Stomach hurts and radiates to leg

All situations when the lower abdomen hurts and radiates in the anus

Every person has experienced abdominal pain at least once in their life and knows that this unpleasant situation can be associated with many reasons. Some people simply made a mistake in eating, while others need urgent surgery; consultation with a doctor is almost always required. The same applies to pain in the lower abdomen, which can be localized in one place or radiate to the anus, lumbar spine and perineum. In such cases, it is necessary to examine doctors of different specialties (general practitioner, urologist, proctologist, gynecologist) and conduct examinations in accordance with the results of the examination (blood tests, urinary sediment, ultrasound, anoscopy, sigmoidoscopy). Treatment will be prescribed in accordance with the specified diagnosis.

The lower abdomen in the common understanding is the area above the pubis; here are the projections of the pelvic organs - the bladder, uterus and ovaries in women, the prostate in men, as well as the final sections of the large intestine (sigmoid and rectum). Pain in the lower abdomen usually occurs due to pathology of these organs, which are closely interconnected anatomically. Thus, the rectum is adjacent in front to the posterior vaginal wall and uterus in women, to the prostate gland in men, in front of which is the bladder. Inflammation in one organ will necessarily manifest itself as reflected pain and disruption of normal functioning in another.

The rectum is very rich in blood vessels, which form two rectal plexuses (in the submucosal layer and under the skin around the anus), as well as nerve endings, which makes this area extremely sensitive to various irritants, including those coming from neighboring areas and the lumbar spine. Why the lower abdomen hurts and radiates in the anus - men and women may have general and specific reasons associated with the physiological and anatomical characteristics of the sexes.

Abdominal pain may not be a symptom of all diseases, but most problems in the gastrointestinal tract can be recognized thanks to the manifestations of painful sensations in the abdominal area:

1. Acute surgery – appendicitis. The pain is quite strong, gradually descending to the lower abdomen from the upper floor of the abdominal cavity. Characteristic disturbances in the general condition are fever, nausea, vomiting. Intestinal obstruction – cramping pain, retention of stool and gases.
2. Intestinal adhesive disease (history of intestinal surgery).
3. Diverticulitis is pain in the lower abdomen on the left side with nausea, gag reflex, and blood in the stool.
4. Diffuse polypous growths of the colon.
5. Inflammatory processes in the urinary tract - cystitis, pyelonephritis, urolithiasis, with pain in the lower abdomen and lower back. Characteristic symptoms include dysuria, low-grade fever, and changes in urine tests.
6. An anomaly in the large intestine - megacolon, characterized by constant constipation, flatulence, periodic bouts of fatigue, and poor appetite. The data is confirmed by x-ray or ultrasound.
7. Irritable bowel syndrome – pain combined with diarrhea and flatulence or constipation.
8. Infectious diseases and parasitoses with a predominance of colitis symptoms (tenesmus, frequent stools with mucus, cramping pain in the lower abdomen).
9. Inflammatory bowel diseases (Crohn's disease, colitis - nonspecific ulcerative or others).
10. Oncology (rectal cancer). Pain appears already at a late stage with large tumor sizes.
11. The lower abdomen hurts due to radiculitis, inflammation of the sciatic nerve - the pain radiates to the leg on the corresponding side, the genitals and anus.

To make an accurate diagnosis, it is necessary to undergo an examination.

In each specific case, only a doctor will be able to determine the cause of the pain and try to eliminate the problems.

Males are less likely to suffer from such symptoms and are more reluctant to see a doctor, especially if there are problems in a sensitive area, so complications and advanced stages of the disease are more common. Causes of pain in the lower abdomen that radiates to the anus:

Ladies often have pain, pulling, twisting and aching in the lower abdomen; for women this is an almost monthly condition before menstruation, as well as during the ovulation phase. Such pain is considered physiological. However, pathological situations that require medical intervention are not uncommon, in which there is severe pain in the lower abdomen and radiates to the lower back, leg, groin, genitals, perineum and anus:

• chronic inflammatory diseases of the female genital organs, periodically causing exacerbations - adnexitis, colpitis, salpingo-oophoritis, endometritis;
• benign neoplasms – uterine fibroids, cysts in endometriosis;
• ovarian pathology (possible torsion of the cyst stalk);
• apoplexy (rupture of follicles in the ovary);
• threat of miscarriage in the early stages of pregnancy (miscarriage) or later (placental abruption);
• atypical attachment of the fertilized egg (ectopic pregnancy) – accompanied by internal blood loss and severe general condition;
• incompetent intrauterine device;
• rupture of a purulent or ordinary cyst;
• accumulation of fluid in the pelvic cavity;
• ovarian hyperfunction during stimulation before IVF;
• algodismenorrhea syndrome (very painful periods);
• congenital anomalies of the genital organs (atresia).

All emergency situations in which there is acute pain, a violation of the general condition, require calling an ambulance and hospitalization in a hospital.

Staying at home with acute pain and self-medicating is prohibited.

Categories : Lower extremity pain