Symptoms

Pain in the pubic bone usually does not occur alone but with accompanying symptoms.If the symptoms occur after physical exertion and radiate into the thigh muscles, one can assume an inflammation of the pubic bone. If, on the other hand, the accompanying symptoms are increased pain when urinating and after sexual intercourse, prostatitis (inflammation of the prostate) may be considered. In pregnant women, on the other hand, the symptoms occur mainly when climbing stairs or jerky hip movements.

If pain occurs above the pubic bone, there are numerous possible causes. Possible triggers that are responsible for the pain in both sexes are, for example, inflammation of the pubic bone itself, which radiates into the area above. A bladder disease, for example a severe bladder infection, can also make itself felt through pain above the pubic bone.

In addition, there is often pain when urinating, the excretion of discolored urine and fever. An inflammation of the appendix, known as appendicitis, can manifest itself through pain above the pubic bone. A disease of the colon can also be the cause of the pain.

In men, pain above the pubic bone can be caused by an inflammation of the prostate. In women, for example, an inflammation of the uterus is a possible cause. Other diseases of the uterus or ovaries can also cause the pain.

If the pain is not clearly felt in the area centrally behind the pubic bone, but may radiate either to the left or right towards the groin or lower abdomen, various abdominal disorders must also be considered as causes. If the pain tends to be on the left side and is of a burning or pulling character, inflammation of the colon wall (diverticulitis) is the most common cause. The migration of kidney stones or urinary stones in one of the two ureters, which run in the area of the left and right lower abdomen towards the bladder, can also lead to left or right lower abdominal or pubic pain.

The presence of inguinal hernias (hernias), can under certain circumstances – depending on their location – cause pain in the right or left lower abdomen, and this always occurs when abdominal organs are trapped in the hernial orifice. In women, attention should also always be paid to possible diseases of the internal reproductive organs, which are anatomically located in the lower abdomen. For example, an inflammation of the left or right ovary and/or fallopian tube (pelvic inflammatory disease, salpingitis, oophoritis), ovarian cysts or a pregnancy in the fallopian tube outside the uterus (extrauterine pregnancy) can cause left or right lower abdominal pain.

The most common cause of right lower abdominal pain is inflammation of the appendix appendix (appendicitis). Due to the many different positions of the appendix or appendix, the pain may not always be felt exactly in the right lower abdomen, but can also be shifted further to the left or to the right upper abdomen. Especially at the beginning of the appendicitis, pain in the lower abdominal region is also possible, which only shifts further to the right as the disease progresses.

In addition, chronic inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis can always lead to uncharacteristic abdominal pain, which can be felt on both the left and right sides of the lower abdomen. Finally, the classic cystitis should always be considered, which can lead to pain above the symphysis, especially at the end of urination. However, this pain may also shift slightly to the right or left side of the lower abdomen if the cystitis rises and a co-reaction of the ureters occurs.

If the pain is not limited to the pubic bone area, but may radiate towards the groin (or even hips or perineum), various diseases must be considered as causes. On the one hand, the so-called athlete’s groin (Pubalgia athletica) should be examined, where the chronically misaligned or overstrained abdominal/trunk muscles, which are located at the anterior pelvic ring, can cause torn groin and pubic bone pain.On the other hand, consideration should also be given to inflammation of the pubic bone (osteitis pubis) or the pubic symphysis (symphysitis), which can be irritated as a result of permanent overloading (high sporting stress, anatomical malpositions) and can lead to the above-mentioned pain symptoms. In the same way, a hernia, simple strains of the pelvic, abdominal or hip muscles, an irritation or entrapment of nerves running in the groin area as well as swollen groin lymph nodes in the context of an infection/inflammation, urinary stones or diseases of the fallopian tubes or testicles can also lead to groin and pubic bone pain.