Patient's question:
Chronic pelvic inflammatory disease can cause severe difficulty in defecation and incomplete bowel movements? It has been five months now, and I have been in pain every day. The entire abdomen and lower back are in intense pain, and I feel generally unwell. About past treatment and its effectiveness: I have been undergoing ten days of herbal enemas and medication, but it is still extremely difficult to pass stools. The doctor is reluctant to prescribe any more medication. What kind of help do you want: I really hope you can help me because my illness is becoming very serious.Doctor's answer:
For patients with pelvic inflammatory disease who experience severe lower abdominal pain and show significant pelvic inflammatory signs during gynecological examinations, broad-spectrum antibiotics such as penicillins and cephalosporins, combined with metronidazole (Flagyl), should be administered via intravenous drip after the menstrual cycle ends. If the pelvic area has masses or the inflammation is severe and recurrent, surgical treatment may be appropriate. Additionally, physical therapies such as shortwave, ultrashortwave, infrared, and drug iontophoresis can enhance pelvic blood circulation, aid in the resolution of inflammation, and may be selectively used.