What is the treatment for pelvic abscess?

Pelvic abscess is a common abdominal abscess disease. Most of them are caused by inflammatory infection of connective tissue. If it is not controlled in time, it will cause abdominal pain and distension. Severe cases will lead to pelvic cysts. To expand the cyst, humans can use conservative methods. Generally, they can rest in bed, raise the body, let the semen flow back, and then cooperate with medication treatment. In this process, you must pay attention to the need for drainage if there is a lot of fluid accumulation caused by the cyst. Because fluid will remain in the abdominal cavity for a long time, this will lead to pelvic infection and pelvic inflammation. If drainage is not performed, it will aggravate the condition and the harm is very large. Therefore, you must pay attention to personal precautions in many aspects at ordinary times.

People treat pelvic abscesses conservatively

1. General treatment

The patient should rest in bed with the head of the bed elevated to allow the pus to settle in the rectouterine pouch. Pay attention to nutrition and give high-protein semi-liquid food.

2. Medication

Due to the emergence of a variety of broad-spectrum antibiotics, the selected drugs should be effective against anaerobic bacteria (especially Bacteroides fragilis) and preferably broad-spectrum drugs.

Currently, the drugs commonly used to treat pelvic abscess are clindamycin, metronidazole and third-generation cephalosporins, such as cefoxitin. Metronidazole can be given at a dose of 0.4 g, 3 times a day, for 7 to 14 days.

2g of cephalosporin is given intravenously once every 6 hours, and then 100mg of doxycycline is given orally once every 12 hours. After the symptoms are relieved and the body temperature has dropped to normal, the medication should be continued for more than 1 week to consolidate the therapeutic effect. Surgery can also be avoided.

Clindamycin can reach a higher concentration in the abscess because polynuclear leukocytes can carry the drug into the abscess, thereby exerting its therapeutic effect. Gentomycin, chloramphenicol and doxycycline are very effective in treating pelvic abscesses caused by chlamydia infection, with a cure rate of over 90%.

The use of drugs is generally limited to the treatment of earlier stage tubo-ovarian abscesses. If drug treatment is effective, but the remaining mass is still large, surgery is often required to remove the lesion.

During drug treatment, one must always be alert to the possibility of abscess rupture. If the abscess suddenly ruptures spontaneously and a large amount of pus overflows into the abdominal cavity, it may be life-threatening. At this time, surgical treatment must be performed immediately instead of waiting passively.

To sum up, the above content describes the conservative methods of treating pelvic abscess, which can help people better treat pelvic abscess. People should choose appropriate methods to treat pelvic abscess and avoid eating spicy and irritating foods.