Lower abdominal pain in men can be caused by problems in any of the following parts of the abdomen:
26 possible causes of lower abdominal pain in men
- Testicular torsion (twisted testicle)
- A twisted testicle can cause intense discomfort in the genital area and lower abdomen and quickly turn into a medical emergency.
- The pain usually comes on unexpectedly and may cause the scrotum to enlarge. The discomfort may spread from the groin to the lower abdomen.
- Men who experience acute, unexpected testicular pain should consult a doctor as soon as possible.
- Inguinal hernia
- Although women can be affected by inguinal hernias, they are more common in men and can cause intermittent lower abdominal pain.
- A hernia occurs when a portion of the small intestine bulges through the lower abdominal wall, causing a painful or sensitive lump on one or both sides of the groin.
- Lifting heavy objects, coughing, sneezing. or exercising can aggravate the discomfort.
- Surgery is the only option to treat the hernia and prevent it from causing stomach pain.
- Kidney infection
- Bacteria that enter the kidney and cause an infection can cause severe stomach discomfort around the flanks, radiating to the back and the umbilical area.
- Not drinking enough water and subsequent dehydration can increase the risk of kidney problems.
- Kidney stones
- Urinary tract infection (UTI)
- A UTI can cause lower left abdominal pain or lower right abdominal pain, which increases with urination.
- Urinary infections can be caused by kidney disease, an enlarged prostate, or catheter use and may spread into the kidneys causing intense discomfort.
- Antibiotics are usually required to treat UTIs and prevent complications.
- Bladder inflammation
- Although bladder infections and urinary infections are more common in women, men can also have pain below the umbilical button as a result of bladder inflammation.
- Doctors advise men who complain of lower abdominal pain to be evaluated for enlarged prostate as well as bladder issues.
- Appendicitis in both men and women typically begins with a gnawing ache beneath the belly button, though it may present with lower abdominal pain (either side) as well.
- Men are more likely than women to experience appendicitis emergencies. T
- With appendicitis, lower abdominal pain usually begins in the center of the stomach and spreads to the right side.
- Appendicitis can rapidly escalate into a medical emergency. If you experience symptoms of an inflamed appendix, contact your doctor immediately.
- Trapped gas
- Gas accumulation in the intestines can cause severe stomach cramps. Fiber-rich and carbohydrate-rich diets are two of the most common causes.
- Gas trapped on the left side of the colon can cause severe lower left stomach discomfort or even severe left-sided chest pain.
- Trapped gas on the right side of the colon can cause severe stomach discomfort that feels like appendicitis.
- Constipation involves difficulty passing firm stools or infrequent bowel movements that can cause cramping and lower abdominal pain.
- As you strain to have a bowel movement, the discomfort in your lower abdomen may worsen.
- Irritable bowel syndrome (IBS)
- Crohn’s disease
- Stomach ulcers
- Colorectal cancer
- Food poisoning
- Food contaminated with bacteria or parasites can cause severe stomach and abdominal discomfort.
- Other symptoms include nausea, vomiting, and diarrhea that may take up to 48 hours to go away.
- Viral infections can cause generalized abdominal pain that may start as a dull ache but intensify over time and may be accompanied by diarrhea or vomiting.
- Most bouts resolve in a few days, and the priority for treatment is to avoid dehydration.
- If you are concerned you are getting dehydrated or your symptoms are getting worse, see your doctor.
- Sexually transmitted infections (STIs)
- Muscle strain
- A simple muscle strain can cause pain in the abdomen that worsens with movement.
- Core exercises can sometimes cause soreness in the abdominal muscles even hours after a workout.
- Maintain proper hydration, and be sure to stretch while your muscles are still warm.
- Sacroiliac joint dysfunction
- Pelvic pain
- The pubic bone, ileum, and sacrum are all parts of the pelvic bone.
- Injuries to these bones can lead to lower abdominal pain.
- Back pain
- Back pain can sometimes be felt in the abdomen. This is known as referred pain.
- This type of pain is often exacerbated by bending and lifting.
- Anxiety or stress
- Stress can cause stomach knotting that can feel similar to abdominal pain.
What are common symptoms that accompany lower abdominal pain?
Lower abdominal pain in men may be accompanied by other symptoms that can help with determining the underlying cause:
When to see a doctor for lower abdominal pain
Lower abdominal pain in men usually goes away on its own with home remedies and is no cause for alarm. However, you should seek medical treatment in the following cases:
- Pain is severe and does not go away even after 2 days
- Pain is accompanied by:
- Blood in stools
- Severe chest pain
- Abdominal area is very tender to the touch
- Severe pain is felt mostly in the lower right abdomen along with other symptoms of appendicitis
Treatment varies based on the symptoms and causes, with some patients requiring only prescription medication and others requiring emergency surgery.
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What’s Causing Your Lower Abdominal Pain? https://health.clevelandclinic.org/whats-causing-your-lower-abdominal-pain/
10 Specific Stomach Pains That Require Further Treatment: https://dighealth.org/posts/10-specific-stomach-pains-that-require-further-treatment/
Abdominal Pain: https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m4-curriculum/group-m4-approach-to/approach-to-abdominal-pain
9 signs your stomach pain isn't normal: https://blog.providence.org/blog-2/9-signs-your-stomach-pain-isnt-normal
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