Pulling in the middle of the lower abdomen
An inflammation of the urinary bladder can lead to pulling pain in the middle lower abdomen. Young women in particular are more frequently affected by this clinical picture, as the bacteria responsible usually enter the bladder via the urethra, which is anatomically much shorter in women than in men. The pulling pain usually intensifies when urinating.
In addition, there is an increased urge to urinate, i.e. the feeling of never being able to “empty” the bladder properly. The urine can be foul-smelling due to bacterial colonization. An inflammation of the prostate gland can cause pulling pain in the middle lower abdomen in men. The pulling pain that many women are familiar with, which occurs in connection with monthly menstruation, also frequently leads to complaints in the middle lower abdomen.
Pulling in the right lower abdomen
Severe pain in the right lower abdomen, which increases in intensity, can be an indication of appendicitis, especially in schoolchildren and adolescents. This is often accompanied by a strong feeling of illness and fever. Those affected can suffer both from diarrhea and constipation.
Children in particular can show constipation with similar symptoms, but these symptoms improve suddenly as soon as the child has defecated. Since the ovaries in women are paired, i.e. one ovary and fallopian tubes on each side of the lower abdomen, inflammation of the right ovary leads to pulling, right-sided lower abdominal pain. People who suffer from Crohn’s disease, a chronic inflammatory bowel disease, suffer from recurrent, pulling and severe pain in the lower abdomen with maximum pain in the right lower abdomen. In addition to the pulling, those affected often suffer from abdominal cramps, diarrhea with weight loss and fever.
Pulling in the lower abdomen due to disease of the back
Diseases of the lumbar spine, such as herniated discs, fractures of the lumbar vertebral bodies, among other things in the context of osteoporosis or the slipping of a vertebral body, can lead to back pain in this area, which occasionally radiates into the lower abdomen and can cause the pulling pain. Such a radiation is however rare. Conversely, pulling pain in the lower abdomen can also radiate into the back.
This can often be observed, for example, in the context of very severe period pains. A special case is inflammation of the renal pelvis or kidney stones, which consequently hinder the removal and excretion of urine. Pain in the flank area, i.e. also in the back, as well as radiation with pulling lower abdominal pain are typical for this disease.
Abdominal pain and pulling in the lower abdomen are by far not only complaints that women have to deal with, even if they are proportionally more frequently affected. One of the most common, male-specific causes is an inflammation of the prostate, which is known as prostatitis. This gland produces a large part of the fluid that is secreted during ejaculation in men.
It is colloquially known as the prostate gland. Almost half of all men suffer from such an inflammation at least once in their lives. In addition to pulling in the lower abdomen, there is often pain in the area of the perineum, which is where the prostate lies.
Furthermore, problems can also occur when urinating, as part of the urethra passes through the prostate. This then often manifests itself as pulling pain in the lower abdomen. The pain can also radiate into the back.
Since the prostate gland also plays an important role in ejaculation, pain and erectile dysfunction can also occur. The most common cause of prostatitis is bacteria. In most cases, these are bacteria that also occur in the intestines and first infect the urethra, rise up in it and finally attack the prostate.The prostate gland swells due to the bacterial infection, but also due to the body’s defensive reaction, and stretches the capsule surrounding it, causing the corresponding pain.
In addition to this acute prostatitis, the organ can also be chronically inflamed. A cause can very often not be found in the latter. If the acute prostatitis is of bacterial origin, a therapy with antibiotics is sought. This must be carried out in the hospital with the help of a dissolved antibiotic, especially at the beginning of the disease via the vein, so that the active substance reaches the inflamed organ more quickly and in larger quantities.
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