Bladder pain is severe. How to determine if your bladder hurts

Pain and its causes in alphabetical order:

bladder pain

The bladder, vesica urinaria, is a hollow, flat-rounded muscular organ located in the pelvic cavity, directly behind the pubic symphysis. The size and shape of the bladder changes depending on its filling with urine. A full bladder is pear-shaped. Its wide part faces upward and backward, and its narrow part faces downward and anteriorly. The empty bladder, when its walls collapse, has a saucer shape; its capacity is on average 750 cm 3. The bladder consists of several sections that transform into one another. The main part is the body of the bladder, corpus vesicae. The upper anterior part of the bladder forms its apex, apex vesicae. clearly visible when the bladder is full; it passes upward towards the navel into the median umbilical ligament, ligamentum umbilicale medianum, connecting the bladder to the navel; This ligament represents the overgrown urinary duct, urachus. The posterior lower part of the bladder, directed towards the rectum in men, and towards the vagina in women, represents the bottom of the bladder, fundus vesicae, the least mobile part of the bladder. The anteroinferior elongated part of the bladder makes up its neck, cervix vesicae, in this part there is the internal opening of the urethra, ostium urethrae internum.

Pain in the bladder can be a manifestation of a disease of this organ or be reflected in diseases of the kidney, ureter, prostate gland, urethra, female genital organs, coccyx. Therefore, if for pain in the bladder it is not possible to find its cause from the bladder itself, then it should be looked for in the above organs.

In chronic diseases, depending on the degree of damage to the bladder, pain in the bladder can be constant, sometimes with a painful urge to urinate; localized in the pubic area or deep in the pelvis. Pain may appear or intensify in connection with the act of urination. In the latter case, it occurs either before the start of urination due to stretching of the walls of the bladder, or during the act of urination, but most often at the end of it. In the latter case, the pain is caused by acute inflammation of the bladder. Pain that occurs in the bladder with movement and subsides at rest is most often caused by stones in the bladder and is explained by a change in their position in the bladder with trauma to the usually inflamed mucous membrane.

What diseases cause pain in the bladder:

Bladder pain can occur with the following diseases:
- Bladder diseases
- Kidney diseases
- Diseases of the ureter
- Inflammation of the prostate gland
- Inflammation of the urethra
- Inflammation of the female genital organs. Pain in the bladder with difficulty urinating can also occur with inflammatory diseases of the female genital organs. If a woman turns to a urologist with such complaints, she is referred for a consultation with a gynecologist to exclude the possibility of inflammatory diseases of the female genital area.
- Inflammation of the coccyx.

Symptoms of bladder pain.

Pain, independent of the act of urination, appears when driving on a bad road or during physical work. Pain that occurs in the bladder area when moving is characteristic of bladder stones and is explained by their movement in the bladder cavity. Pain from bladder stones in men, especially children, radiates to the head of the penis. Therefore, if a child complains of pain in the glans penis in the absence of local changes (balanoposthitis, phimosis) that could explain this pain, he must be examined in a hospital to determine the possible presence of a calculus in the bladder. With bladder stones, red blood cells and white blood cells are usually found in the urine. In case of acute urinary retention, which can complicate the course of prostate adenoma or urethral strictures or occurs due to stone getting stuck in the lumen of the urethra, the pain in the bladder area is acute, unbearable, the patient rushes about in bed and willingly agrees to any manipulation, even surgery just to relieve the pain. Usually the patient indicates that he cannot urinate, despite the persistent urge. A distended bladder is detected above the pubis. Constant pain in the bladder area can be caused by the infiltrating growth of a malignant neoplasm. This pain sharply intensifies during the phenomena of tumor disintegration with secondary cystitis.

Pain in the bladder when urinating is characteristic of various forms of cystitis. With diffuse inflammation of the mucous membrane of the bladder, pain occurs as urine accumulates in it. It intensifies at the end of urination and immediately after it, and then subsides until the bladder refills and a new urge to urinate appears. In severe forms of cystitis, this occurs at short intervals and the pain becomes almost constant. In cases of cervical cystitis, when the inflammatory process is limited mainly to the area of the outlet of the bladder, pain occurs at the end of urination and lasts for some time after its completion. This is explained by convulsive contractions of the bladder sphincter, which continue after the last portion of urine has been removed from the bladder and injure the inflamed mucous membrane. Cystitis is characterized by a triad of symptoms: frequent urination, painful urination, and the presence of pus in the urine.

