Must lower abdominal pain be pelvic inflammation? Lower abdominal pain must be checked and eliminated as soon as possible

Pelvic inflammatory disease is a common gynecological disease, and its occurrence has serious harm to patients. We must go to the hospital for examination immediately after the occurrence of abnormal manifestations, and at the same time, treat it reasonably according to our own conditions.

Symptoms of osteodiscitis

1. Lower abdominal pain: When women suffer from acute periosteitis, the disease is serious, lower abdominal pain, high temperature, fever, cold headache, and anorexia are symptoms of acute periosteitis.

2. Menstrual disorders: pelvic congestion, increased menstruation, menstrual disorders when ovarian function is damaged, infertility when fallopian tube adhesion is blocked.

3. Lumbosacral pain: Chronic osteodiscitis has a slow onset, low fever, weakness of limbs, and fatigue. Some patients have neurasthenia due to long replacement time, and are prone to physical abnormalities, such as insomnia, lethargy, lower abdominal swelling, and lumbosacral pain.

4. Low energy: the symptoms of the whole body are not obvious, sometimes low fever, easy to fatigue. For people with a long course of disease, some patients have neurasthenic symptoms such as lethargy, physical discomfort, insomnia, etc.

Type of osteodiscitis

1. Acute osteitis:

1) Symptoms are characterized by acute illness, severe illness, lower abdominal pain, fever, chills, headache, and anorexia. The examination shows that the patient has acute ill appearance, high body temperature, fast heart rate, lower abdominal muscle tension, tenderness, and rebound pain. Pelvic examination: there is a large amount of purulent secretion in the vagina, obvious tenderness in the dome, tenderness, rebound pain in the uterus and bilateral appendages, or thickening of unilateral appendages. Chronic osteodiscitis is characterized by slow disease and long course. Systemic symptoms are mostly not obvious, low fever, easy fatigue, accompanied by lower abdominal and low back pain, etc. During the examination, the uterus is often at the back, its activity is limited, and it is fixed by adhesion.

2) Acute chronic pelvic inflammatory disease can be diagnosed according to the history, symptoms and signs. However, differential diagnosis must be made. The main differential diagnosis of acute pelvic inflammatory disease includes: acute appendicitis, ectopic pregnancy, torsion of ovarian cyst pedicle, etc; The main differential diagnosis of chronic pelvic inflammatory disease is endometriosis and ovarian cancer.

2. Chronic pelvic inflammatory disease: the systemic symptoms are sometimes low fever and fatigue. Some patients have neurasthenic symptoms due to the long course of disease, such as insomnia, lethargy, and general discomfort. Lower abdominal distension, pain and lumbosacral pain are often aggravated after tiredness, sexual intercourse, and menstruation. Due to chronic inflammation, pelvic congestion, excessive menstruation, menstrual disorder when ovarian function is damaged, and infertility when fallopian tube adhesion is blocked.