Patient's question:
Doctor, my wife was carefully diagnosed with chronic pelvic inflammatory disease, but after taking many medications for it, there was no improvement. I suspect it might not be pelvic inflammatory disease, so I hope the doctor can tell me what the symptoms of pelvic inflammatory disease are.Doctor's answer:
According to clinical manifestations, it is divided into acute and chronic: The characteristics of acute pelvic inflammatory symptoms are: onset is sudden, the condition is severe, and it can recur with lower abdominal pain, fever, chills, headache, and poor appetite. On examination, the patient appears acutely ill, with high body temperature, rapid heart rate, muscle tension, tenderness, and rebound tenderness in the lower abdomen. Pelvic examination: The vagina has a large amount of purulent discharge, the fornix has significant tenderness, and the uterus and bilateral adnexa have tenderness and rebound tenderness, or one adnexa is thickened. The characteristics of chronic pelvic inflammatory symptoms are: onset is slow, and the course of the disease is long. The systemic symptoms are often not obvious, with low fever, easy fatigue, and lower abdominal dragging and lumbago. On examination, the uterus is often in a retroverted position, with limited mobility, or adhesion and fixation. Acute and chronic pelvic inflammatory can be diagnosed based on medical history, symptoms, and signs.