Pain in the bladder associated with urination also occurs with cystalgia. The subjective symptoms of the latter largely reproduce the subjective symptoms of cystitis, but inflammatory changes in the mucous membrane of the bladder are either completely absent or negligible, and pyuria is also absent. However, with cystalgia the pain can be quite intense. The diagnosis of cystalgia is made on the basis of complaints typical of cystitis, in the absence of pyuria and changes in the mucous membrane of the bladder characteristic of cystitis, detected by cystoscopy.

Often acute pain in the bladder, accompanied by urination problems, occurs due to pathological processes in the female genital organs. This occurs with adnexitis, para- and perimetritis, and inflammatory changes in the mucous membrane of the bladder caused by the spread of infection from the female genital organs are often detected.

In most cases, acute pain is due to bladder stones and acute cystitis. At the end of urination, these pains intensify. If a child (boy) complains of pain in the head of the penis, and before urination the head is squeezed to reduce the pain, bladder stones are diagnosed. Due to the passage of stones or salts through the canal, inflammation develops, causing pain in the urethra.

Pain in the bladder is also characteristic of bladder tumors, especially during their infiltrating growth or as a result of their disintegration, when secondary cystitis occurs.

One of the most common causes of pain in the bladder area is prostate adenoma, or, less commonly, urethral stricture. In acute urinary retention, the pain is sharp and unbearable. The patient notes that he cannot urinate due to an uncontrollable urge. The bladder is stretched, protrudes significantly above the womb, and is very painful at the slightest touch. The painful sensations are so pronounced that the patient insists on any manipulation.
A peculiar feature of pain in the bladder area is that it intensifies as urine accumulates in the bladder and during the act of urination. After urination, the pain temporarily subsides and resumes again when urine appears in the bladder. If urination becomes more frequent (pollakiuria), it becomes painful, and leukocyturia is detected in the urine. All this is characteristic of both inflammation of the bladder and diffuse or cervical cystitis.

If a patient, against the background of traumatic shock, has pain in the lower abdomen with an almost continuous urge to urinate, but urine is not released, and when straining, droplets of blood appear from the urethra, then this is a typical sign of a ruptured bladder.
The appearance of signs of peritonitis indicates intraperitoneal rupture of the bladder.

With inflammation of the peri-vesical tissue, dull, constant pain in the bladder can be observed, and often a swelling can be felt above the pubis (especially with inflammation of the pre-vesical space), which is often mistaken for a distended bladder. Conventional bladder catheterization; easily solves the question of the cause of the palpable formation.

Which doctors should you contact if you experience pain in the bladder:

Are you experiencing bladder pain? Do you want to know more detailed information or do you need an inspection? You can make an appointment with a doctor Eurolab always at your service! The best doctors will examine you, study external signs and help you identify the disease by symptoms, advise you and provide the necessary assistance. you also can call a doctor at home. Clinic Eurolab open for you around the clock.

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If you have previously performed any research, Be sure to take their results to a doctor for consultation. If the studies have not been performed, we will do everything necessary in our clinic or with our colleagues in other clinics.

Does your bladder hurt? It is necessary to take a very careful approach to your overall health. People don't pay enough attention symptoms of diseases and do not realize that these diseases can be life-threatening. There are many diseases that at first do not manifest themselves in our body, but in the end it turns out that, unfortunately, it is too late to treat them. Each disease has its own specific signs, characteristic external manifestations - the so-called symptoms of the disease. Identifying symptoms is the first step in diagnosing diseases in general. To do this, you just need to do it several times a year. get examined by a doctor, in order not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the organism as a whole.

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If you are interested in any other symptoms of diseases and types of pain, or you have any other questions or suggestions, write to us, we will definitely try to help you.

Painful sensations are alarm signals that something is wrong somewhere in the body. The nature, intensity, localization and distribution of pain determine its cause, the correct diagnosis and the success of therapy.

