Lower back and sacral pain, with slightly abnormal vaginal discharge, could it be a gynecological disease?

Patient's question:

Female 31
High fever persists, lower back and sacral pain, slight abnormality in leukorrhea, otherwise normal

Doctor's answer:

Lower back pain and pain in the lower abdomen are often considered signs of pelvic inflammation. Increased vaginal discharge with an odor or vaginal itching may indicate vaginitis! It is recommended that you have a gynecological color ultrasound to check for pelvic inflammation. If it is present, timely anti-inflammatory treatment is necessary. Additionally, a routine vaginal discharge test should be conducted to determine the type of vaginitis, and appropriate medication should be selected based on the test results.
There are many pathogens that can cause inflammation, including bacteria, fungi, and trichomonas. A routine vaginal discharge test in the gynecology department of the hospital is required to confirm the nature of the inflammation before medication can be prescribed. Currently, it is not advisable to recommend specific medications.

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