What are the symptoms of acute pelvic inflammatory disease

Acute pelvic inflammatory disease requires attention and scientific treatment. It usually presents with symptoms such as increased menstruation, prolonged menstruation, and increased vaginal discharge. Some patients also experience digestive system symptoms such as nausea, vomiting, abdominal distension, and diarrhea.

1. The clinical manifestations may vary depending on the severity and extent of the inflammation. When the disease occurs, there is lower abdominal pain and fever. If the condition is serious, there may be chills, high fever, headache, and loss of appetite. If the disease occurs during menstruation, there may be increased menstrual flow and prolonged menstruation. If the disease occurs outside of menstruation, there may be increased leucorrhea. If there is peritonitis, digestive system symptoms such as nausea, vomiting, abdominal distension, diarrhea, etc. will appear.

2. If an abscess is formed, there may be a lower abdominal mass and local compression and irritation symptoms; if the mass is located in the front, bladder irritation symptoms may occur, such as difficulty urinating and frequent urination. If it causes cystomyositis, there may also be urinary pain. If the mass is located in the back, there may be rectal irritation symptoms. If it is outside the peritoneum, it may cause diarrhea, tenesmus and difficulty defecation. The clinical manifestations vary depending on the infecting pathogen. Neisseria gonorrhoeae infection has an acute onset, usually with high fever, peritoneal irritation signs and vaginal purulent discharge within 48 hours. Non-gonococcal Neisseria pelvic inflammatory disease has a slow onset, with no obvious high fever or peritoneal irritation signs, and is often accompanied by abscess formation.

3. If it is an anaerobic infection, it is prone to multiple recurrences and abscess formation. The patient is older, often over 30 years old. The course of Chlamydia trachomatis infection is long, with mild lower abdominal pain, long-term persistent low fever, and irregular vaginal bleeding. The patient presents with acute illness, fever, accelerated heart rate, abdominal distension, tenderness, rebound pain and muscle tension in the lower abdomen, and weakened or disappeared bowel sounds.

4. Pelvic examination: The vagina may be congested and have a large amount of purulent secretions. Wipe off the secretions on the surface of the cervix. If purulent secretions are seen flowing out of the cervical opening, it indicates that there is acute inflammation of the cervical mucosa or uterine cavity. The fornix is ​​obviously tender to touch, and attention should be paid to whether it is full; the cervix is ​​obviously congested, edematous, and painful to lift; the uterus is slightly enlarged, tender, and limited in movement; the tenderness on both sides of the uterus is obvious. If it is simple salpingitis, the thickened fallopian tube can be touched, and there is obvious tenderness;

5. If it is pyosalpinx or tubo-ovarian abscess, a mass can be felt and the tenderness is obvious. In case of parametrial connective tissue inflammation, flake-like thickening can be felt on one or both sides of the parametrium, or the uterosacral ligaments on both sides are highly edematous and thickened, with obvious tenderness. If an abscess is formed and is located lower, a mass can be felt in the posterior fornix or lateral fornix with a sense of fluctuation. The triple examination can often help to further understand the pelvic condition.