Pain in the bladder indicates various inflammatory processes, which contribute to a significant decrease in quality of life.

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Pain in the bladder area in men

Discomfort is the result of irritation of nerve endings, so any pathological process in this system can cause sensations of pain in the unpaired organ.

Let's divide the pain into 2 conditional groups:

Those that arise as a result of the process of urination. They are usually caused by cystitis, urolithiasis;

The intensity of pain in urolithiasis depends on the size and shape of the stones. When at rest, they may not bother you.

Painful sensations arise and intensify with activity, as a result of which hard stones can injure the mucous membrane of the organ.

Those associated with the pathology of the bladder itself and neighboring organs: trauma, urethritis, prostate adenoma, diseases of the intestine or symphysis pubis.

When inflammatory processes occur in neighboring organs, projected pain may occur.

The man’s age also speaks about this or that type of pain. Thus, prostate adenoma occurs in old age. In guys, discomfort in the bladder is most often associated with prostatitis and/or urethritis.

What does pain in the bladder after urination indicate?

Complaints from men that their bladder hurts after urinating are not uncommon. The pain can be sharp, acute or have a constant pressing nature. The reasons for this are varied.

Discomfort of a constant nature after urination indicates the presence of a fairly large, hard stone, and a projection of discomfort into the scrotum or perineum is possible.

If painful discomfort occurs suddenly and immediately after urination, then it is quite possible that the foreskin may narrow due to an infection or injury.

The most common causes of pain in the bladder after urination are STDs.. An uneasy feeling appears a few days after sexual intercourse.

Another important reason is violation of the rules of personal intimate hygiene.

Causes of pain

Discomfort and pain in the bladder are caused by bacterial infections.

The entry of pathogenic microflora into the male genitourinary system, on the one hand, is difficult due to the anatomical structure, and on the other hand, if it originates in the urethra, then the development of urethritis cannot be avoided.

Constant or frequent suppression of the urge to urinate will also lead to the development of infection in this organ.

Reasons that contribute to the appearance of pain in the bladder include:

STD;
Pyelonephritis;
Prostate neoplasms;
Prostatitis;
Candidiasis or "thrush". (often occurs without symptoms);
Damage to the urethra or unpaired organ, even minor, resulting from medical procedures;
Reduced immunity, lack of vitamins, hypothermia;
Cyst or organ of the excretory system.

Treatment methods for bladder pain in men

Medicine uses 3 main methods of treating diseases: medication (gentle), physiotherapy and surgery.

The choice of method depends on the cause of the pain.

The doctor chooses the necessary treatment based on the results of the tests.

The most common method with good effectiveness is medication (tablets, ointments, solutions). Painkillers are prescribed to reduce pain. Antibiotics relieve symptoms of infection.

Physiotherapy has also proven to be an effective way to get rid of the disease. Short-pulse electroanalgesia is used to relieve spasms and relax muscles. Exposure of the painful area to electrical impulses through the skin reduces pain and has an analgesic effect. The course consists of 10 procedures.

Surgical treatment is used in exceptional cases when other methods are not effective. For example, a defect in the narrowing of the urinary canal can only be eliminated by surgery. Urolithiasis (depending on the size of the stones), tumors and cysts also require surgical intervention.

Tablets to help cope with pain

The question often arises: “ What to do if your bladder hurts? It’s difficult to give a definitive answer at the moment, in most cases you should consult a urologist.

The urologist can prescribe herbal uroantiseptics as a cure for the bladder and a prophylactic agent which will prevent relapse of the disease.

Antihistamine tablets will help relieve swelling and inflammation, thereby reducing painful discomfort.(claritin, diazolin).

Effective antiseptic medications include solutions of silver and aniline dyes, applied topically. Sometimes washing the organ with these solutions is indicated, but this is carried out only by a urologist.

In any case, before taking pills for the bladder, you need to clearly understand why it hurts; if there is no specific answer, you need to consult a specialist.

How to cure a bladder at home?

In certain cases, for treatment at home, folk remedies may well be effective.

The following herbs are successfully used for various inflammatory processes of the urinary system: cinquefoil, cinquefoil, lingonberry and bergenia leaves, wintergreen, and cinquefoil.

