How to solve the problem of checking pelvic inflammatory disease and pelvic effusion in the hospital

Patient's question:

I've had lower abdominal pain for 4 months. The hospital has conducted thorough examinations for pelvic inflammation and pelvic effusion, and I have been diagnosed with endometrial polyps. I have received anti-inflammatory medication and injections, undergone physical therapy, and have been undergoing enemas for the past four days, but the pain still persists. Sometimes it hurts on both sides of the lower abdomen, and at other times, it hurts in the middle. What should I do? I haven't had children yet.

Doctor's answer:

Pelvic inflammatory disease (PID) is a general term that primarily includes endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis. The inflammation can be confined to one area or affect multiple areas simultaneously. Mild PID may be asymptomatic or have mild symptoms, with common symptoms including lower abdominal pain, increased vaginal discharge, and persistent pain that worsens after exercise or sexual activity. Severe PID can lead to fever, even high fever, chills, headache, and reduced appetite. If it occurs during menstruation, it may cause excessive menstrual flow and prolonged periods. If peritonitis is present, it can lead to digestive system symptoms such as nausea, vomiting, and abdominal pain with nausea and vomiting.

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