Patient's question:
Lower abdominal pain on both sides, soreness in the lower back and pelvic bone area, abnormal discharge that has been consistently yellow and thick. What should I do?Doctor's answer:
Hello: Based on your information, the pain on both sides of the lower abdomen, soreness in the lower back and pelvic bone area, yellow and thick leukorrhea can be considered chronic pelvic inflammatory disease. Its clinical manifestations include lower abdominal and lumbosacral pain, sometimes accompanied by a sensation of rectal fullness. It often worsens after fatigue, sexual intercourse, defecation, and before or after menstruation. Leukorrhea increases, menstrual bleeding may be excessive or irregular, and may be accompanied by dysmenorrhea. It may also lead to primary or secondary infertility. Chronic pelvic inflammatory disease is often caused by factors such as infection after induced abortion, unclean sexual intercourse, and poor menstrual hygiene. Diagnosis is based on medical history, symptoms, and physical examination. In terms of treatment, single therapy for chronic pelvic inflammatory disease is often ineffective, and most cases require comprehensive treatment. Antibiotic therapy can be used, and in some cases, antibiotics are used in combination with dexamethasone. Oral dexamethasone 0.75mg, three times daily, should be gradually tapered when discontinuing medication. Alternatively, a-? protease 5mg or hyaluronidase 1500u can be administered intramuscularly, once every other day, with 7–10 doses constituting a course, to facilitate adhesion resolution 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, resolving depression, promoting blood circulation, detoxifying, and softening and resolving masses. Women's Comfort has the effects of clearing heat, promoting diuresis, dispelling, replenishing vital qi, and inhibiting various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.