These herbs have anti-inflammatory and diuretic effects. To prepare the infusion, it is better to take herbs in combination. You need to take the herbal drink often and in large quantities. Drinking plenty of fluids helps to cope with the infection faster. Herbs have a cumulative effect, so The optimal course of treatment will be 4 weeks.

The following recipes are also used as folk remedies used at home:

Diseases of the urinary system often become chronic if not properly treated, which subsequently makes complete recovery problematic.

Folk remedies can only alleviate the symptoms of the disease. Only a specialist can identify the cause and prescribe proper treatment.

Useful video

Visualize the symptoms, treatment and causes of bladder pain in the video below:

The bladder is an organ that receives urine produced by the kidneys through the ureters. It then exits through the urinary canal. When it fails, pain of varying intensity may occur, which indicates disorders and pathologies.

What causes discomfort in the bladder? quite a lot and depending on them, the nature and intensity of pain can change. As a rule, there is only one localization - the lower abdomen, but it is necessary to take into account that this place can hurt not only because of diseases of this organ.

It is necessary to understand how to classify symptoms of bladder pain in women :

Discomfort, which intensifies as the organ fills with urine, reaching its peak during the process of emptying, after which it subsides. This type of pain indicates inflammation of the mucous membrane - cystitis. In addition, the disease is signaled by poor urination and pus in the urine.
If the same symptoms occur, but without impurities in the urine, we are talking about cystalgia.
The feeling of pain that occurs during activity - walking, running, bending - indicates the presence of stones in the bladder. When moving, they can move, irritating the mucous membrane, which causes pain. The color of the urine changes (due to an increase in leukocytes and red blood cells in the blood).
When the urinary organ ruptures (due to injury or overflow), the pain in the lower abdomen is very sharp and severe. There is an unbearable desire to urinate, which cannot be fulfilled due to damage to the organ.
When hypothermia occurs, cutting pain occurs in the lower abdomen.
A burning sensation accompanies pathologies of the urethra - inflammation, damage - and is also a sign of irritation of the external genital organs.
Pressing pain is a symptom of kidney problems and bladder injury. Often accompanied by fever and general weakness.
Pulling in the lower abdomen can occur due to diseases of the reproductive system, kidneys, or when a salt deposit occurs in the bladder.
Spasms may indicate the presence of neoplasms, injuries, or renal colic.
Discomfort and burning in women may indicate pregnancy. At the very beginning of the period, the uterus begins to increase in size, putting pressure on neighboring organs.

The same pathologies can manifest themselves in different types of pain. Under no circumstances should you make an independent diagnosis, so as not to aggravate the situation.

Main reasons

Women are much more susceptible to bladder inflammation than men. This is due to the fact that the structure of their genitourinary system is different, namely, the length of the male urethra is several times greater than the female one. The infection, having penetrated the male urinary canal, will most likely remain there without having time to spread to other organs. Pain in the urethra in men is more severe, which helps to recognize inflammation earlier.

It is important to treat urethral pathologies in a timely manner so that they do not lead to complications in the functioning of neighboring organs.

In the female body, the spread process proceeds much faster due to the small size of the urinary canal, through which the inflammatory process spreads quite quickly.

There are common reasons that lead to pain in the lower abdomen after urinating:

cystitis;
urolithiasis disease;
STDs (sexually transmitted diseases);
neoplasms.

But there are also gender differences that are unique to one sex.

In men

Among women

The causes of pain when urinating in women are as follows:

ovarian apoplexy - rupture of organ tissue;
endometritis - inflammation of the endometrium of the uterus;
salpingoophoritis (adnexitis) - inflammation of the appendages;
endocervicitis - inflammation of the cervix;
parametritis - inflammation of the peri-uterine connective tissue;
perimetritis - inflammation of the serous layer of the uterus;
ectopic pregnancy.

In representatives of both sexes, the cause of pain may be that another part of the body projects unpleasant sensations to the bladder area. A huge number of pathologies can “give” to other organs.

Causes of pain not related to the urinary system:

spinal injuries;
osteochondrosis;
intestinal pathologies (colitis and so on);
damage to the pubic symphysis is the place where the pelvic ring closes.

