The pains in the lower abdomen are given in the leg: the clinical significance of the symptom, the causes, the treatment

Why are the pains in the abdomen in the leg? What diseases can cause such unpleasant symptoms? How to diagnose and treat them? The answers to all these questions will be presented in the materials of the article in question.

Basic information

Acute lower abdominal pain in the fair sex is a fairly common symptom. It can be associated with disorders of the genitourinary system, and with pathologies of other systems, including neurological, musculoskeletal and gastrointestinal.

Most often, acute pain in the lower abdomen develops in women 24-35 years of age. The development of this symptom is observed in about one in seven patients.

Experts argue that such a pathological condition may be a sign of a serious illness that requires immediate surgical or conservative treatment.

Which organs can provoke pain in the lower abdomen?

Symptoms manifested by abdominal pain depend on which organs are affected by this or that disease. Most often, this pathological condition is associated with changes in:

• Small and large intestine;
• Fallopian tubes;
• The bladder;
• The uterus;
• Ovaries.

Inflammatory processes

Causes of pain in the abdomen can be associated with inflammatory processes occurring in one of the following structures and organs:

• Internal genitalia (including the vagina, uterus, cervix, ovaries and fallopian tubes);
• Muscle of the pelvis or the so-called pear-shaped muscle;
• small intestine;
• Kidney;
• Large intestine, as well as appendix, cecum, rectum and sigmoid colon;
• ureter;
• bladder;
• Sciatic nerve.

The main causes of pain in the lower abdomen

Such a pathological condition can be caused by completely different disorders. However, experts argue that most often the syndrome in question arises because of:

• Ectopic reproductive disorders;
• Urological disorders;
• Uterine diseases;
• Intestinal disorders;
• Neurological lesions.

Ectopic disorders

Pain in the groin, giving in the leg, can arise due to diseases of such genitals, as fallopian tubes, vagina and ovaries. Symptoms of such gynecological problems are:

• The release of leucorrhoea (often muco-purulent);
• Pain that intensifies before the onset of menstruation;
• infertility;
• Violation of the menstrual cycle;
• Weakness and general fatigue;
• Severe itching in the perineum (especially in the inflammatory process);
• Frequent urination.

Similar signs can arise due to endometriosis, adhesions, ectopic pregnancy, ovarian cysts, adnexitis, residual ovarian syndrome, vaginitis and ovulatory syndrome.

Uterine disorders

Why are the pains in the abdomen in the leg? This condition can be associated with the development of one of the following diseases:

• Polyps of the uterus;
• Adenomyosis, or the so-called genital endometriosis;
• Cervicitis;
• Endometritis;
• Dysmenorrhea;
• Uterine myoma;
• Genital prolapse;
• Stenosis of the cervical canal;
• Improperly fitted or inserted intrauterine device.

It should be especially noted that uterine disorders can be accompanied not only by the pains in the lower abdomen, but also by unpleasant sensations before and during the menstruation, as well as during sexual intercourse. In addition, for such pathologies are characterized by profuse menstrual bleeding, a violation of the menstrual cycle, fever, uterine compaction and her soreness.

Urological disorders

Frequent pains in the lower abdomen often speak of pathologies in the urinary system, which can be associated with damage to the ureters, kidneys, bladder and urethra. In particular, discomfort can arise due to the development of such diseases:

• cystitis;
• urolithiasis disease;
• A tumor of the bladder.

These diseases are manifested by renal colic, pain in the lumbar region, fever, vomiting, nausea, the appearance of blood in the urine, frequent urination, piercing pain at the end of urination, pain in the lower abdomen of the aching character, blurred urine, weakness, malaise and others.

Intestinal diseases

Why are the pains in the abdomen in the leg? This condition can occur with lesions of the intestine, in particular:

• Appendix (vermiform appendage);
• Ileum (lower part of small intestine);
• The cecum;
• Sigmoid colon (sub-colon);
• Rectum.

Thus, intestinal disorders can arise due to the development of the following diseases:

• Crohn's disease;
• Nonspecific ulcerative colitis;
• Intestinal obstruction;
• Chronic constipation;
• IBS;
• Polyps of the large intestine;
• Diverticulosis of the large intestine;
• Appendicitis;
• Hernia;
• Cancer of the large intestine.

The symptoms of appendicitis in women are manifested by acute pains, which are localized first in the epigastric region, and then concentrated right in the lower abdomen. In this case, painful sensations can give in the right foot and inguinal region. Also, the common symptoms of appendicitis in women and men include nausea, vomiting, stool retardation, fever and gas production.

As for other intestinal disorders, they are characterized by bleeding from the rectum, a loose stool with mucus or blood, abdominal pain on the left, a decrease in appetite, a rise in body temperature, a decrease in body weight, general malaise, bloating, flatulence and the like.

