Patient's question:
I had an abortion without anesthesia on the 23rd of last month, and it has been 35 days now, but my period has not arrived. On December 15th, I had some abdominal pain and went to the hospital for a thorough examination, where it was diagnosed as gastritis with some pelvic effusion. The doctor prescribed some stomach medicine. The night before yesterday, my abdomen hurt again, so I went to the hospital for another thorough examination. It was said to be pelvic effusion, and the doctor performed a posterior cul-de-sac puncture surgery on me. The uterine cavity, blood tests, and leukorrhea were all normal. I received intravenous saline and medication, and today I still have pain and went back to receive saline, but it still hurts a bit...What kind of assistance is needed: Please advise the experts, what is wrong with me?
Doctor's answer:
There are three potential reasons for stomach pain: 1) inflammation, 2) poor uterine involution with occasional contractions, and 3) pelvic functional endocrine disorders caused by miscarriage, leading to chronic pelvic congestion and chronic hidden pain. Based on your symptoms, the latter two possibilities are more likely.Recommendations:
1) Re-examine an ultrasound and urine HCG to rule out residual tissue in the uterine cavity and gestational trophoblastic disease.
2) Use traditional Chinese medicine to promote blood circulation and warm the meridians. Methods such as Shenghua Decoction can be adopted, supplemented with herbs like Danggui (Angelica Sinensis), Malva Nut (Portulaca Oleracea), Chuan Niu Xi (Asarum Europaeum), Zhi Xiang Fu (Fennel), Sheng Pu Huang (Powdered Persicae Semen), Zhi Yuan Hu (Paeonia Lactiflora), Taoren (Pistacia Semispina), Honghua (Carthamus Tinctorius), Hongteng (Polygonum Cuspidatum), and Bai Jiang Cao (Patrinia Scabiosa). Alternating use of these herbs should alleviate the symptoms.
You may also provide more details about other symptoms, such as the nature of the pain, feverishness, and urinary or bowel changes, to enable more accurate medication.