What tests need to be taken?

If you experience any discomfort in the lower abdomen, you should consult an appropriate doctor as soon as possible. Men should visit a urologist, and women should visit a nephrologist, or first go to an appointment with a general practitioner, who, after an examination, can refer you to the right specialist.

Tests prescribed to clarify the diagnosis:

Ultrasound (ultrasound examination) of the pelvic organs and genitourinary system;
MRI (magnetic resonance imaging) of the same organs, if a more accurate picture is required;
general urine analysis;
urine tests according to Nechiporenko, Zimnitsky;
bacteriological culture of urine;
cystoscopy - examination of the internal state of the bladder using special instruments;
smears from the urethra, vagina;
uroflowmetry - measuring the speed of urine flow during urination;
X-ray of the bladder with contrast;
examination by a gynecologist/proctologist.

In some cases, a situation may arise that requires urgent action, when it is impossible or there is no strength to wait until going to the doctor.

When to call an ambulance:

acute colic;
suspicion of rupture;
lack of urination;
a large amount of blood in the urine.

Treatment in men

Depending on the cause of the pain:

Cystitis. Antibiotics and herbs are prescribed. To relieve pain - antispasmodics and anti-inflammatory drugs.
. Antibiotics, painkillers, bed rest and plenty of fluids are prescribed.
Tumors are treated with medication and radiation therapy. It is recommended to remove the tumor surgically.
Injuries. For minor injuries, a course of antibiotics and anti-inflammatory drugs is prescribed, and a catheter is installed in the bladder for temporary outflow of urine. If the injury is serious, then surgical intervention is necessary.

Treatment in women

Medical care for bladder pain:

Cystitis. Treatment with individually selected antibiotics. Additionally, you can take decoctions of recommended herbs. You need to drink more water to reduce the acidity of your urine. Warming up works well - warm sitz baths, foot baths, heating pads on the lower back and in the perineum.
Cystalgia. The main emphasis is on normalizing blood circulation in the pelvic organs. Gymnastics routines and an active sex life are recommended. Severe pain is relieved with antispasmodics (No-shpa, Papaverine, and so on). Heat has a beneficial effect.
Urethritis. Antibacterial and anti-inflammatory drugs. To reduce inflammation, I can prescribe antihistamines. To eliminate STDs - doxycycline and similar medications.
Urolithiasis is eliminated surgically. Crushing stones with medications is possible only at the earliest stage of the disease.

Additional measures are possible in the form of traditional medicine - decoctions, compresses - but strictly with the approval of the attending physician.

Prevention

To prevent bladder pain, you must follow simple rules:

Observe personal hygiene rules. Uncleanliness leads to the development of inflammation of the external genital organs, which easily affects the urethra, spreading to the bladder.
Drink enough fluids.
Limit the consumption of salty, spicy, fatty foods in your diet.
Lead an active lifestyle, move more, walk.
Avoid hypothermia. Everyone knows lower back pain from being “blown.” This cannot be allowed.
Avoid stressful situations and get plenty of rest. Fatigue and nervous exhaustion lead to a decrease in the body's protective functions.
Regularly undergo medical examinations to identify possible diseases in the early stages and successfully eliminate them.

Video

In this video you can watch a fragment of E. Malysheva’s TV show dedicated to cystitis.

The bladder is not immune to infections, bacteria and viruses. Pain localized in the bladder indicates a developing inflammatory process. Inflammation must be treated promptly. Delaying the process leads to irreversible consequences.

The infection can move upward and cause kidney dysfunction. Frequent urination is accompanied by bloody discharge, mucus, pus, the urine turns dark and sediment is visible. In especially severe cases, a woman’s body temperature rises.

