Dominic Stone
Experiencing abdominal pain and painful urination can be concerning. While a pulled abdominal muscle can cause abdominal pain, it is unlikely to cause pain when urinating. The abdomen houses most of the vital organs, and issues such as inflammation or infection are common causes of abdominal pain. Pain during urination is usually caused by something in the urinary tract, such as a urinary tract infection (UTI) or bladder infection.
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What You'll Learn
Urinary tract infections
A pulled abdominal muscle can cause pain in the abdomen, especially during movement. However, it is unlikely to be the cause of pain specifically during urination.
- Pain in the flank, abdomen, pelvic area, or lower back
- Pressure in the lower pelvis
- Cloudy, foul-smelling urine
- Urinary incontinence
- Frequent urination
- Pain when urinating
- Blood in the urine
- Fatigue
- Nausea and vomiting
- Mental changes or confusion
UTIs can affect any part of the urinary system, including the urethra, kidneys, and bladder. They are more common in females because their urethras are shorter and closer to the rectum, making it easier for bacteria to enter the urinary tract.
UTIs are typically treated with antibiotics. It is important to take antibiotics exactly as directed by a healthcare provider and not to share them with others. Staying well-hydrated and practising good hygiene, such as wiping front to back after using the toilet, can also help prevent UTIs.
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Hernias
A pulled abdominal muscle can cause pain when urinating, but this is not related to hernias. Hernias are a separate condition that occurs when there is a gap in the muscular wall of the abdomen, allowing internal organs or body parts to protrude outward. This can result in a noticeable bulge that may or may not be painful.
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Interstitial cystitis
A pulled abdominal muscle can cause pain in the abdomen, especially during movement. However, it is unlikely to be the cause of pain specifically during urination.
The exact cause of IC is unknown, but it is suspected that it may be related to certain medical conditions, including autoimmune diseases, allergies, and issues with the bladder lining. Women are more likely to be diagnosed with IC than men, and symptoms often worsen during menstruation. Diagnosis of IC is made by ruling out other conditions with similar symptoms, such as urinary tract infections, vaginal infections, kidney stones, and cancer. Treatment for IC aims to relieve symptoms through medication, nerve stimulation, acupuncture, and lifestyle changes.
To summarise, a pulled abdominal muscle is not likely the cause of pain during urination, but interstitial cystitis could be a potential cause. IC is a chronic condition characterised by bladder inflammation, pain, and urinary issues. The exact cause of IC is unknown, but it predominantly affects women and can interfere with daily life and emotional well-being. Treatment options for IC focus on symptom management.
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Pelvic inflammatory disease
A pulled abdominal muscle can cause pain in the abdomen, especially during movement. However, it is unlikely to cause pain when urinating.
The signs and symptoms of PID are often subtle and mild, and some women may not experience any symptoms at all. When symptoms are present, they may include:
- Pain in the lower abdomen and pelvis, ranging from mild to severe.
- Unusual or heavy vaginal discharge that may have a foul odor.
- Unusual bleeding from the vagina, especially during or after sex, or between periods.
- Painful sex.
- Painful urination.
- Irregular periods.
If left untreated, PID can cause permanent damage to the reproductive organs. Scar tissue and pockets of infected fluid (abscesses) can develop in the reproductive tract, leading to serious and long-term complications. Abscesses are collections of pus that most commonly affect the fallopian tubes and ovaries but can also develop in the uterus or other pelvic organs. Untreated abscesses can lead to life-threatening infections.
The United States Department of Health and Human Services estimates that PID affects around 5% of females in the country. Treatment for PID includes antibiotics, with most cases resolving with oral antibiotics. However, severe cases may require hospitalization and intravenous antibiotics.
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Bladder cancer
A pulled abdominal muscle can cause pain when urinating. Doctors refer to a pulled muscle as a strain or tear, which can occur during exercise, heavy lifting, or other activities. Treatment for a pulled abdominal muscle involves rest and pain medication.
There are several types of bladder cancer:
- Squamous cell carcinoma: This type originates from the thin, flat cells that line the inside of the bladder. It can develop after long-term irritation or infection with a parasite called schistosomiasis, which is common in Africa and the Middle East but rare in the United States.
- Adenocarcinoma: This type of cancer begins in the glandular cells found in the lining of the bladder, which produce mucus and other substances.
- Small cell carcinoma: This cancer originates from neuroendocrine cells, which are nerve-like cells that release hormones into the blood.
Symptoms of bladder cancer may include abdominal pain and painful urination, but these symptoms are often associated with less serious conditions as well. Other signs and symptoms may include:
- Blood in the urine (hematuria)
- Frequent urination or feeling the urge to urinate without passing much urine (urinary urgency and frequency)
- Feeling the need to urinate without being able to (urinary retention)
- Pain during intercourse
- Pelvic pain
Risk factors for bladder cancer include tobacco use, especially smoking cigarettes. Treatment options depend on the stage and extent of the cancer and may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.
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Frequently asked questions
A pulled abdominal muscle can cause soreness and tenderness in the abdomen, especially during movement. Depending on the severity of the strain, there may also be swelling or bruising, noticeable weakness, and a complete loss of muscle strength.
Treatment for a pulled abdominal muscle involves rest and pain medication. Applying ice packs and warm compresses to the injured area can also help. It is important to avoid strenuous activity and give the muscle time to recover.
Pain when urinating is usually caused by issues in the urinary tract. A pulled abdominal muscle is not known to be a cause of pain when urinating. However, a pulled abdominal muscle can cause pain in the abdomen, which may be felt during urination.
