What are the manifestations of appendicitis?

Patient's question:

It's been about half a month, and I've noticed not only abdominal pain but also have sex anymore. Every time we have sex, the abdominal pain is extremely severe, making my husband very anxious. When I went to the hospital for a check-up, it was diagnosed as adnexitis.

Doctor's answer:

Hello, clinical manifestations of acute tubo-ovarian inflammation: lower abdominal pain and fever, the severity of which varies slightly depending on the degree of inflammation. Some patients experience chills, headache, and anorexia before high fever. Leukorrhea increases, which is caused by the discharge of tubal inflammatory secretions through the uterine cavity. Some cases have intestinal and bladder irritation symptoms: lower abdominal pain and low fever may have subacute episodes and temporary relief, accompanied by lumbosacral soreness and a sense of heaviness. Dyspareunia may occur, and it can recur, worsening after fatigue, sexual activity, or menstruation. In long-term cases, neurotic symptoms such as mental fatigue, lethargy, general malaise, and insomnia may appear.

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