Lower abdominal or bladder painNeechle pait ya bladder ka dard

Yeh alamat kya hai

Neechle pait ka dard naaf aur groin ke darmiyan ke hissay mein mehsoos hota hai. Bladder se aane wala dard aam tor par pubic haddi ke bilkul oopar dabao, dard ya jalan ki tarah mehsoos hota hai. Yeh aksar bladder bharne ke saath barhta hai aur peshab ke baad kam hota hai, aur is ke saath baar baar ya jaldi peshab ki hajat ho sakti hai.

Neechle pait mein aant, peshab ki nalion ke neechle sire, mardon mein prostate, aurton mein rahm, nalian aur ovaries, aur pelvis ke patthay aur haddiyan bhi hoti hain. In mein se kisi ka dard isi hissay mein mehsoos ho sakta hai, is liye andaaz, aur jo doosri alamaat saath hon, woh sourcay ko dhoondne mein madad karti hain.

Aam wajohat

Yeh kisi bhi umar mein ho sakta hai. Bladder aur peshab ki nalion ki aam wajohat yeh hain:

• Bladder ya peshab ka infection (cystitis). Jalan, baar baar peshab aur dhundhle ya tez boo wale peshab ke saath dard ya dabao (dekhein peshab ki jalan guide).
• Bladder ka lamba dard (bladder pain syndrome). Dard jo mahinon tak rahe, bladder bharne ke saath barhe aur peshab ke baad kam ho, baar baar aur jaldi peshab ke saath, aur saaf peshab ke tests. Neeche dekhein.
• Pathri neechle ureter mein ya bladder mein (dekhein kidney stones guide aur bladder stones guide).
• Bhara hua bladder jo khaali na ho sake. Dard wala, sakht neechla pait jis mein peshab nahi aa raha emergency hai (dekhein peshab na aane ki guide).
• Mardon mein prostate ki soojan (prostatitis). Neechle pait, scrotum ke peechay ya penis mein dard, aksar jalan ya ejaculation par dard ke saath (dekhein penis ya ejaculation ke dard ki guide).
• Bladder ka tumour. Dard ki yeh kam aam wajah hai. Yeh aksar peshab mein khoon se zaahir hota hai (dekhein bladder cancer guide).
• Pelvis ki radiotherapy ke baad, jo bladder ko khafa kar sakti hai.

Peshab ke nizam se bahar ki wajohat yeh hain:

• Aant: qabz, irritable bowel, aant ka infection, appendicitis aur diverticulitis. Woh dard jo hajat ke baad kam ho, ya pait phoolne, dast ya ulti ke saath ho, yahan ishara karta hai.
• Aurton mein: mahwari ka dard, fibroids, ovary ke cysts, endometriosis, pelvis ka infection, aur ectopic pregnancy (rahm se bahar hamal), jo emergency hai.
• Hernia groin ya neechle pait ki deewar mein.
• Pelvic floor, peeth, kulhay ya pait ki deewar ke patthay, jo tanaao, khinchaao ya chot se dukh sakte hain.
• Bachon mein: qabz, infection, aur fikr ya zehni dabao aam wajohat hain, aur appendicitis par ghaur karna zaroori hai.

Infection ke baghair bladder ka dard

Kuch logon ko mahinon bladder se dard hota hai, jab ke peshab ke tests baar baar saaf aate hain. Isay bladder pain syndrome kehte hain (kabhi interstitial cystitis). Is ki wajah poori tarah samjhi nahi gayi, lekin yeh haqeeqi hai, aap ke zehan ki upaj nahi, aur safai ki kami se nahi hota. Is ki tashkhees doosri wajohat khaarij karne ke baad hoti hai.

