Patient's question:
I am 22 years old this year. Last March, I contracted pelvic inflammatory disease. Can it be cured? My abdomen often feels bloated, and occasionally there is a slight stinging pain. The only other symptom is that my left leg sometimes feels a bit cool, as if it's cold. Because previous tests indicated that the left side was affected, what should I do? At first, I received a 10-day infusion of azithromycin, followed by intermittent medication. I have taken Guizhi Fuling capsules, as well as the hospital's proprietary medicine. I have also taken Tu'er Gen Chongji. Additionally, in September of this year, I took traditional Chinese medicine, but it has not improved. What should I do now?Doctor's answer:
Hello: Chronic pelvic inflammatory disease is often caused by factors such as infection after induced abortion, unclean sexual intercourse, and poor menstrual hygiene. Diagnosis can be made based on medical history, symptoms, and physical examination. In terms of treatment, a single therapeutic approach for chronic pelvic inflammatory disease is often less effective, and most cases require comprehensive treatment. Antibiotic therapy can be used, and in some cases, antibiotics are administered concurrently with dexamethasone. Oral dexamethasone 0.75mg is taken three times daily. When discontinuing medication, it is important to gradually reduce the dose. Alternatively, a-? protease 5mg or hyaluronidase 1500U can be administered intramuscularly, once every other day, with 7 to 10 doses constituting a course, to facilitate adhesion dissolution and inflammation absorption. Additionally, topical treatments such as "Pain Clear," "Women's Comfort," and the external rinse "Clean Comfort Solution" can be used. Pain Clear primarily has the functions of clearing heat, promoting diuresis, regulating qi and resolving depression, invigorating blood circulation, and detoxifying, as well as softening and resolving hard masses. Women's Comfort has the effects of clearing heat and promoting diuresis, removing (excess heat), replenishing vital qi, and inhibiting the growth of various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.