Patient's question:
Gender: FemaleAge: 30
1. Persistent stabbing pain in the lower abdomen (which I believe is the bladder area), along with frequent urination. This has been ongoing for over three years. It does not change with sexual activity.
2. Cystoscopy: The mucosa in the trigone area of the bladder is congested and edematous. The bladder neck appears abnormal, stiff, and deformed. The pathological diagnosis report for the mucosa in the trigone area is: (trigone area) mild epithelial hyperplasia. The clinical diagnosis is: chronic cystitis.
3. Taken numerous antibiotics, along with many medications to relieve bladder symptoms such as: Tegretol, Nortriptyline, Aftozosin hydrochloride sustained-release tablets, etc. Also taken traditional Chinese medicine.
Doctor's answer:
Lower abdominal pain accompanied by frequent urination needs to be ruled out for urinary tract infection, as the female urethra is short and straight, making it easy for bacteria to ascend and cause infection. Additionally, the external urethral orifice of females is close to the vaginal orifice and anus, making it prone to contamination by fecal matter and bacteria from the vagina, which is why urinary tract infections are common in females. It is recommended to consult a local doctor for a pelvic ultrasound to check for pelvic effusion. Go to the local hospital for a urinalysis and pelvic ultrasound. Currently, the treatment suggests Norfloxacin tablets and Sanjin tablets, along with increased fluid intake, maintaining personal hygiene, monitoring the condition, and applying warm compresses or massages to the abdomen.