Ilaaj qadam ba qadam hota hai aur aam tor par saade iqdamaat se shuru hota hai: bladder training, un cheezon ko pehchan kar unse bachna jo aap ka dard barhati hain (kuch logon ke liye chai, coffee, masaledar khana ya gas wale mashroob), jahan dastiyab ho wahan physiotherapist ke saath pelvic floor ko dheela karna, aur zehni dabao aur neend ka khayal. Agar yeh kaafi na hon, to urologist qism ke lihaz se dawaiyan, aur bladder ke andar daale jane wale ilaaj de sakte hain. Meherbani karke sabr karein. Aksar yeh jaanne mein waqt lagta hai ke aap ke liye kya kaam karta hai.

Jaanch aam tor par kaise hoti hai

Aap ke doctor poochhenge ke dard kahan hai, kaise aata jata hai, kya yeh bharne ya peshab karne, mahwari, ya hajat se juda hai, aur bukhar, peshab mein khoon, vaginal discharge, jinsi alamaat aur aant ki tabdeeli ke bare mein. Woh aap ka pait dekhenge, aur auraton mein pelvis ya mardon mein prostate ka muaina kar sakte hain. Aam tests yeh hain:

• Peshab ka test aur culture, infection aur khoon dekhne ke liye.
• Khoon ke tests, infection aur kidney ke kaam ke liye.
• Hamal ka test, un auraton mein jo hamila ho sakti hain.
• Pait, pelvis aur bladder ka ultrasound, aik mehfooz scan jo bladder, pathri, rahm aur ovaries, aur peshab ke baad bachay hue peshab ki miqdar dikhata hai.
• Peshab ke nizam ka CT scan, agar pathri ya pait ki kisi aur wajah ko dhoondna ho.
• Bladder ka flexible camera test, agar peshab mein khoon ho ya dard bina wazeh wajah ke jaari rahe.
• Doosre tests, aant ya gynaecology ke maahir se, agar dard wahan se aata nazar aaye.

Ab kya karein

• Doctor ko dikhayein aur peshab ka sample dein. Agar dard shadeed ho, to usi din jayein.
• Andaaz note karein: kahan hai, kitni der rehta hai, kya isay behtar ya bura karta hai, kya peshab ya hajat se badalta hai, aur auraton mein mahwari se kaise juda hai.
• Bladder diary rakhein chand din tak agar baar baar ya jaldi peshab bhi ho.
• Garam pack ya garam pani ka tub dard kam kar sakta hai. Aaram bhi madad karta hai.
• Saadi painkillers mashwaray ke mutabiq istemal karein. Apne doctor ya pharmacist se poochhein ke aap ke liye kaun si mehfooz hai, kyunke kuch kidneys ya pait ko nuqsan pohancha sakti hain.
• Agar kuch mashroob ya khaane dard barhate hon (maslan chai, coffee, cola ya masaledar khana), to kam karke dekhein ke kam hota hai ya nahi. Paani bilkul band na karein.
• Qabz ka ilaaj karein paani, resha aur pharmacist ya doctor ke batayay hue halke nuskhay se.
• Har qism ka tambaku chhor dein. Yeh bladder ko khafa karta hai aur bladder cancer ka khatra barhata hai.
• Peshab ke test ke baghair medical store se antibiotics ya jari booti ki cheezein na kharidein.
• Urologist ko dikhayein agar dard rahe, peshab mein khoon ho, infections baar baar aayein, pathri nikle, ya aap mard hain aur scrotum ke peechay ya penis mein dard ho.

Aam sawalaat

What this symptom is

Lower abdominal pain is felt in the area between the belly button and the groin. Pain that comes from the bladder is usually felt as pressure, aching or burning just above the pubic bone. It often builds up as the bladder fills and eases after passing urine, and it may come with the need to go often or urgently.

The lower tummy also contains the bowel, the lower ends of the urine tubes, the prostate in men, and the womb, tubes and ovaries in women, and the muscles and bones of the pelvis. Pain from any of these can be felt in the same area, so the pattern, and the other symptoms that come with it, help to find the source.

