What is brown discharge after internal examination?

If you find that you often have brown discharge after an internal examination, you should still be alert, because this situation is mostly caused by a small amount of bleeding inside your vagina. The bleeding is caused by damage to the inside of the vagina during the internal examination. If it is only a minor injury, no treatment is needed. After a period of time, the vaginal mucosa will repair itself.

Situations where internal inspection is required:

⑴ Vaginal examination: The examiner wears a sterile glove on one hand, dips the index and middle fingers in a little sterile soap solution and inserts them into the vagina. Feel the elasticity and patency of the vagina, and feel for tenderness, deformity, swelling, posterior fornix nodules, and fullness.

⑵ The size, hardness, mobility, itching, pain, swelling or contact bleeding of the cervix, etc.

⑶ Check the uterus and its appendages. Use the fingers in the vagina to push the cervix upward and backward to move the uterine body forward. At the same time, place the four fingers of the other hand on the upper side of the pubic symphysis and press into the pelvic cavity. Hold the uterus between the two hands and move it back and forth to determine the position, size, shape, hardness, mobility and presence of tenderness of the uterus.

Then move two fingers in the vagina to the lateral fornix, and move the hand in the lower abdomen to one side of the pelvic cavity. Check the parauterine tissue, ovaries, and fallopian tubes between the inner and outer hands. Normal fallopian tubes are difficult to palpate, but the ovaries can sometimes be touched, and there is a sore and swollen feeling when pressed. Pay attention to whether the appendages are thickened, tender or lumpy. If there is a lump, further investigation should be conducted to determine the size, shape, hardness, mobility, tenderness, and relationship to the uterus.

Internal examination is one of the routine gynecological examination methods. A speculum can be used to perform relevant vaginal examinations, or internal examination and triple examination of the vagina, etc., without obvious pain.

Vaginal speculum used for surgery is usually made of metal materials. Vaginal speculum used for general gynecological examinations is usually made of polystyrene, polypropylene and other materials.

Enema uses a disposable suction tube, which is longer than the anal canal, has a thin lumen, and a smooth and porous front end. It has little irritation to the mucosa during insertion, and the patient feels no pain and has a strong tolerance. The suction tube can be inserted deeper, and the drug solution is not easy to flow out. In this way, it stays in the intestinal cavity for a long time, fully softens the feces, defecates a lot, defecates thoroughly, and keeps the sheets clean and dry. The decrease in bowel movement frequency reduces the number of intubations, alleviates patient pain and improves patient satisfaction. Disposable suction tubes are easy to replace, inexpensive, and simple to operate, and are worth promoting.