Patient's question:
Lower abdominal pain on both sides, soreness in the lower back and pelvic bone area, abnormal discharge that has been consistently yellow and thick. What should I do?Doctor's answer:
Hello: Based on your information, the pain on both sides of the lower abdomen, soreness in the lower back and pelvic bone area, yellow and viscous leukorrhea may indicate chronic pelvic inflammatory disease. Its clinical manifestations include lower abdominal and lumbosacral pain, sometimes accompanied by a sensation of rectal fullness. The pain often worsens after exertion, sexual intercourse, defecation, and before or after menstruation. Leukorrhea increases, menstrual bleeding may be excessive or irregular, and may be accompanied by dysmenorrhea. Primary or secondary infertility may also occur. Chronic pelvic inflammatory disease is often caused by factors such as infection after induced abortion, unclean sexual intercourse, and poor menstrual hygiene. Diagnosis is based on medical history, symptoms, and physical examination. In terms of treatment, single therapy for chronic pelvic inflammatory disease is often ineffective, and most cases require comprehensive treatment. Antibiotic therapy can be used, and in some cases, antibiotics are administered concurrently with dexamethasone. Oral dexamethasone 0.75mg three times daily is recommended, with gradual tapering when discontinuing the medication. Alternatively, a-? protease 5mg or hyaluronidase 1500U can be injected intramuscularly once every other day, with 7–10 treatments constituting a course, to facilitate adhesion resolution and inflammation absorption. Additionally, topical treatments such as "Pain Clear," "Women's Comfort," and the external rinse "Clean Comfort Solution" can be used. Pain Clear primarily has the effects of clearing heat, promoting diuresis, regulating qi, resolving stagnation, invigorating blood circulation, and detoxifying, while Women's Comfort clears heat and promotes diuresis, removes excess heat, replenishes vital energy, and exhibits inhibitory effects on various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.