Does acute pelvic inflammatory disease cause abdominal pain? Common five characteristics

Acute pelvic inflammatory disease is a common gynecological disease that also occurs in daily life. Its occurrence must be taken seriously, and it must be promptly examined and treated according to one's own condition.

Symptoms of acute pelvic inflammatory disease

1. Abdominal pain during onset, accompanied by fever and chills.

2. When accompanied by peritonitis, acute pelvic inflammatory disease may include nausea, vomiting, bloating, and diarrhea.

3. If there is abscess formation, acute pelvic inflammatory disease can have symptoms of lower abdominal mass and local compression stimulation, such as bladder stimulation and rectal stimulation.

4. The patient presents with acute symptoms, high body temperature, fast heart rate, abdominal distension, tension in the lower abdominal muscles, tenderness, and rebound pain.

5. Pelvic examination: Acute pelvic inflammatory disease with vaginal congestion, burning heat, pain in the dome after a large amount of purulent secretions, pain in cervical lifting, slightly enlarged and soft uterus, compression pain, thickening of the restricted accessory area, compression pain, and mass.

Acute discitis examination

1. Direct coating of secretions: Samples are taken from vaginal, cervical, urethral, and abdominal fluids (obtained through the posterior dome, abdominal wall, or laparoscopy), with a thin coating and dried before staining with methylene blue or Gram.

2. Pathogen culture: If the samples come from the same source, they must be immediately or within 30 seconds cultured on the basis of Thayer Martin culture, placed in a 35 ℃ incubator for 48 hours, and identified for bacteria using glycolysis. The new relatively fast Chlamydia enzyme assay has replaced traditional detection methods for Chlamydia, and can also be used for the detection of Chlamydia trachomatis antigen in mammalian cell culture. This method is an enzyme-linked immunosorbent assay and is an important method in the detection of pelvic inflammatory disease. The cultivation of bacteriology can also obtain other aerobic and anaerobic strains as a basis for selecting antibiotics.

3. Posterior round puncture: Posterior round puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Through puncture, the contents of the abdominal cavity and the uterine rectal fossa obtained, such as normal abdominal fluid, blood (fresh, old, clotting, etc.), purulent secretions, and pus, further clarify the diagnosis and require mirror examination and culture of the puncture material.

4. Ultrasound examination: The examination of pelvic inflammatory disease mainly involves B-type or grayscale ultrasound scans and photographs. This technique has an 85% accuracy in detecting masses or abscesses formed by adhesions between the fallopian tubes, ovaries, and intestines. However, mild or moderate pelvic inflammatory disease is difficult to display features in ultrasound images.