Common causes

It can happen at any age. Common causes from the bladder and urine tubes are:

• A bladder or urine infection (cystitis). Pain or pressure with burning, frequency and cloudy or strong-smelling urine (see the burning when passing urine guide).
• Long-term bladder pain (bladder pain syndrome). Pain that lasts for months, builds as the bladder fills and eases after passing urine, with frequency and urgency, and clear urine tests. See below.
• A stone in the lower ureter or in the bladder (see the kidney stones guide and the bladder stones guide).
• A full bladder that cannot empty. A painful, tight lower tummy with no urine passing is an emergency (see the unable to pass urine guide).
• Inflammation of the prostate in men (prostatitis). Aching in the lower tummy, the area behind the scrotum or the penis, often with burning or pain on ejaculation (see the pain in the penis or on ejaculation guide).
• A bladder tumour. This is a less common cause of pain. It is more often shown by blood in the urine (see the bladder cancer guide).
• After radiotherapy to the pelvis, which can irritate the bladder.

Causes outside the urinary system include:

• The bowel: constipation, irritable bowel, gut infection, appendicitis and diverticulitis. Pain that eases after opening the bowels, or comes with bloating, diarrhoea or vomiting, points here.
• In women: period pain, fibroids, ovarian cysts, endometriosis, pelvic infection, and an ectopic pregnancy (a pregnancy outside the womb), which is an emergency.
• A hernia in the groin or lower tummy wall.
• The pelvic floor, back, hip or tummy wall muscles, which can ache from tension, strain or injury.
• In children: constipation, infection, and worries or stress are common causes, and appendicitis must be considered.

Bladder pain without infection

Some people have pain from the bladder for months, with repeated clear urine tests. This is called bladder pain syndrome (sometimes interstitial cystitis). The cause is not fully understood, but it is real, it is not in your mind, and it is not caused by poor hygiene. It is diagnosed after other causes have been ruled out.

Treatment is step by step and usually starts with simple measures: bladder training, finding and avoiding what triggers your pain (for some people tea, coffee, spicy food or fizzy drinks), pelvic floor relaxation with a physiotherapist where available, and managing stress and sleep. If these are not enough, a urologist can offer medicines by type, and treatments passed into the bladder. Please be patient. It often takes time to find what works for you.

How it is usually investigated

Your doctor will ask where the pain is, how it comes and goes, whether it is linked to filling or passing urine, to periods, or to opening your bowels, and about fever, blood in the urine, vaginal discharge, sexual symptoms and bowel changes. They will examine your tummy, and may examine the pelvis in women or the prostate in men. Usual tests are:

• A urine test and culture, to look for infection and blood.
• Blood tests, for infection and kidney function.
• A pregnancy test, in women who could be pregnant.
• Ultrasound of the tummy, pelvis and bladder, a safe scan that shows the bladder, stones, the womb and ovaries, and how much urine is left after passing urine.
• CT scan of the urinary tract, if a stone or another cause in the tummy needs to be found.
• A flexible camera test of the bladder, if there is blood in the urine or pain continues without a clear cause.
• Other tests, from a bowel or gynaecology specialist if the pain looks as if it is coming from there.

What to do next

• See a doctor and give a urine sample. If the pain is severe, go the same day.
• Note the pattern: where it is, how long it lasts, what makes it better or worse, whether passing urine or opening your bowels changes it, and, in women, how it links to periods.
• Keep a bladder diary for a few days if you also have frequency or urgency.
• A warm pack or warm bath can ease the ache. Rest also helps.
• Use simple painkillers as advised. Ask your doctor or pharmacist which one is safe for you, because some can harm the kidneys or the stomach.
• If certain drinks or foods make it worse (for example tea, coffee, cola or spicy food), cut down and see whether it eases. Do not cut out fluids altogether.
• Treat constipation with fluids, fibre and a gentle remedy advised by a pharmacist or doctor.
• Stop all tobacco. It irritates the bladder and raises the risk of bladder cancer.
• Do not buy antibiotics or herbal products from a counter without a urine test first.
• See a urologist if the pain lasts, if there is blood in the urine, if infections keep coming back, if a stone is found, or if you are a man with pain behind the scrotum or in the penis.

Common questions