Causes of bladder pain in women

Pain that appears in the bladder in women occurs due to ailments of the genitourinary system:

Presence of stones. While the stones grow and gain in size, they do not manifest themselves. Having filled most of the bladder, the patient is characterized by pain during physical activity. But the worst thing is when the stones move into the urethra. The woman experiences a state of shock, weakness, nausea, and inability to move. Help must be provided urgently; it cannot be done without doctors.
Cystitis is caused by inflammation of the bladder mucosa due to infection. The human body contains a huge number of bacteria that are harmless in normal quantities. When immunity decreases, in the autumn-winter period, with an unbalanced diet, stress and chronic diseases, bacteria begin to actively multiply and enter the urethra and bladder. Urination becomes unbearably painful, the pain can be acute, and the frequency of urges exceeds 8 times during the daytime.
Inflammation of the appendages and diseases associated with the lining of the uterus. A sexually transmitted infection migrates from the bladder to the uterus and back, this process can be endless and cyclical until effective antibiotic therapy is carried out.
Bladder rupture. It occurs when a woman endures for a long time and does not go to the toilet for minor needs. The walls of the organ gradually stretch, becoming thinner as they stretch. In this state, it is dangerous to fall, push, or shake - the bladder may rupture or be injured. Internal bleeding occurs, severe pain occurs, and blood leaks from the urinary canal.
A neoplasm found in the bladder. Scientists have still not been able to identify the exact causes of cancer; it can only be cured in the early stages. Unpleasant nagging pain in the lower abdomen indicates cancer. The age of women who suffer from bladder cancer is from 45 years.
An inflammatory process affecting the peri-vesical subcutaneous fat. The pain is dull and constant. Swelling occurs above the pubis, the skin seems to rise upward.

As you can see, pain in the bladder can indicate various pathologies in women. It is impossible to determine the diagnosis on your own; even a doctor without research can only assume the disease.

Why does a pregnant woman's bladder hurt?

Giving birth to a child is a real stress for the female body. The bladder may hurt during pregnancy, when the fetus grows and puts pressure on the organ:

in the third trimester, the ureters are compressed;
the blood supply to the bladder leaves much to be desired.

Take into account changes in hormonal levels, this factor further aggravates the situation. If the pain is disturbing and growing, you should not endure it. Contact your gynecologist, you may have cystitis. Of course, you can’t take antibiotics, but anti-inflammatory drugs, drugs that increase immune strength, and homeopathy have not been canceled.

How to cure pain due to cystitis with tablets

To treat the genitourinary system, you first need to find out the exact cause of the pain. Take the following tests:

urine culture for bacteria;
general urine analysis;
Ultrasound of the pelvic organs;
urogenital smears for infections;
sowing for Candida fungi and flora.

If there are no serious chronic diseases and the woman is not in an interesting situation, the doctor prescribes a set of effective medications:

broad-spectrum antibiotic – Ofloxacin, Levofloxacin;
anti-inflammatory drugs – Canephron;
diuretic teas and herbal infusions;
painkillers - Analgin, No-shpa, Papaverine.

Canephron is well suited for pregnant women; the tablets have no contraindications. Buy a warm camel wool belt for your lower back or wrap yourself in a down scarf. If pain in the bladder is caused by injury, surgical intervention is necessary.

Folk recipes

To alleviate pain in the urinary system, the following herbal decoctions made at home are added to medications:

Collect mint leaves during flowering. Pour 1 tablespoon of crushed leaves into 1.5 liters of boiling water. Leave to simmer on the fire for 10 minutes. Wait for it to cool down and drink 250 ml 3 times a day. The course of treatment is 1 month.
Pour 1 tablespoon of dill with seeds into 400 ml of boiling water. The infusion is infused for half an hour. Single dosage of 80 ml, three times a day 30 minutes before meals. The course includes taking the decoction for at least 2 weeks.
Pour 1 tablespoon of knotweed into 250 ml of boiling water. Close the pan with a lid and wrap it in a blanket for a couple of hours. The dose is 3 times a day, 1 tablespoon of decoction.

Diseases that cause bladder pain can have different etiologies.

The most common causes of this symptom are:

acute and chronic cystitis;
stones in the bladder cavity;
benign and malignant organ formations;
traumatic injuries (penetrating wounds, bruises, etc.).

If you experience pain, be sure to seek medical help.

Other causes of lower abdominal pain are:

in women – diseases of the internal genital organs (salpingo-oophoritis, endometritis, endocervicitis, ovarian apoplexy, tubal pregnancy, etc.);
in men – diseases of the prostate gland (prostatitis, prostate adenoma);
diseases of the rectum (proctitis, paraproctitis, tumors of the sigmoid and rectum);
pyelonephritis;
appendicitis.

