Here are the situations that are pelvic inflammatory disease or appendicitis?

Patient's question:

The doctor said my lower right abdomen pain might be endometritis. Later, I went to the hospital, and the ultrasound showed 14mm of rectal pouch fluid. I usually get my period on the 25th, and today is the 13th. The doctor then gave me a gynecological examination, pressing the cervix with their hand and saying it was normal. Is this pelvic fluid a physiological factor? Could there be endometritis?

Doctor's answer:

If there is rectal recess fluid, it indicates that there is some inflammation in the pelvic cavity, but the cause of the right lower abdominal pain still needs to be tentatively determined. A doctor should conduct a physical examination or an ultrasound to diagnose the condition. Currently, your pelvic effusion may also reappear before your menstrual period. If it occurs outside the menstrual period, it is likely pelvic inflammation.
It is recommended to go to a regular hospital where a doctor should conduct a physical examination or an ultrasound to rule out the possibility. When patients are affected by pelvic inflammation, we should actively carry out examinations and treatment, and avoid delaying medical consultation. If pelvic inflammation is not cured after treatment, it is necessary to promptly adjust the treatment plan.

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