Patient's question:
I would like to ask: Is lower left abdominal pain sometimes appendicitis? I had pain in high school, and I haven't had any surgeries. I also pay attention to my personal hygiene. Does appendicitis usually cause pain or only pain for a period of time? I am 21 years old now, so I should not have this disease, right? Thank you!First follow-up question: It's sudden, sometimes it's fine, and then it suddenly hurts. I eat three meals a day normally, but my stomach isn't very good, and I don't digest food well. The doctor said it's intestinal infection, sometimes it hurts very badly, sometimes it's a dull ache. He told me to pay attention to my diet. It's not about the lower abdomen.
Doctor's answer:
In inflammatory conditions of female reproductive organs and pelvic tissues, tubal inflammation is the most common. Since the fallopian tubes are adjacent to the ovaries, when the fallopian tubes become inflamed, the ovaries are often affected simultaneously. These two organs are generally referred to together as "adnexa," so adnexitis is essentially tubo-ovarian inflammation. Chronic adnexitis is very common, often resulting from acute conditions that transition over time. In some cases, acute symptoms may be mild, but once they occur, they are typically classified as chronic.The occurrence of adnexitis can be attributed to the following factors:
1. Postpartum or post-abortion infection. Postpartum immunity is weakened (especially with repeated miscarriages), and the amount of bleeding is usually significant, making it easier for bacteria and other pathogens to infect.
2. Improper sterile procedures or inadequate sterilization during minor surgeries. For example, during the insertion of an intrauterine device (IUD), tubal irrigation, iodine oil contrast, or uterine scraping, pathogens may enter the fallopian tubes from the uterine cavity.
3. Unprotected or unsafe sexual practices, such as early or frequent intercourse or sexual activity during menstruation, can lead to adnexitis.
Due to these causes, after acute tubal inflammation occurs, inflammatory secretions often overflow through the fimbriae of the fallopian tubes, affecting the ovaries and causing peri-ovarian inflammation. Following tubal inflammation, adhesions often form in multiple areas of the mucosal or serosal layers, potentially sealing the fallopian tube openings or obstructing the lumen. Since inflammation typically occurs bilaterally, it frequently results in infertility.