin, etc. All drugs and their dosage should be prescribed by the doctor based on the result of urine culture. It is also recommended to take herbal decoctions and drink more fluids. Young women need to pay special attention to hygiene

Sometimes surgical treatment of cystitis is used if there are other diseases that contribute to its development: Tumors of the prostate, adenoma, bladder stones. In men, cystitis develops against the background of a violation of the normal outflow of urine. In this case, surgical removal of the prostate in the early stages is performed. In women with cystitis, dilatation of the urethra may be effective.

Treatment of cystitis is most effective in the early stages, so at the first symptoms you need to contact a specialist.

Pain in the lower abdomen accompanies various diseases of the urinary system. When and for what reasons does pain occur in the lower abdomen during urination and how to eliminate this unpleasant symptom?

Causes

Dysuria and pain in the lower abdomen are often accompanied by the following diseases:

1. Urolithiasis disease.
2. Sexually transmitted diseases (gonorrhea, genital herpes, chlamydia, trichomoniasis, mycoplasmosis, gardnellosis, candidiasis).
3. Nonspecific infections (cystitis, urethritis).
4. Allergic urethritis.
5. Conditions after invasive procedures (catheterization, cystoscopy).
6. Inflammatory diseases(prostatitis, prostate adenoma).
7. Foreign bodies in the urethra or bladder.
8. Tumors of the genitourinary system (bladder, ovaries, uterus).
9. Polyps.
10. Injuries.

Additional features

Diseases of the urogenital area along with pain in the lower abdomen during urination may be accompanied by the following symptoms:

• frequent nighttime urge to go to the toilet. Concerned about prostatitis or adenoma. They are caused by swelling and inflammation of the prostate, its pressure on the bladder. With severe inflammation, the process may be accompanied by pain and discomfort in the area of ​​the womb. The disease is typical for men older than 45-50 years;
• burning at the beginning of urination. In combination with severe itching, it can talk about urethritis. With this disease, the discomfort subsides in the middle of urination. In connection with the anatomical features, isolated urethritis occurs mainly in men. In women, the disease is often combined with cystitis;
• feeling of incomplete emptying of the bladder. Combined with frequent daytime and nighttime urging, pain is characteristic of acute cystitis. The disease is common in women;
• urinary incontinence. The symptom occurs when the bladder neck is involved in the inflammatory process;
• paroxysmal pain radiating to the groin. Such signs are characteristic of renal colic. If the wall of the ureter or bladder is damaged, red urine may appear. The condition is accompanied by anxiety, cold sweat, inability to sit in one place;
• sudden profuse discharge of blood. Occurs with injuries of the perineum and anterior abdominal wall. This condition requires an urgent consultation with a surgeon;
• weak stream and difficulty in passing urine. These symptoms may be a manifestation of prostate cancer. Characterized by aching pain in the perineum with irradiation to the rectum. The disease is latent for a long time and can be detected at stages 3-4;
• pain in the suprapubic region, radiating to the penis or clitoris. These signs are found with stones or polyps of the bladder.

Diagnostics

To identify a disease that causes pain in the abdomen when urinating, the doctor will prescribe the following tests and examinations:

1. General analysis of urine - the presence of erythrocytes, leukocytes, cylinders, the appearance of sediment, discoloration.
2. Complete blood count - leukocytosis, increased ESR. With localized processes, it may not have deviations. The presence of tumors, polyps, chronic cystitis with bleeding leads to anemia.
3. Urinalysis according to Zimnitsky, Nechiporenko. They allow to detect deviations in night and daytime diuresis, to determine the daily amount of urine, to identify inflammation and the presence of blood in the urine.
4. Blood sugar test. It is prescribed for diabetes mellitus, since this disease leads to a decrease in local immunity and increases the risk of inflammation of the kidneys, bladder, and prostate.
5. Ultrasound of the kidneys and bladder - detection of tumors, strictures, polyps, developmental anomalies, determination of vascular blood flow. It also allows you to determine the location of the stone, its position, exact dimensions.
6. Contrast radiography of the urinary tract. On a series of images, you can determine the obstruction to the outflow of urine, the width and structure of the urinary tract.
7. The level of prostate-specific antigen in men. It is a specific marker of malignant processes in the prostate. Assign for chronic prostatitis or suspected neoplasm.
8. A smear from the urethra for microflora, determination of sensitivity to antibiotics. The analysis is carried out to identify genital infections, candidiasis, dysbacteriosis.
9. Voiding cystography is a study that allows you to evaluate the excretion of urine from the bladder.
10. ELISA, PCR.
11. Digital rectal examination - allows you to determine the size and consistency of the prostate, the presence of seals. At the same time, prostate secretion is taken for microscopy (determination of atypical cells).
12. A biopsy of the prostate gland is a method of taking tissue that is performed when cancer is suspected. Assign after the ultrasound and PSA.
13. CT, MRI of the pelvis.

Treatment

Therapeutic tactics depend on the causes that caused pain during urination. Inflammatory diseases are treated conservatively. For sexually transmitted infections, the patient and his partner are given a course of antibiotics (systemic and local forms). In the treatment of cystitis, urethritis, anti-inflammatory drugs, antispasmodics, painkillers, antibacterial drugs are used.

Surgical treatment is indicated in such cases:

• polyps;
• large stones that prevent the outflow of urine;
• tumors;
• foreign bodies.

Regardless of the reason, the following rules should be observed:

1. Stick to a diet with the exception of spicy, salty, bitter foods.
2. Drink enough liquid.
3. Carry out daily hygiene measures.
4. Exclude hypothermia, nervous strain.
5. Engage in physiotherapy exercises to activate blood circulation in the pelvis.

Treatment of diseases of the urogenital area in pregnant women has its own characteristics. With normal health, the appointment of herbal remedies, homeopathic remedies, local forms (candles, gels) is limited. Therapy of the underlying disease is carried out after childbirth. Antibacterial and anti-inflammatory drugs are used only when the benefit to the mother outweighs the risk to the baby.

In conclusion, it must be said that a late appeal to a urologist with abdominal pain during urination leads to the transition of diseases to a chronic form and the development of complications. Take care of your health!