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Health

Pelvic pain

, medical expert
Last reviewed: 23.04.2024
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Pain in the pelvic region can be completely different in nature and point to different pathologies depending on the nature and localization of the pain syndrome.

Many people suffer from pelvic pain. Especially women. Of course, they have more risk factors, especially childbirth, in which pelvic bones diverge and can hurt. Why do pains occur in the pelvic area?

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What are the causes of pelvic pain?

What are the causes of pelvic pain?

It can be:

  • Injury
  • Inflammation of tendons and joints
  • Chronic diseases
  • Infections in the body (even hidden)
  • Tumors near the joints
  • Disturbances in the composition of the joint fluid

All these symptoms can cause severe pain in the joints and lead to its destruction.

What diseases cause pelvic pain?

Consider the most common types of pain and the causes of pain in the pelvic region. So, a sharp severe pain in the right side of the abdomen, which is accompanied by fever, nausea or even vomiting, indicates an attack of appendicitis and calls for urgent medical help. Pain in the pelvis in women has certain characteristics. So spasmodic pain attacks in the lower abdomen, as well as in the lumbar region, are present in many women during menstruation. If the pain is tolerated, this is considered normal and does not require medical intervention. If the pain is very severe and it causes significant discomfort, it is recommended to take anesthetic antispasmodic series. During ovulation, some women also have a short-term mild pain syndrome, which passes by themselves and also does not require treatment.

In addition, the causes of pelvic pain may be associated with impaired intestinal function. Such pains are accompanied by characteristic signs: swellings, constipation or, conversely, intestinal disorder. In acute clinical pictures and complications, such pain requires a doctor's advice. In the early stages, it is treated with special diets and medications that are sold without a prescription.

Another cause of pelvic pain may be inflammation of the bladder or urinary canals. Inflammation can be easily recognized by the fact that pain is also present when urinating.

The formation of kidney stones can also cause pain in the lower abdomen.

When the pelvic joint wears out, it becomes brittle and vulnerable. Then a sharp pain appears in the pelvic region. A person does not understand what is happening to him.

To eliminate pelvic pain, you need, first of all, to find out the causes of the diseases that provoke it.

The cause of pelvic pain can be inflamed cartilage, which also have the property to collapse and deplete. When this happens, the bone of the head of the pelvic bone can become bare, then it rubs against another bone - the pelvic cavity. This mutual friction causes pain.

Pelvic pain can also provoke joints - aching joints. Inflamed, they can cause pain in the pelvic area.

Pain in the pelvic region may be due to the fact that the pelvic joint is damaged. But here is the paradox: the joint is destroyed, and the pain can not bother him, but be transmitted throughout the thigh and even given to the lower leg.

The loins (more correctly, the lumbar spine) can cause pelvic pain. And again, this pain is difficult to recognize, because it can disturb not in the pelvic region, but in the back area.

What is a basin and how is it arranged?

This is one of the areas of the spine that is located at its base. The pelvis helps the lower limbs (legs) to attach well to the skeleton. The pelvis is an excellent repository for the internal organs of a woman who are vitally important.

The pelvis consists of two pelvic bones, and also a coccyx and another sacrum. These parts of the skeleton are jointed.

Before the person turns 18, the cartilage plays the role of such connections. After 18 years they harden and turn into bones. They are called pelvic bones.

What are the symptoms associated with pelvic pain?

People who are troubled by pain in the pelvic region, lose mobility. Hips begin to bend badly, pain in either direction is prevented from moving. The person feels stiffness and inconvenience in the movements.

This is due to the connection of the knee and hip through the passage of nerve endings.

