Patient's question:
I had a miscarriage surgery on the 1st. Now on the 8th, everything below is clean, but on the morning of the 6th, my stomach was very painful, so I took stomach medicine, which didn't help. Then I felt my stomach was very bloated and painful, thinking it was indigestion. On the 7th, I got some absorption medicine, and on the 8th, the pain and bloating stopped, but I still felt nauseous and had diarrhea.Past treatment and effectiveness: First miscarriage surgery, my stomach and intestines were a bit off.
Type of help needed: Help me understand what's going on.
Doctor's answer:
During a manual induced abortion, surgical instruments need to pass through the vagina and cervix to reach the uterine cavity. Although strict surgical operation protocols are followed, the surgical instruments do not touch the vaginal wall, but the cervical canal and internal cervical os are dilated during the procedure, creating an opportunity for downward bacterial infection. Moreover, bacteria may also enter the uterine cavity directly through the surgical instruments. This is the reason why infection may occur after an induced abortion.We know that there are many bacteria growing in the vagina, and the microbial community is usually in a symbiotic state, where they mutually inhibit each other and do not cause sepsis. However, when vaginitis occurs again, the balance among these bacterial communities is disrupted, and certain bacteria overgrow, entering a septic state.