Patient's question:
BR>Every time on the second day of my period, I have severe pain in my lower left abdomen, to the point where I can't bear it, and I also vomit when eating! What's going on? Can it be cured? Will it affect my future fertility? Duration and frequency of the current illness: Every time on the second day of my period Current general condition: Every time on the second day of my period, I have severe pain in my lower left abdomen, to the point where I can't bear it, and I also vomit when eating! Medical history: Dysmenorrhea Previous diagnoses, treatments, and outcomes: Not seen Assistant examination: NoneDoctor's answer:
Appendicitis refers to inflammation of the fallopian tubes and ovaries. However, fallopian tube and ovarian inflammation often occur concurrently with parametrial connective tissue inflammation and pelvic peritonitis, and it is also difficult to distinguish them during diagnosis. As a result, pelvic peritonitis and parametrial connective tissue inflammation are also included in the scope of appendicitis. Among pelvic organ inflammation, fallopian tube inflammation is the most common. Due to the close anatomical proximity, fallopian tube inflammation, ovarian inflammation, and pelvic peritonitis often coexist and mutually influence each other. The main causes of its onset are: (1) Postpartum or post-abortion due to decreased resistance, pathogens ascending through the reproductive tract and spreading to the fallopian tubes and ovaries, subsequently affecting the entire pelvic cavity, causing inflammation. (2) During the widespread use of intrauterine devices, patients may develop infections due to neglecting personal hygiene or inadequate surgical procedures. (3) Unsterilized intrauterine procedures, such as aspiration, hysterosalpingography with iodized oil, cervical canal treatment, and infections from obstetric surgeries with poor sterilization. (4) Neglecting menstrual hygiene, such as sexual intercourse during menstruation or with unclean partners. (5) When infections in other parts of the body are not treated promptly, pathogens can spread through the bloodstream to cause fallopian tube and ovarian inflammation, often seen in tuberculosis. (6) Inflammation in pelvic or fallopian tube-adjacent organs, such as appendicitis, can directly spread to cause fallopian tube and ovarian inflammation or pelvic peritonitis, typically affecting one nearby fallopian tube and ovary. (7) Sexually transmitted diseases, such as gonorrhea, where the gonococcus can spread upward along the mucous membranes to cause fallopian tube and ovarian inflammation. Active and thorough treatment of acute fallopian tube and ovarian inflammation and pelvic peritonitis is key to preventing this condition. If already diagnosed, treatment must be persistent to avoid prolonged illness and difficulty in. Daily attention to personal and menstrual hygiene is important to prevent chronic infections. For significant fallopian tube hydrops or tubo-ovarian cysts caused by inflammation, surgical treatment may be necessary. For infertility caused by blocked fallopian tubes, tubal recanalization surgery can be performed. In cases of recurrent acute chronic fallopian tube and ovarian inflammation or pelvic peritonitis with poor response to medication and older patient age, surgical treatment may also be considered. Additionally, due to the stubborn nature of this condition and its tendency to recur, patients often experience heavy mental burdens, so it is essential to maintain confidence, stay in a positive mood, exercise actively, and strengthen physical fitness to enhance disease resistance. Treatment medications include Fuyan Jintong Su.