The right side of the appendage is always aching

The main cause of the dull pain in the right adnex is the symptoms of fallopian tube inflammation, and adnexitis also causes vaginal pain, so the early symptoms of adnexitis will be abdominal pain and vaginal discharge, and abdominal pain will occur. Therefore, after the pain in the right adnex occurs, antibiotics should be used for treatment, and B-ultrasound can also be used to examine the condition.

1. What causes pain in the right appendage?

The accessory tissue refers to the location of the fallopian tubes on both sides of the female abdomen. If there is an inflammatory reaction, there will be discomfort in the early stage of abdominal pain, but the duration is not very long. As the inflammation continues to worsen, the pain time will become longer and longer, and it will also cause dysmenorrhea during menstruation. More serious patients will not be able to work normally due to the pain! What is the cause of pain in the right appendage?

2. Early symptoms of adnexitis

Physical signs. The early symptom of adnexitis is significant tenderness in the lower abdomen, which is most obvious above the midpoint of the inguinal ligament. In severe cases, the patient refuses to be pressed, has rigid abdominal muscles, and has obvious rebound pain. Gynecological examination revealed purulent vaginal discharge and varying degrees of redness and swelling of the cervix. Bimanual examination showed severe cervical lifting pain, and the pelvic condition was difficult to ascertain due to tense abdominal muscles. Generally, the uterus is relatively fixed, with severe tenderness, and significant tenderness in the adnexal areas on both sides, making it difficult to feel adnexal masses.

stomach ache. The early symptoms of adnexitis are limited to lower abdominal pain, which is mostly bilateral and rarely causes vomiting. Different from the migratory pain of appendicitis. In addition, abdominal pain worsens during bowel movements, sometimes accompanied by urinary pain, and constipation and abdominal distension often occur. Mucus in the stool is the result of inflammatory irritation of the colon wall.

fever. The early symptoms of adnexitis include high fever of 39-40℃, possible chills or shivering, and irregular body temperature. If the inflammatory lesions are isolated due to adhesions, the body temperature can drop quickly; if the high fever drops once and then rises again, it indicates that the inflammation has spread or purulent lesions have occurred. The pulse rate acceleration is proportional to the body temperature. If the two are disproportionate, the inflammation may be widespread.

3. How can adnexitis be checked?

Abdominal palpation: During general gynecological examination, the uterus is found to be retroflexed, with poor mobility and tenderness. If an inflammatory mass is formed, the mass may be felt beside the uterus or behind the uterus during examination, and it will be poorly mobile and tender.

Ultrasound examination: Generally speaking, there are no abnormal findings in ultrasound examination, unless there is hydrosalpinx or tubal ovarian cyst formation, in which case a mass may be found in ultrasound examination. What is the cause of pain in the right appendage?

Examination of secretions: In the case of acute adnexitis, the leucorrhea may be purulent or homogeneous mucous, the adnexa may be tender and painful, and sometimes there may be inflammatory masses with adhesions of the fallopian tubes and ovaries.

Urinalysis: It can be used to determine whether there are any abnormalities in the hormone levels in the body, and it can also be used to identify which bacteria are causing the problem.

Treatment of adnexitis

1. Antibiotic treatment: For patients with obvious symptoms, antibiotics should be used as the first choice for treatment. Antibiotics can kill any remaining pathogenic bacteria and prevent acute attacks. Commonly used drugs are still penicillin, gentamicin, metronidazole, etc., and the usage is the same as that for acute salpingo-oophoritis and pelvic peritonitis. What is the cause of pain in the right appendage?

2. Tissue therapy: such as placental tissue fluid, placental globulin, intramuscular injection, once a day or every other day, 15 times as a course of treatment.

3. Physical therapy: Benign warm stimulation can promote pelvic blood circulation, improve the nutritional status of local tissues, and facilitate the absorption and disappearance of inflammation. Commonly used physical therapies include short wave, ultrashort wave, infrared, audio, ion penetration, etc. However, do not use physical therapy if the body temperature exceeds 37.5℃ or if you have genital tuberculosis.

4. Other drug treatments: Intrauterine injection can be used to treat fallopian tube obstruction caused by chronic salpingitis. Use 160,000 units of gentamicin, 5 mg of α-chymotrypsin, and 5 mg of dexamethasone, dilute them with 20 ml of normal saline, strictly disinfect the vulva, vagina, and cervix, and then inject them into the uterine cavity. Start 3 days after the end of menstruation, and inject once every 2 days until before ovulation. Continuous treatment for 3 cycles.

5. Surgical treatment: Larger hydrosalpinx or tubo-ovarian cysts caused by inflammation can be treated surgically. For those who are infertile due to fallopian tube obstruction, fallopian tube repair surgery can be performed. For chronic salpingo-oophoritis and pelvic peritonitis with repeated acute attacks, when drug treatment is not effective, the patient is in great pain, and the patient is older, surgical treatment may also be considered.

What should I pay attention to when I have adnexitis?

1. Prevent pathogens from ascending; when treating adnexitis, lower genital tract infection should also be actively treated. Both cervicitis and cervicitis may cause pathogens to ascend.

2. Rational use of antibiotics; antibiotic treatment has certain therapeutic effects, but the effect of using only antibiotics is not significant. It requires long-term supportive therapy, which is to increase nutrition and improve the body's immunity.

3. Timely treatment; adnexitis should be treated promptly in the acute stage to prevent it from becoming chronic. Chronic adnexitis is extremely unfavorable for treatment. When the patient's resistance is reduced or the body is tired, chronic adnexitis is prone to attack; therefore, acute adnexitis must be treated promptly and in a standardized manner in the early stages of the disease to avoid future troubles.

4. Strengthen physical exercise; Strengthening physical exercise and improving body immunity are the fundamentals; only when the body's resistance is improved, all kinds of bacteria will have no power over you.