Can pelvic effusion cause abdominal pain?

Because of different body structures, most people who experience pelvic effusion are women. The cause of this disease is mostly due to unhygienic living habits, and it is also accompanied by a series of gynecological inflammations. In addition, some tumors in the body may worsen and compress surrounding organs, which may also cause pelvic effusion. The appearance of fluid accumulation will cause more inflammation, so there will be distension and pain in the lower abdomen. Let’s find out.

Pelvic effusion caused by acute or chronic pelvic inflammatory disease or adnexitis. Once pelvic effusion is discovered, you should go to a regular hospital for treatment.

1. Physiological pelvic effusion

Because the pelvic cavity is the lowest part of the abdominal cavity in the whole body, when there is exudate or leaked fluid, it will be drained into the pelvic cavity, thus forming a pelvic effusion. Some normal women will have a small amount of blood accumulated in the pelvic cavity during menstruation or ovulation, forming a pelvic effusion. Such pelvic effusion is sometimes a good thing, which proves that the woman's fallopian tube is unobstructed. If the fallopian tube has exudation, if the umbrella end is unobstructed, a small amount of exudate will flow into the pelvic cavity, thus forming a pelvic effusion. If the fallopian tube is blocked, it will cause hydrosalpinx and fallopian tube thickening. The fluid in this pelvic effusion is generally small and will be gradually absorbed, so there is no need to be afraid. Generally no treatment is required.

2. Pathological pelvic effusion

Clinically, pelvic effusion in most women is caused by inflammation, which is the presence of inflammatory exudate in the pelvis. If not treated, it can gradually grow. If it is too large, it cannot be easily eliminated by medication and surgery is required. Pathological gynecological pelvic effusion is mostly caused by pelvic inflammatory disease, adnexitis or endometriosis. The causes of pelvic inflammatory disease and adnexitis are often related to the patient's bad hygiene habits, such as having sexual intercourse during menstruation, within one month after childbirth, taking a bath within one month after gynecological surgery, etc. Medical-induced infection caused by improper disinfection during artificial abortion and induced labor can also cause pelvic effusion.

If there are chronic infection lesions, it may be caused by inflammation of the gynecological system such as the ovaries and fallopian tubes in the pelvic cavity, causing pelvic effusion. It may also be caused by tuberculosis or tumors. In a few cases, it is caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, and ovarian cancer. Pelvic effusion is rarely caused by tuberculosis.

Treatment

General treatment

Relieve patients' mental concerns, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.

Chinese medicine treatment

Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is to clear away heat and dampness. The main function of the prescription is to promote blood circulation and remove blood stasis. The prescription uses: Salvia miltiorrhiza 18g, Red Peony Root 15g, Costus Root 12g, Peach Kernel 9g, Honeysuckle 30g, Taraxacum Mulberry 30g, Poria 12g, Moutan Bark 9g, and Rehmannia Glutinosa 9g. If the pain is severe, add 9g of Corydalis yanhusuo. Some patients are of the cold stagnation and qi stagnation type, and the treatment principle is to warm the meridians and dispel the cold, promote qi and activate blood circulation. For those with qi deficiency, add 15g of Codonopsis pilosula, 9g of Atractylodes macrocephala, and 15g of Astragalus membranaceus.

Physical therapy

The benign stimulation of warmth can promote local blood circulation in the pelvic cavity. Improve the nutritional status of tissues and enhance metabolism to facilitate the absorption and disappearance of inflammation. Commonly used methods include wax therapy.

Other drug treatments

When using anti-inflammatory drugs, you can also use 5 mg of α-chymotrypsin or 1500 U of hyaluronidase at the same time, injected intramuscularly once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. The medication should be discontinued if local or systemic allergic reactions occur in individual patients. In some cases, antibiotics are used simultaneously with dexamethasone, 0.75 mg of dexamethasone is taken orally 3 times a day, and the dose should be gradually reduced when the drug is discontinued.

Surgery

Patients with lumps such as hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and repeated inflammation are also suitable for surgical treatment. The principle of surgery is complete cure to avoid recurrence of residual lesions. Unilateral oophorectomy or radical hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate.