Patient's question:
Previously, I would experience lower back pain a week before my monthly period, which would subside once the period arrived. However, this month, the pain has persisted for about 20 days. During this time, I have had dark brown discharge similar to menstrual flow. The pain intensifies when I stand for a long time or after intense training. The worst pain occurs when I lie in bed and arch my right side. Could this be pelvic inflammatory disease?Doctor's answer:
Pelvic inflammatory disease (PID) generally refers to chronic inflammation of the female internal reproductive organs and their surrounding connective tissues, as well as the pelvic peritoneum. Its main clinical manifestations include menstrual disorders, increased vaginal discharge, and lower abdominal pain. Based on the symptoms you described, they align with the characteristics of PID. However, a careful ultrasound examination is necessary to confirm the diagnosis.If PID is confirmed, anti-inflammatory treatment can be administered. For mild symptoms, oral medications such as metronidazole and tinidazole can be taken. In more severe cases, intravenous antibiotics may be required.
PID patients can combine symptomatic treatment with dietary therapy as supplementary treatment in daily life. It is important to maintain a balanced diet and avoid foods.