Neurological disorders

Most often, the pains in the lower abdomen are given in the leg with neurological diseases. They include the following:

• Defeat of the lumbar plexus, as well as its branches;
• Pear-shaped muscle syndrome.

The first pathology is caused by the defeat of the ilio-inguinal, ilio-hypogastric or femoral-genital nerve. These fibers can be damaged during hernia repair and during surgery on the pelvic organs. For such lesions are characterized by severe pain. In this case, the localization of pain depends on which particular nerve is affected (in the lower abdomen, in the lower back, along the inner surface of the thigh, in the groin area).

As for the pear-shaped muscle syndrome, it is characterized by the defeat of the deep pelvic muscle, which is located under the gluteus gluteus muscle. It originates from the inner region of the sacrum and goes to the femur.

When the spasm of this muscle develops, the sciatic nerve is infringed. By the way, the latter is the longest nerve in the human body.

With this pathology, the patient has severe pain in the buttock and thigh. In this case, painful sensations are given in the groin, as well as in the posterior surface of the lower limb. Discomfort almost always increases with the movement of the legs of a person, as in the process of this stretches all the affected nerve fibers.

Diagnostic process

If the pain in the lower abdomen is in the left leg or in the right leg, then immediately consult a specialist.

To identify these or other diseases that provoked the development of the pain syndrome, use the following diagnostic methods:

• Interviewing the patient;
• Examination of the patient's abdomen;
• A blood test and the delivery of other tests.

It should also be noted that, depending on the location of the pathological process, the patient may be assigned:

• Gynecological examination;
• Study of the urinary system;
• Examination of the intestine.

What to do?

What if there was a severe pain in the lower abdomen, giving to the legs? The pathology therapy that caused the development of the pain syndrome in this area should be aimed at restoring the natural work of the affected organ, as well as improving the quality of life of the patient and preventing the recurrence of chronic diseases.

If symptoms of inflammation of the pelvic organs should immediately go to the hospital. Timely detection of such pathology can prevent an unfavorable outcome of the disease. This feature can be a symptom of not only a gynecological problem, but also a serious surgical pathology (including appendicitis).

What can not be done?

Acute abdominal pain can not be treated independently, especially in the following ways:

• Taking painkillers and antispasmodics, as this can hide the true picture of the disease and significantly complicate the diagnosis;
• Applying warm compresses, since such procedures provoke vasodilation and the spread of the infectious process through the circulatory system;
• Washing of the intestine, especially if the pain was caused by an intestinal obstruction;
• Using laxatives.

One can not help saying that if the pains in the lower abdomen are accompanied by symptoms such as nausea, worsening of general condition, vomiting, uterine bleeding, fever, you should immediately seek medical help.

Methods of treatment

Acute or aching pain, giving up in the leg, can be eliminated by the following methods:

• Reception of antibacterial drugs;
• Diet therapy;
• Hormonal therapy;
• Laparoscopy;
• Endoscopic methods of treatment;
• Physiotherapy.

Diet therapy with such a symptom may involve the use of a third or fourth table. In this case, the patient should strictly observe the diet. His diet should be a diverse and rich in vitamins.

Antibiotic therapy involves taking antibiotics, that is, drugs that selectively inhibit the vital activity of harmful microorganisms. As a rule, such medications are prescribed for infectious and inflammatory processes.

Hormonal treatment involves the use of drugs that contain sex hormones such as progesterone, testosterone and estrogen. Each of them is unique. The latter is responsible for the development of secondary and primary sexual characteristics, testosterone for working capacity and libido, and progesterone for the onset and maintenance of a normal pregnancy.

Laparoscopy is a procedure in which a special optical system is inserted into the abdominal cavity, which transmits the image of the internal organs to the monitor. Using it, you can remove benign and malignant formations, restore the patency of the fallopian tubes, and so on.

Endoscopic treatments include colonoscopy, cystoscopy, and hysteroscopy. Such procedures allow you to remove malignant and benign formations, stop bleeding, eliminate existing blockages, crush concrements, excise polyps, dissect spikes and so on.

Physiotherapy involves the use of the following techniques:

• Electrophoresis;
• Ultrasound therapy;
• Magnetotherapy;
• Ultrahigh-frequency therapy.

If the pain in the abdomen is very strong, then the doctors prescribe medication, aimed at eliminating the unpleasant syndrome. In this case, use:

• Potent analgesics (including "Tramadol" or "Tramal");
• Non-steroidal anti-inflammatory drugs (eg, Diclofenac, Ibuprofen, Dexalgin);
• Analgesics narcotic (for example, morphine).

It should be specially noted that such drugs should be prescribed only by a doctor. This is due to the fact that their uncontrolled reception can cause the following negative reactions:

• Stool disorder (development of diarrhea);
• Nausea and vomiting;
• Gastrointestinal ulcers;
• Gastrointestinal bleeding;
• Negative effects on the bone marrow;
• Toxic effects on the liver and kidneys.

Take all of these drugs should be strictly after meals.