What is the difference between abdominal pain caused by pelvic inflammatory disease and enteritis?

Patient's question:

Female, 32 years old. Three years ago, after a cesarean section, she experienced pain at the injection site and surrounding areas in her lower back where she had received a needle, and she also developed hemorrhoids. In November, her menstrual period lasted five days longer than usual, with a duration of nine days. In December, her menstrual period lasted 12 days, with bright red blood, but five days later, she had dark brown vaginal discharge for five days. Recently, she has experienced some lower back pain, mild abdominal pain, slight rectal prolapse, a sensation of heaviness at the anus, and sometimes loose stools and sometimes dry stools, accompanied by abdominal pain. Her vaginal discharge was normal before, but recently, after her menstrual period, she has had some brown discharge. Could this be caused by gynecological inflammation, intestinal inflammation, or hemorrhoids? Please advise. I urgently need a reply! Thank you!

Doctor's answer:

Hello: Based on your condition, you have mild pelvic inflammatory disease (PID) along with enteritis. Your abdominal pain is likely a result of both PID and enteritis. However, it can be distinguished: pain caused by PID is located in the lower abdomen, while pain caused by enteritis is near the navel.
The occurrence of PID not only affects a woman's life but can also lead to gynecological diseases. Therefore, it is best to undergo a routine examination in the gynecology department of a hospital. After identifying the cause, symptomatic treatment should be administered. In daily life, pay attention to dietary adjustments, consuming light and easily digestible foods, and avoid spicy, irritating, and cold foods.

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