People who experience pelvic pain know well that these pain syndromes do not come by themselves. Most often they are accompanied by a certain symptomatology, which brings no less discomfort than the pain itself. Symptoms of pelvic pain often begin with a limitation in mobility. As with any movement the pain intensifies, it interferes with the normal movement, which causes both physical and emotional discomfort. A person feels some stiffness and limited physical activity, because of what he often has to give up the usual routine of the day and the planned cases. In addition, pain in the pelvic region can be given to the knee, which causes the knee to flex and function poorly. This is because the pelvic region and the knee are connected by nerve endings. In women, the symptoms of pelvic pain are complicated by the fact that it can cause many pathologies of a gynecological nature. Therefore, more often than not, women with these complaints turn to the gynecologist. But do not forget that some symptoms of pelvic pain may indicate intestinal infections or kidney problems. If there is a fever, then there may be an inflammatory process in the pelvic organs and with this symptomatology should contact the appropriate specialist.

Pelvic pain

Pains in the pelvic region are those pains that are localized in the area below the navel. The causes of pain are varied, because in the pelvis there are different organs, and in addition to this zone, pathological changes in other organ systems sometimes "give up" pain. There are a number of observations when pelvic pain can indicate very serious disorders, some of which are even life-threatening. Therefore, if the sudden pain is too sudden, you should immediately seek medical help. Diseases in the pelvic area tend to be accompanied by bleeding, atypical discharge, the emergence and development of tumors or infectious processes. Pelvic pain may also indicate that certain changes occur in the body, which later may have undesirable consequences and complications. Also, pain in the pelvic area may occur after previous injuries or surgeries, especially in people sensitive to changes in weather conditions, may occasionally appear light aching pain. In such cases, you should take painkillers if the pain becomes unbearable.

Pain in the pelvis on the left

Pain in the pelvic region to the left may indicate the presence of pancreatitis. In such cases, the pain is characterized as a dull aching, localized in the left lower abdomen and is more pronounced after taking heavy food or overeating. Also, pain in the pelvic area on the left may indicate problems in the spleen. These problems are most often caused by a change in the size of the organ or its traumatization, which can lead to rupture of the spleen. Such pain requires immediate medical attention. Often the pain in the pelvic region on the left indicates the infectious processes occurring in the intestine. Such pain will be accompanied by bloating, a feeling of heaviness in the abdomen and a violation of the functionality of the intestine. Urolithiasis or pyelonephritis can provoke pain in the lower abdomen on the left. Such diseases are characterized by pulling or cutting pain and are accompanied by frequent urge to urinate. Urination with these diseases is quite difficult and painful. In women, pelvic pain in the left can be a sign of gynecological diseases. At any painful sensations it is necessary to address to the doctor as in an area of a small basin there are almost all vital organs.

Pain in the pelvis right

Do not forget that all organs are held on muscles and ligaments, which can be spasmed and cause pain. Pain in the pelvis on the right may indicate liver problems. Such liver diseases as cholecystitis and hepatitis show themselves as a pain in the lower right side of the abdomen. Kidney and urinary tract diseases are also characterized by abdominal pain. Depending on the concomitant symptomatology and type of pain, it is possible to detect the presence of such diseases as pyelonephritis or urolithiasis. In some individual cases, oncological diseases of the pelvic organs also manifest themselves in the right side of the abdomen. If the pelvic pain does not go right on the right for two hours, even with an anesthetic, it makes sense to call an ambulance, because some pelvic pathologies without timely medical intervention can be life threatening. There are a number of concomitant symptoms that indicate that pelvic pain is associated with dysfunction of an organ. These are symptoms such as general weakness, dizziness, fever, pain when touching the abdomen, tense abdominal walls, increased heart rate or breathing, or increased blood pressure.

Pelvic pain after childbirth

They can disturb 30% of women. What is the reason? This can be a divergence of pelvic bones, trauma to muscle tissue, bruises.

In this case, you need to stock up a bandage to tighten the bones of the pelvic region and lie on a comfortable, but even and firm surface. So you will soothe the pain for a while until you get the doctor's help.

When pain in the pelvis after childbirth subsides, they can resume with the slightest trauma or strain. It is better to take care and not take risks.

