Patient's question:
Miscarriage, dilatation and curettage, followed by pelvic inflammatory disease caused by hospital-related issues. After antibiotic treatment, I was discharged, but still feel uncomfortable, experiencing a heavy and bloated sensation in the abdomen, especially after sitting for a long time. Walking quickly causes sharp pain, and I easily tire. During the gynecological examination, the uterus and adnexa were not tender, but the ultrasound revealed 20mm of pelvic effusion. How did it become chronic? If it is chronic, how can it be prevented from recurring? If it does not recur, the adnexa examination would never be tender.Doctor's answer:
In your case, it may have transitioned from acute pelvic inflammatory disease (PID) to chronic PID. With chronic PID, there is usually no obvious pain, but it may manifest as mild lower abdominal or back pain, or infertility. However, chronic PID is generally difficult to completely cure. If you don't experience significant discomfort, you can avoid spicy foods and exercise more to boost your immune system. If you have noticeable pain, active anti-inflammatory treatment is necessary.For patients, if the pelvic inflammatory disease is severe, immediate symptomatic treatment and proper medication should be administered. Otherwise, it may lead to a recurrence of the condition. Additionally, patients should pay attention to their diet and psychological care. I hope the answers to these questions can help everyone. Thank you.