Back pain after menstruation, is it an infection?

Patient's question:

Post-abortion infection, received 6 days of and, followed by 5 days of and. Ultrasound showed the infection was gone, with tenderness and negative tension, but the abdomen still hurts. Could the infection not be fully resolved? It has been 2 months since the abortion.

Doctor's answer:

Hello, there are many causes of abdominal pain. Abdominal pain from pancreatitis and pancreatic cancer is persistent and gradually worsens, often accompanied by back pain. Lying flat can trigger upper abdominal pain, while sitting or leaning forward can relieve the pain. Gallstones cause sudden attacks of sharp upper abdominal pain, followed by persistent worsening right upper abdominal pain that can radiate to the right shoulder. This is often accompanied by nausea, vomiting, loss of appetite, and bloating. Repeated attacks can be triggered by a high-fat diet or excessive cold exposure. Some patients may have mild jaundice. Hepatitis and liver cancer are often characterized by pain in the right hypochondriac region, primarily a sense of distending pain. Liver cancer in the left lobe may cause pain below the xiphoid process. Gastric cancer abdominal pain is irregular, starting with discomfort, bloating, and a heavy feeling in the upper abdomen. Treatment for gastritis may temporarily relieve symptoms. Peptic ulcers in the stomach and duodenum have a certain time pattern for upper abdominal pain, with regular episodes. Gastric ulcers typically cause pain 30 minutes to an hour after eating, while duodenal ulcers cause pain when hungry or at night. Acute appendicitis initially causes upper abdominal pain, which usually shifts to the right lower abdomen within hours. It is often confused with acute gastritis. Some patients with a heart attack experience upper abdominal pain and nausea, leading them to seek medical attention in the gastroenterology department. However, they also have symptoms such as chest tightness and heavy sweating. Abdominal pain is also a common symptom of many gynecological conditions, such as pelvic inflammatory disease and adnexitis. It is recommended to visit a gynecologist to determine the cause of the abdominal pain to avoid delaying treatment if a disease is present.

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