Diagnosis of pelvic pain

There are several types of pain in the pelvic region. Severe abdominal pain can result from injuries, surgical operations, or infectious diseases. Typically, this pain is systematic and lasts up to three months. If the pain is worried for a longer period, then such pain is called chronic. If for a period of three months the pain syndrome was repeated no more than three times, then such pains are referred to as relapsing. Doctors try to establish the kind of pain, asking the patient questions, carefully studying the anamnesis and conducting a general external examination. Since there are a large number of organs in the pelvic area, it is very important at the initial stage to determine the origin of the pain as soon as possible in order to understand what further diagnosis of pelvic pain is needed. If the apparent causes of pain do not indicate problems in the reproductive system, a number of tests, such as a blood test, urine, feces, are prescribed to diagnose diseases of the abdominal organs. Diagnosis of pelvic pain in women can be performed using laparoscopy, ultrasound or gynecological examination, since such localizations of pain in women in most cases indicate a pathology of the reproductive system. Also, in the absence of any physical cause of pain, it is important to remember that such pains may have psychological preconditions. Severe stressful situations, conflict or family problems are often the causes of pelvic pain. In such cases, corrective work with a psychologist is recommended.

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Treatment of pelvic pain

If there is pain in the pelvic region, most often the person suspects what it can be caused by, or the localization and nature of the pain indicates it. Depending on the characteristics of pain, you need to contact such doctors as gastroenterologist, urologist, gynecologist (for women), traumatologist, neurologist. In the future, the doctor can refer to another specialist, if during the diagnosis it is determined that the pain has a different origin. Sometimes it happens that the problem lies in the illness of not one organ, but several. Since the pelvic organs are located close to each other, they can directly affect each other. In this case, an integrated approach to treatment and monitoring is needed for several doctors at the same time. When collecting data, special attention should be paid to the characteristics of pain. If you know exactly about such indicators as intensity, frequency of pain, situation or situation that worsen it, the type of pain, then you can prescribe the correct treatment of pain in the pelvic region without additional interventions in the body, through surgical manipulation. With pain in the pelvic region, hospitalization is usually not required, except in especially severe cases or cases requiring prompt medical intervention.

Consequences of pelvic pain

They can be quite serious. If the pain in the pelvis is supplemented by joint diseases, the person can limp and have difficulty walking.

Joints seem to become stone, hard, they are difficult to bend. It is especially difficult for a person to move if he changes his position dramatically. For example, he sat and stood up abruptly or bent sharply. Then the pain can become unbearable.

Pain in the pelvic region can be associated with a muscle injury. Then they become very painful.

A very serious cause of pelvic pain is trauma and fractures.

If these fractures provoke pain, you need to see a doctor for further examination and treatment.

When the soft tissues that surround the pelvic ring are surrounded by tumors, pain can occur suddenly and severely.

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How to prevent pelvic pain?

Prevention of pain in the pelvic region consists in preventive measures regarding the work of all organs that are located in this area. First, it is necessary to exclude the possibility of infectious diseases. Which is often the reason for contacting a doctor. To do this, avoid overcooling and rationally assess the degree of risk in contact with the focus of infections. At the first sign of infectious diseases, immediate treatment should be followed, since untreated infection in time has the property of complicating the work of many organs. Smoking should also be avoided. Few people know that nicotine can provoke not only lung cancer, but also cancer of the gall and bladder. In order to prevent venereal infections, one should remember about contraception and try to do regular control tests on a regular basis. It is worth wearing comfortable and warm clothes. Sometimes, with constant pinching of the pelvic area with clothing, changes in organs may occur. Doctors also recommend closely monitoring their diet, try not to overeat and do not use harmful and heavy foods too often, to avoid problems with the gastrointestinal tract. Some diseases of the pelvic area are caused by a genetic predisposition. It is necessary to find out what diseases are most common in the family and especially closely monitor the work of those organs whose dysfunction suffered from family members.

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