What is the reason for the persistent fullness and stuffiness in the lower abdomen?

Patient's question:

Doctor:
Hello! On October 9th and October 16th, I underwent a D&C (dilation and curettage) and a second D&C due to incomplete medication abortion. After the first D&C, I had no other symptoms except bleeding for about a week. After the second D&C, I’ve been experiencing persistent discomfort in the upper concave area of my vagina, a feeling of fullness and pressure. At the traditional Chinese medicine hospital, I had an ultrasound, a routine vaginal discharge test, and a gynecological examination. The only abnormal finding was pelvic effusion (a 2.3×0.7 cm fluid-filled area in the uterus and rectal pouch, with the uterus and adnexa normal). Everything else was normal. After medication, the effusion disappeared by November 14th during my follow-up visit. However, the discomfort mentioned above still occasionally appears, sometimes causing pelvic pain.

Doctor's answer:

Hello, friend, in this case, it is recommended to actively seek medical attention from a gynecologist, as it is mainly considered to be a symptom of pelvic inflammatory disease. It is advised to maintain a balanced diet, keep a positive mood, balance work and rest, and avoid spicy and irritating foods. An ultrasound examination is recommended for targeted treatment. Wishing you good health.
The occurrence of pelvic inflammatory disease not only affects a woman's physical health but also leads to the development of gynecological diseases. Therefore, it is best to undergo an ultrasound examination at the hospital's gynecology department to identify the cause and receive symptomatic treatment. Pay attention to dietary adjustments, consuming light and easily digestible foods, and avoid spicy, irritating, and cold foods.

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