
Causes and symptoms of bladder pain in men and women
Content:
- Description of the disease
Symptoms:
- Among women
- In men
- Causes of pain
- How to get rid of pain?
The bladder is one of the main organs of the excretory system of the body, which is a kind of bag with fluid. Pain in it can occur due to many different factors. Such as, for example, kidney disease, malfunctioning of the genitals, inflammatory processes in the coccyx. Such pains signal the presence of serious diseases not only in the bladder itself, but also in nearby organs.
Description of the disease
Pain in the bladder is a pathological symptom characterized by the occurrence of painful sensations of a different nature in the lower abdomen and is always accompanied by qualitative and quantitative disorders of urination. All this together allows us to call it a pain syndrome, since it has certain characteristics, the detailing of which allows you to determine the cause of its occurrence. After all, pain in itself is not a separate disease and can occur in many diseases, being an alarm signal. The adequacy of treatment will depend on how correctly these data are interpreted. An important point is the possibility of reflected pain in the projection area of the bladder, which can simulate its disease.
The characteristics of pain in the bladder include: the nature, intensity, conditions for the onset and what is provoked, when they decrease, how long ago they arose, the exact localization and spread, which are accompanied by accompanying manifestations. You also need to take into account the existing pathology and previous diseases, medical and other manipulations.
Bladder inflammation symptoms

Among women. According to statistics, such pains are more common in women, which is associated with a certain structure of the body. The location of the urethra in the body of women is such that various infections are easily retained in them. Especially often, diseases of this nature occur in pregnant women, since in this condition significant changes occur in the body's defense system, and it becomes very difficult to fight infection.
Usually cystitis is provoked by various staphylococci and bacteria, or the bladder becomes inflamed due to damage to the membrane. Painful sensations can be the result of medical manipulations, chemical or thermal burns. Pregnant women may have acute or chronic cystitis. If untreated, the inflammation spreads further, affecting the ureters and kidneys.
In men. In men, such pains are the result of problems with the reproductive and excretory systems. If there are stones or inflammation in the kidneys, additional signs can be noted - a feeling of chills, fever, and fever. In this case, it is necessary to undergo an examination. If the presence of kidney stones does not come to light, then the cause of the pain is urinary retention. To solve the problem that has arisen, it is necessary to identify the factor that caused such a delay.
Often in the form of pain in the lower abdomen, prostate adenoma manifests itself. Usually, men do not immediately notice the presence of this disease, since it proceeds in a latent form. With problems with the vascular system, abnormalities in the circulatory system, stress, the disease begins to bother. Pain can appear both in the lower abdomen and in the groin, in the testicles, and urination is always accompanied by pain. In this case, urgent diagnosis and the appointment of the correct treatment methods are required.
Why does the bladder hurt? Main reasons

It is not always possible to get a concrete answer to this question when you first visit a doctor. A huge number of diseases can be hidden under this symptom.
Among the causes of pain in the bladder, the following diseases can be noted:
- Acute and chronic cystitis is an inflammatory lesion of the walls of the bladder.
- Urethritis is an inflammatory irritation of the urethra.
- Bladder stones.
- Dyshormonal circulatory disorders of climacteric origin in the wall of the bladder.
- Tumors and polyps of the cystic wall.
- Traumatic injuries of the bladder and urethral section.
- Urolithiasis, accompanied by renal colic during the migration of a stone from the kidney through the ureter to the bladder.
- Prostatitis and benign prostatic hyperplasia (adenoma).
- Inflammatory and neoplastic diseases of the uterus and appendages.
- Reflected pain in the defeat of the pubic articulation, intestines, spine.
The process of matching a patient's symptoms to a specific disease is called differential diagnosis. It is very important to be able to correctly interpret the data obtained from a regular survey. In this case, one must also be guided by the main rules of medicine in relation to the incidence of a particular pathology in persons of a particular sex and age group. These include:
- Inflammatory diseases associated with damage to the walls of the bladder occur mainly in young women.
- Diseases associated with the urethra are more typical for young men with prostatitis and urethritis.
- The appearance of adenoma of the prostate gland, as a cause of discomfort in the bladder, is typical for older men.
- Tumor lesions of the bladder are more common in males.
- Regardless of gender - tumors occur more often in people over 40-45 years old.
On the basis of these regularities, it is possible to roughly understand in which direction to continue the diagnostic search, detailing the existing manifestations.
1. The most common cause of pain in the bladder is inflammatory diseases of the urinary organs (cystitis, urethritis). Its character in this case is presented in the form of cuts and constant urge to urinate, accompanied by a feeling of not completely emptying the bladder. The urination itself is painful and is manifested by cuts along the entire urethral canal. In men, it can give off to the head of the penis. The occurrence of this kind of symptoms is almost always associated with hypothermia. The intensity of pain decreases after a warm sitz bath and exposure to warm temperatures in the bladder area.
2. Urolithiasis is the second most common cause of pain in the bladder. If it happens that at first there is severe pain in the lower back, which then went down the lateral part of the abdomen to the bladder, causing frequent urination, then this is evidence of the migration of kidney stones. Almost always after this, after a few days, the calculus leaves through the urethra during urination. This process is also accompanied by cuts and pains along the way. If the stones were formed primarily in the bladder, then such pains are of a periodic aching nature and are aggravated by sudden movements, or while sitting in transport when traveling on an uneven road. They can bother for a long time, periodically not letting anyone know about themselves.
3. Pain in the bladder with prostatitis or prostate adenoma is never severe. They are aching and spread to the lower abdomen and perineum, having a more reflective character. There are no conditions for their appearance or disappearance, since they are monotonous and constant. Typically, patients are forced to wake up several times at night to urinate. The act of urination itself is painless, but difficult, the stream is weak.
4. Tumor lesion of the bladder. Most often, there are adenocarcinomas, which are manifested by aching periodic pain in the bladder. More often, they are localized at one point and do not spread to other areas. They can appear spontaneously and just as spontaneously disappear. An additional symptom that may suggest this cause of pain may be the presence of blood in the urine or dirty urine "the color of meat slops."
5. Injuries to the bladder as a cause of bladder pain are also uncommon. Its acute intense character at the time of a closed abdominal trauma, especially when the bladder is full, indicates its possible rupture. If at the same time there is no urination for a long time, then this is direct evidence of this disease. With fractures of the pelvic bones, urethral rupture is common. In that case, with all the desire of the patient to urinate, he is unable to do so. The discharge of blood from their urethra dispels all doubts about the cause of the pain in this case.
Other rare causes of pain in the bladder, such as gynecological diseases, dyshormonal circulatory disorders in menopause, and spinal lesions are the main symptoms of these diseases. Such pains are exclusively secondary in nature and should be treated by acting not on the bladder, but on the primary source of damage.
How to get rid of bladder pain?

The necessary treatment for bladder pain is determined by the disease that caused it. So, for example, with cystitis, a special diet and a strict drinking regime are prescribed. In addition, it is advisable to use antibacterial agents that effectively fight pathogenic microbes. Pharmacological drugs are also prescribed that quickly eliminate bladder spasms. Based on the test results, antibiotics are prescribed.
Note that during pregnancy, antibiotics are prescribed only in extreme cases. Before starting therapy, the patient is sent for a bacteriological analysis of urine. According to its results, the treatment is adjusted taking into account the reaction of the causative agents of the disease to certain medications. Treatment of chronic inflammation begins by eliminating the causes of the disease - for example, stones, bladder diverticula, adenoma. In addition, local installation therapy is used, which involves the introduction of liquid drugs into the bladder.

Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".