What are the reasons for lower abdominal pain when a man urinates?

Patient's question:

Recently these days, I've been experiencing frequent urination and urgency, with yellowish urine. Sometimes urination is very painful, like being pricked. The glans urethra is severely swollen, and I often feel abdominal pain when urinating. It's a bit difficult to urinate, as if something is blocking it. My sleep is very poor, and I feel weak all over.

Doctor's answer:

Hello, the main causes of lower abdominal pain in men are as follows:
1. Acute pancreatitis can also lead to lower abdominal pain in men: Common symptoms include severe and persistent pain in the upper abdomen or left upper abdomen (sometimes extending to the back), nausea and vomiting, and fever. The pain may slightly ease when the body bends forward.
2. Ureteritis and ureteral stones can also cause lower abdominal pain. Lower abdominal pain is often accompanied by pain in the lateral aspect of the lumbar spine or lower back pain, along with intermittent colicky pain and microscopic hematuria, as well as tenderness along the course of the ureter.

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