What should I do if I have pelvic effusion and abdominal pain?

The most commonly used examination method for pelvic effusion is B-ultrasound. Generally, the treatment is to extract the effusion. After pelvic effusion, the resistance will be significantly reduced, and there will also be menstrual disorders, abdominal pain, infertility and other symptoms. If you want to relieve the feeling of abdominal pain, you mainly have to extract the effusion and then take some anti-inflammatory drugs. The specific method depends on what the doctor says.

Causes

1. Causes of physiological pelvic effusion

Some normal women will have a small amount of pelvic fluid during menstruation or ovulation. This is because the pelvic cavity is anatomically located at the lowest part of the abdominal cavity. When there is a small amount of exudate, transudate or ruptured bleeding in the pelvic and abdominal organs, the fluid will first accumulate in the pelvic cavity, thus forming pelvic effusion. For example, during menstruation, a small amount of menstrual blood can flow back into the pelvic cavity, causing pelvic effusion; the accumulation of follicular fluid in the pelvic cavity during ovulation in the middle of the menstrual period can also cause pelvic effusion; for patients with constipation, abnormal intestinal peristalsis can cause a small amount of intestinal fluid to leak out, leading to pelvic effusion.

2. Causes of pathological pelvic effusion

(1) Not paying attention to hygiene during menstruation When menstruation comes, the endometrium will fall off, the blood sinuses inside the uterine cavity will be open, and small blood clots will be present, which is very suitable for the growth of bacteria. If you do not pay attention to personal hygiene during menstruation, use unclean sanitary napkins, toilet paper, etc., or have sexual intercourse during menstruation, it provides a good opportunity for bacteria to grow and infect, causing pelvic inflammatory disease in women.

(2) Spread of inflammation to adjacent organs When women suffer from appendicitis or peritoneal inflammation, they are more likely to develop pelvic inflammation. When suffering from vaginitis and cervicitis, the inflammation will spread upward and eventually lead to pelvic inflammatory disease.

(3) Postpartum and post-abortion infection After childbirth and artificial abortion, the body is weak and the immune system is low. At this time, the cervix is ​​in a dilated state. If personal hygiene is not paid attention to, the bacteria in the vagina and cervix may ascend and cause female pelvic infection.

(4) Postoperative infection in gynecological surgeries: Artificial abortion, IUD insertion/removal, salpingography (hydration), etc. If the disinfection is not strict during the operation, it is easy to get infection after the operation. If you do not pay attention to personal hygiene after surgery, do not follow the doctor's instructions for recovery treatment, or have sexual intercourse too early after treatment, it will cause bacteria to grow and lead to pelvic infection in women.

(5) Others Ovarian and fallopian tube tumors, liver and kidney diseases can all cause pelvic effusion accompanied by ascites and even pleural effusion. Ectopic pregnancy and corpus luteum rupture can cause bloody pelvic effusion. In tuberculous pelvic inflammatory disease, the surface of the peritoneum and pelvic organs are covered with miliary tuberculosis lesions, and a large amount of exudate accumulates in the pelvic cavity.

Clinical manifestations

1. Feeling of falling, pain in the lower abdomen and lumbar sacral region

The main symptoms are a feeling of heaviness, pain on one or both sides of the lower abdomen, scar adhesions caused by chronic inflammation, and pelvic congestion, which lead to heaviness and pain in the lower abdomen and soreness in the lumbar region. It is often more severe after fatigue, sexual intercourse, and before and after menstruation.

2. Decreased immunity

The systemic symptoms of pelvic effusion are mostly not obvious, and sometimes there may be low fever and fatigue. Some patients with a long course of illness may have symptoms of neurasthenia, such as lack of energy, general discomfort, insomnia, etc. When the patient's resistance is poor, acute or subacute attacks are likely to occur.

3. Menstrual disorders

Patients with pelvic congestion may have increased menstruation; when ovarian function is damaged, there may be menstrual disorders; when the fallopian tubes are blocked by adhesions, it may cause female infertility.

4. Infertility

If pelvic inflammatory disease causes blockage of the fallopian tubes, infertility will occur. Clinical examination will reveal that the patient's uterus is retroverted, uterine activity is restricted, or adhesions have occurred.

treat

Physiological pelvic effusion does not require special treatment, and a small amount of pelvic effusion can be absorbed on its own. If it is pelvic inflammatory disease or tumor effusion, the amount of fluid will be more than 100 ml, and targeted treatment is required according to the cause.

1. 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.

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.

3. Medication

Use anti-inflammatory drugs, hormone drugs or traditional Chinese medicine for symptomatic treatment. The most effective antibiotic can be selected based on drug sensitivity testing.

4. Surgery

Patients with lumps, hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and recurrent inflammation should also undergo laparoscopic exploration. The principle of surgery is to completely cure the disease and avoid leaving any residual lesions. For young women, ovarian function should be preserved as much as possible. The effect of single therapy on chronic pelvic inflammatory disease is poor, so comprehensive treatment is appropriate.