Lower back and coccyx pain, slightly abnormal leukorrhea - is this a gynecological disease?

Patient's question:

Female 31
High fever persists, lower back and sacral pain, slightly abnormal vaginal discharge, otherwise normal

Doctor's answer:

Lower back pain and pain in the lower abdomen are often indicative of pelvic inflammation. Increased vaginal discharge with an odor or vaginal itching may suggest a vaginal infection! It is recommended that you undergo a gynecological color Doppler ultrasound to check for pelvic inflammation. If any inflammation is found, timely anti-inflammatory treatment is necessary. Additionally, a routine vaginal discharge test should be performed to determine the type of vaginal infection, and appropriate medication should be selected based on the test results.
There are many pathogens that can cause inflammation, including bacteria, fungi, and trichomonas. A routine vaginal discharge test at the gynecology department is required to confirm the nature of the inflammation before medication can be prescribed. Currently, it is not advisable to recommend specific medications.

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