Patient's question:
Female, 40 years old, carefully checked pelvic effusion of 1.5 cm, sciatica, especially before going to bed in the morning, numbness near the right buttock close to the coccyx, numbness on the right sole to the right side, sciatica, but the lower back is not too painful, severe in recent days. It used to hurt occasionally.Doctor's answer:
Pelvic effusion can be divided into two types: physiological and pathological. Pathological effusion is mainly caused by pelvic inflammation, while physiological effusion is commonly seen during ovulation and menstruation. If you do not experience symptoms such as fever, abdominal pain, lower back pain, or purulent vaginal discharge, which are indicative of pelvic inflammation, it is likely a physiological effusion and does not require any treatment. Based on your medical history, it is highly possible that the symptoms are caused by lumbar disc herniation compressing the sciatic nerve. It is recommended to undergo lateral and anteroposterior X-ray examinations of the lumbar spine to assist in confirming the diagnosis. For severe cases of pelvic inflammation, it is advised to seek immediate medical attention. Follow the doctor's recommendations for prompt treatment and avoid blindly relying on advertisements or over-the-counter medications, as this may worsen the condition.