Patient's question:
Pelvic inflammatory disease for three or four months, it flared up a few days ago. I was given ceftriaxone and metronidazole for five days. Starting from the fourth day of the infusion, the symptoms worsened with a severe headache, nausea, and chills. Today is the fifth day, the abdominal pain is not too severe, but the headache is extremely intense, and I still feel a bit chilly.Doctor's answer:
1. Drug TreatmentAntibiotics are the primary treatment for acute pelvic inflammatory disease (PID), 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 (TCM) can be combined to achieve better therapeutic effects.
2. Surgical Treatment
Surgery is recommended for conditions such as tubal hydrops or tubo-ovarian cysts. Small, recurrent infection foci that trigger inflammation are also suitable for surgical intervention. The principle of surgery is to ensure complete cure, avoiding the residual lesions that may lead to recurrence. This may involve adnexal resection or salpingectomy. For young women, efforts should be made to preserve ovarian function. Since single-modality therapy is often ineffective for chronic pelvic inflammatory disease, a comprehensive treatment approach is preferable.