2) Urinary calculus diseases

Another cause for the occurrence of groin pain is the presence of urinary calculus. Urinary stones form mainly when salts that are normally dissolved in urine crystallize and condense. Patients with poor dietary habits or certain metabolic diseases usually have a significantly increased risk of developing urinary stones.

The reason for this is an imbalance between stone-inhibiting and stone-forming substances in the urine. Calcium and phosphate as well as oxalate and urate are among the ions that promote the formation of urinary stones. Citrates, on the other hand, are considered to be stone-inhibiting substances.

In addition, other factors (such as urine production per day, kidney diseases, urinary flow disorders and lack of exercise) play a decisive role in the development of urinary stones, which can be associated with groin pain. In many cases, particularly small urinary stones can be excreted easily via the urinary tract. Larger urinary stones, on the other hand, tend to get stuck on their way from the kidney to the bladder.

These urinary stones can cause groin pain in those affected. However, patients suffering from urinary stones experience colic much more frequently. The term “colic” refers to a swelling pain that reaches its peak after a few hours and then slowly subsides.

Depending on the exact location of the urinary calculus, the symptoms can vary greatly. Urinary stones that are located in the area of the ureters often cause colic and groin pain. In some cases, these pains can even radiate into the back, flanks, lower abdomen or genitals.

The abdomen of the affected patients usually appears bloated and hardened. Because of the severe pain, most patients have to adopt a bent, relieving posture.The occurrence of nausea and sweating is also a typical symptom of urinary stone disease. If these symptoms are present, a doctor should be consulted immediately and appropriate treatment should be initiated.

If the body temperature of the affected patients begins to rise (fever), this should be interpreted as a warning signal. The treatment of urinary calculus disease with groin pain depends on the size of the urinary stones and their exact location. In the case of small stones, the patient is given analgesic medication and then asked to increase the daily amount of drinking.

This can stimulate urine production in the kidneys and thus possibly lead to the stone being washed out. In addition, sufficient exercise can help to loosen small, stuck urinary stones. If the symptoms persist or larger urinary stones are present, a so-called shock wave lithotripsy can be performed.

Here the stone is crushed by bundled ultrasonic waves and can then be excreted in the urine. In severe cases, surgical removal of the urinary calculus may be necessary. The main danger of urinary calculus is urinary stasis, where the regular flow of urine is interrupted.

This leads to an enlargement of the renal pelvis. If the urinary stasis leads to the passage of bacterial pathogens, an inflammation of the renal pelvis can develop. In addition, in the presence of a urinary calculus disease with groin pain, there is a risk that bacterial pathogens enter the bloodstream and cause sepsis (blood poisoning) there.