Characteristics of the symptom

Pain in the bladder with cystitis is aching, dull. In acute inflammation, cramping, jerking pain may occur.

Based on how the bladder hurts (symptoms accompanying pain are also important to take into account), a diagnosis of the disease can be assumed.

Pain may be accompanied by changes in urine. It may be mixed with pus and blood. Sometimes the urine becomes cloudy, or, conversely, discolored.

Differential diagnosis of diseases of the pelvic organs

With cystitis and pyelonephritis, urination becomes frequent and painful, and when emptying the bladder, a burning sensation and stinging sensation occurs.

Another bladder disease is cystalgia. Unlike cystitis, with this disease there is no pus in the urine, and inflammation of the mucous membrane of the bladder is absent or only slightly expressed. To clarify the diagnosis, it is necessary to use.

With appendicitis, pain is localized mainly in the right iliac region and may be accompanied by vomiting, diarrhea, tension in the anterior abdominal wall, and fever.

With an ectopic pregnancy, in addition to sharp pain in the lower abdomen, symptoms of blood loss occur:

pale skin,
dizziness,
loss of consciousness,
tachycardia, etc.

If the bladder hurts in women, it is necessary to find out if there are delays in menstruation or other signs of tubal pregnancy or discharge from the genital tract. An ectopic pregnancy can lead to significant blood loss and even death.

Important: Most diseases that cause this symptom require urgent, sometimes surgical, treatment, and delay can lead to serious complications.

Another cause of pain may be that formed in it or moved from the renal pelvis. In this case, the pain occurs periodically and can be quite acute. Typically, pain occurs after physical activity, horse riding or cycling.

Why does bladder pain occur during pregnancy?

During pregnancy, the most common cause of pain in the lower abdomen is cystitis. In this case, urination becomes painful and frequent, brownish clots appear in the urine, which are desquamated multilayered squamous epithelium. Sometimes there is pus in the urine.

Another cause of pain in pregnant women is the onset of labor. If the pregnancy is short, the pain may indicate that a miscarriage has begun. It is important to take into account the discharge: with an ectopic pregnancy, it is brownish and scanty. When a miscarriage begins, it is bloody.

Pain in the bladder during pregnancy does not always mean the onset of some disease

In the body of a pregnant woman, changes always occur in the genitourinary system. Most often they consist of increased urination, but sometimes an enlarged uterus leads to stagnation of urine in the bladder. In this case, you just need to go to the toilet more often and not tolerate the urge, as an ascending infection may develop.

Gestational pyelonephritis is not uncommon during pregnancy, the cause of which is physiological disturbances of urination. During stagnation, bacteria have time to penetrate up the urinary tract and cause cystitis and inflammation of the kidneys.

Important: if during pregnancy you experience pain in the lower abdomen, accompanied by discharge from the genital tract or an increase in body temperature, immediately call an ambulance.

Diagnostics

To identify the etiology of pain in the lower abdomen, it is important to use ultrasound. In this case, appendicitis, adnexitis and other inflammatory diseases of the pelvic organs can be determined. If symptoms of blood loss come to the fore (with an interrupted tubal pregnancy, ovarian apoplexy), a vaginal examination and digital examination of the rectum are performed. In this case, you can puncture the posterior vaginal fornix and evaluate the fluid obtained during aspiration.

If the punctate is purulent in nature, then we can assume perforated appendicitis with the onset of purulent pleurisy. If the aspiration fluid is blood, then it is necessary to exclude hemorrhage from the ovary (apoplexy) and rupture of the fallopian tube (in tubal pregnancy). If the effusion is a serous fluid, then a possible cause of the symptom may be pelvioperitonitis (especially in women), which often has a tuberculous etiology.

In men, in the absence of other symptoms of bladder disease, an ultrasound scan of the prostate gland is performed. Often with prostatitis, pain is associated with stagnation of urine, against which the bladder can become infected, and subsequently the upper parts of the urinary system.

If there is significant or long-term pain in the bladder or lower abdomen, but conventional examination methods do not reveal the cause, laparoscopy is performed.