Does vaginitis cause abdominal pain?

I believe many female friends are not too unfamiliar with the disease of vaginitis. This disease will have various symptoms during the attack, and each person's symptoms are completely different. Most patients will have symptoms of abdominal pain during the attack. This is very common. If it happens, you must find a way to improve it to avoid repeated aggravation of the symptoms.

1. Bacterial vaginosis

(1) Vaginal discharge is milky and homogeneous with a foul odor.

(2) Vaginal pH>4.5.

(3) Amine test is positive.

(4) Clue cell positive (>20%).

A clinical diagnosis can be made if 3 of the above 4 items are positive, and the 4th item is the gold standard for diagnosis.

2. Candidal vaginitis

For women with symptoms or signs of vaginitis, the diagnosis can be confirmed by finding spores or pseudohyphae of Candida albicans in vaginal secretions. pH determination has differential significance: pH 4.5 indicates mixed infection, especially mixed infection of bacterial vaginosis.

3. Trichomonas vaginitis

(1) The diagnosis can be confirmed by finding Trichomonas in vaginal secretions. Hanging drop method (accuracy 80% to 90%); culture method (accuracy 98%).

(2) Avoid washing, applying medicine, or examining the sample 24 to 48 hours before sampling. Keep the sample warm after sampling and send it for examination promptly.

4. Senile vaginitis

The diagnosis is generally not difficult based on the history of menopause, ovarian surgery, pelvic radiotherapy or drug-induced amenorrhea and clinical manifestations, but other diseases should be excluded before diagnosis.

5. Vaginitis in young girls

Infants and young children have poor language expression ability, so collecting medical history often requires detailed questioning of the girl's mother, and also asking the mother whether she has a history of vaginitis. A preliminary diagnosis can usually be made based on symptoms and physical examination findings.

Clinical manifestations:

1. Vaginal secretions increase and become light yellow. In severe cases, there may be bloody and purulent leucorrhea.

2. There is itching or burning sensation in the vulva. During examination, the vagina shows senile changes, with epithelial atrophy, disappearance of wrinkles, and smooth and thin epithelium.

3. The vaginal mucosa is congested, with small bleeding spots and sometimes superficial ulcers. If the ulcer surface is adhered to the opposite side, the adhesion may be separated during vaginal examination and cause bleeding. Severe adhesions may cause vaginal occlusion. Poor drainage of inflammatory secretions may form vaginal or uterine abscesses.

treat:

The principle of treatment is to increase vaginal resistance and inhibit bacterial growth.

1. Vaginal douche with 1% lactic acid or 0.5% acetic acid solution, and then apply local medication after douche, one tablet of metronidazole or norfloxacin each time, deep into the vagina, 7 to 10 days as a course of treatment;

3. Local or systemic use of estrogen: Generally, the above-mentioned local treatment is effective, and estrogen treatment can be used as an auxiliary treatment for those with severe inflammation. Diethylstilbestrol 0.125-0.25 mg is inserted into the vagina once every night, and one course of treatment is 7 days. In stubborn cases, nialestrol can be taken orally for 2-3 months. Estrogen is contraindicated in patients with breast cancer or endometrial cancer.