Patient's question:
Around two months postpartum, I experienced intermittent pain in my lower left abdomen. I went to the hospital for an ultrasound and a gynecological examination. The doctor said everything was fine. Later, the pain worsened, and another ultrasound revealed 1.5 cm of pelvic effusion. I received a seven-day infusion of ceftriaxone sodium and metronidazole. Afterward, the intermittent pain disappeared. A follow-up ultrasound showed that the effusion had resolved. However, I still occasionally feel aching or soreness. The doctor prescribed a box of Panyanjing (for three days). Since I still felt occasional aching, I took three more boxes of Jinqi capsules (totaling nine days). Now, I sometimes still have a feeling of lower back pain and lower left abdominal pain, but the ultrasound has shown nothing. What should I do? Should I take something?Doctor's answer:
HelloYour current symptoms are relatively stable, so please focus on consolidation.
Pelvic Inflammatory Disease (PID)
When inflammation occurs in the female internal reproductive organs (such as the uterus, fallopian tubes, ovaries, and pelvic peritoneum) and their surrounding connective tissues, it is referred to as pelvic inflammatory disease.
The pathogens that cause PID include Staphylococcus, Escherichia coli, Streptococcus, anaerobic bacteria, and sexually transmitted pathogens such as Neisseria gonorrhoeae, herpes simplex virus, Chlamydia trachomatis, and Mycoplasma, among others. The main transmission routes include hematogenous spread, lymphatic dissemination, ascending spread along the genital mucosa, and direct spread from adjacent organ infections.
It is a common gynecological condition, and the inflammation can be localized to one area or affect multiple areas simultaneously. It is classified as either acute or chronic.
① Acute Pelvic Inflammatory Disease: With a history of acute infection, symptoms include lower abdominal (subtle pain), muscle tension, tenderness, and rebound tenderness, accompanied by a rapid heart rate, fever, and a large amount of purulent vaginal discharge. In severe cases, symptoms may include high fever, headache, chills, anorexia, a large amount of foul-smelling yellow leukorrhea, lower abdominal distension, tenderness, and lower back pain. If peritonitis is present, symptoms such as nausea, abdominal distension, vomiting, and diarrhea may occur. If an abscess forms, a lower abdominal mass with local pressure and irritation symptoms may appear. If the mass is anterior, it may cause difficulty urinating, frequent urination, and dysuria. If the mass is posterior, it may lead to diarrhea, tenesmus, and difficulty defecating.
② Chronic Pelvic Inflammatory Disease: Systemic symptoms may include occasional low-grade fever and increased fatigue. Some patients may develop neurotic symptoms due to the prolonged course of the disease, such as insomnia, lack of energy, and general malaise. Lower abdominal (swelling and fullness), pain, and lower back pain