What causes left lower back pain in women?

If a woman experiences pain in the lower left back, it is likely caused by pelvic inflammatory disease or adnexitis. It is best to go to the hospital for a check-up as soon as possible to find out the cause and then receive symptomatic treatment. In addition, you must pay attention to hygiene and keep warm, and never catch a cold. You must develop good hygiene habits, eating habits, regular sleep habits, and participate in some exercise appropriately. This can enhance the body's resistance and prevent the occurrence of some diseases.

What are the signs of pelvic inflammatory disease?

1. Acute pelvic inflammation

The main symptoms are lower abdominal pain, fever, and increased vaginal discharge. The abdominal pain is persistent and worsens after activity or sexual intercourse. If the condition is severe, there may be chills, high fever, headache, and loss of appetite. Further development of acute pelvic inflammatory disease can cause diffuse peritonitis, sepsis, septic shock, and in severe cases can be life-threatening.

2. Chronic pelvic inflammation

It is caused by the failure to treat acute pelvic inflammatory disease in time. The symptoms of chronic pelvic inflammatory disease are lower abdominal distension, pain and soreness in the lumbar region, which are often aggravated by fatigue, after sexual intercourse, and before and after menstruation. The second is menstrual abnormalities.

The menstrual period may be scanty or amenorrhea, and sometimes there may be dysmenorrhea. It changes according to age, advance or delay, cycle, menstrual period and menstrual volume.

3. Complications of pelvic inflammatory disease

Due to the long-term failure to cure pelvic inflammatory disease, women may experience symptoms of neurasthenia such as mental depression, physical discomfort, insomnia and nightmares. It is often difficult to cure for a long time and recurs repeatedly, leading to infertility and tubal pregnancy, seriously affecting women's health and the cultivation of the next generation.

Pelvic inflammatory disease treatment

1. Psychological treatment

General treatment relieves patients' mental concerns, enhances their confidence in treatment, increases nutrition, exercises the body, pays attention to the combination of work and rest, and improves the body's resistance.

2. 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 ones are shortwave, ultrashort wave, iontophoresis (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc.

3. Drug treatment

1. Acute pelvic inflammatory disease

(1) Antibiotics should be used in combination, and it is best to select drugs based on bacterial culture and drug sensitivity tests.

(2) Nutritional support: Provide adequate nutrition and fluid intake to correct electrolyte imbalance and acid-base imbalance.

2. Chronic pelvic inflammatory disease

(1) Drug treatment: While using antibiotics, 5 mg of α-chymotrypsin or 1500 units of hyaluronic acid can be injected intramuscularly once every other day, with 5 to 10 times as a course of treatment. Antibiotics and prednisone can also be used at the same time, and the dosage should be gradually reduced after discontinuation of the medication.

(2) Surgical treatment is suitable for patients with lumps such as hydrosalpinx or tubo-ovarian cysts; surgical treatment is also suitable for patients with small infection foci and repeated inflammation. 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.