Can pelvic inflammatory disease cause constipation?

In fact, as long as pelvic inflammatory disease occurs, it will affect the patient's organs all over the body, causing systemic symptoms. It is not just concentrated in the patient's own organs and tissues. Some patients will also be affected in their bowel movements, directly causing constipation symptoms. This will reduce the patient's quality of life, become very painful, and cause toxins to accumulate.

Does pelvic inflammatory disease affect bowel movements?

1. Clinical manifestations

(1) Infertility: Adhesion and blockage of the fallopian tubes can cause infertility. The incidence of infertility after pelvic inflammatory disease is 20% to 30%.

(2) Ectopic pregnancy: The incidence of ectopic pregnancy after pelvic inflammatory disease is 8 to 10 times that of normal women.

(3) Chronic pelvic pain: Adhesions, scars and pelvic congestion caused by inflammation often cause lower abdominal distension, pain and lumbar pain, which often worsens after fatigue, sexual intercourse and before and after menstruation. Literature reports that approximately 20% of acute pelvic inflammatory disease is followed by chronic pelvic pain. Chronic pelvic pain often occurs 4 to 8 weeks after an acute attack of pelvic inflammatory disease.

(4) Recurrent pelvic inflammatory disease: Due to the destruction of the fallopian tube tissue structure caused by pelvic inflammatory disease, the local defense function is weakened. If the patient is still under the same high-risk factors, it may cause reinfection and lead to recurrent pelvic inflammatory disease. About 25% of people with a history of pelvic inflammatory disease will have another attack.

2. If the gynecological examination shows fallopian tube lesions, a cord-like thickened fallopian tube with mild tenderness can be felt on one or both sides of the uterus; if it is hydrosalpinx or tubo-ovarian cyst, a cystic tumor can be felt on one or both sides of the pelvic cavity, and the movement is often restricted; if it is a pelvic connective tissue lesion, the uterus is often tilted and retroflexed, with restricted movement or adhesion and fixation, and there is flake-like thickening and tenderness on one or both sides of the uterus, and the uterosacral ligaments are often thickened, hardened, and tender.

3. The treatment of sequelae of pelvic inflammatory disease requires selection of treatment plans based on different situations. Infertile patients often need assisted reproductive technology to help them conceive. There is no effective treatment for chronic pelvic pain. Symptomatic treatment or comprehensive treatment such as traditional Chinese medicine and physical therapy can be given. Other diseases that cause pelvic pain, such as endometriosis, must be ruled out before treatment. For patients with recurrent pelvic inflammatory disease, surgical treatment can be chosen based on specific circumstances in addition to antibiotic treatment. Patients with hydrosalpinx require surgical treatment.