Patient's question:
Pelvic inflammatory disease for three or four months, it flared up again a few days ago. I was given ceftriaxone and metronidazole for five days. Starting from the fourth day of the infusion, my symptoms worsened with a severe headache, nausea, and chills. Today is the fifth day, my stomach isn't too painful, but the headache is extremely severe, and I'm still a bit chilly.Doctor's answer:
1. Medication TreatmentAntibiotics are the primary treatment for acute pelvic inflammatory disease, including various administration routes such as intravenous infusion, intramuscular injection, or oral medication. Broad-spectrum antibiotics should be used in combination with anti-anaerobic drugs, and the course of treatment must be sufficient. Additionally, traditional Chinese medicine treatment can be combined to achieve better efficacy.
2. Surgical Treatment
Surgery is recommended for conditions such as hydrosalpinx or tubo-ovarian cysts. Small infection foci that repeatedly trigger inflammation are also suitable for surgical intervention. The principle of surgery is to achieve complete cure, avoiding the recurrence of residual lesions. Oophorectomy or salpingectomy may be performed. For young women, ovarian function should be preserved as much as possible. Since single therapy is often ineffective for chronic pelvic inflammatory disease, comprehensive treatment is preferred.