How are the symptoms of pelvic inflammatory disease?

Patient's question:

Menstrual period lower back pain is this disease

Doctor's answer:

Hello, symptoms of acute pelvic inflammatory disease: lower abdominal pain, fever, increased vaginal discharge, even chills, high fever, headache, and loss of appetite, may indicate acute pelvic inflammatory disease. However, the symptoms of pelvic inflammatory disease are sometimes atypical. Some people may experience nausea, vomiting, abdominal bloating, and diarrhea; some may have lower back pain, difficulty urinating, frequent urination, and dysuria; and some may have a sense of urgency after defecation and difficulty defecating.
Symptoms of chronic pelvic inflammatory disease: Some women may frequently experience low-grade fever and easily feel tired or exhausted. They may always feel lower abdominal heaviness, pain, and lower back pain before and after menstruation or after sexual activity. Sometimes, they may also have symptoms such as increased menstrual flow, menstrual disorders, or infertility. If they have a history of acute inflammation, chronic pelvic inflammatory disease should be considered.
Diagnosis
However, some patients with chronic pelvic inflammatory disease do not have a history of acute inflammation. At times, pelvic congestion or varicose veins can also produce similar symptoms, making chronic pelvic inflammatory disease sometimes difficult to diagnose.
You may have chronic pelvic inflammatory disease. Please go to the hospital for examination and treatment.