Dull pain in the lower left corner of the abdomen

Many women will experience a situation where they suddenly have a dull pain in the abdomen for unknown reasons. Sometimes they think it is just a stitch in the side and it will go away if they just bear with it. In fact, this may be pelvic inflammatory disease, which is a common gynecological disease in women. Let us now understand the causes and treatments of pelvic inflammatory disease. You can refer to it to see if you have pelvic inflammatory disease. If you feel it is similar, you can go to the hospital for diagnosis.

Causes

1. Postpartum or post-abortion infection

After delivery, the mother is weak, the cervix fails to close in time due to lochia discharge, there is a detached surface of the placenta in the uterine cavity, or the birth canal is damaged during delivery, or there are residual placenta and fetal membranes, or if she has sexual intercourse too early after delivery, pathogens invade the uterine cavity and easily cause infection; post-abortion infection can occur if vaginal bleeding lasts too long during spontaneous abortion or medical abortion, or there is tissue residue in the uterine cavity, or the aseptic operation of the artificial abortion is not strict, etc.

2. Infection after intrauterine surgery

For example, during the placement or removal of an intrauterine contraceptive device, curettage, hydrotubation, hysterosalpingography, hysteroscopy, submucosal myomectomy, etc., due to preoperative sexual intercourse, lax surgical disinfection, or inappropriate selection of preoperative indications, acute infection may occur and spread after the operation; some patients do not pay attention to personal hygiene after the operation, or do not follow the doctor's orders after the operation, which can also cause bacterial ascending infection and cause pelvic inflammatory disease.

3. Poor menstrual hygiene

If you do not pay attention to menstrual hygiene, use unclean sanitary napkins and panty liners, take a bath during menstruation, have sexual intercourse during menstruation, etc., pathogens can invade and cause inflammation.

4. Direct spread of inflammation in adjacent organs

The most common cases are appendicitis and peritonitis. Since they are adjacent to the female internal reproductive organs, the inflammation can spread directly and cause pelvic inflammation. In chronic cervicitis, the inflammation can also spread through the lymphatic circulation and cause pelvic connective tissue inflammation.

5. Others

Acute attacks of chronic pelvic inflammatory disease, etc.

treat

1. Medication

Antibiotics are the main treatment for acute pelvic inflammatory disease, including multiple routes of administration such as intravenous infusion, intramuscular injection or oral administration. Broad-spectrum antibiotics should be used in combination with anti-anaerobic drugs, and attention should be paid to the adequate course of treatment. It can also be combined with traditional Chinese medicine treatment to achieve better results.

2. Surgery

Patients with lumps such as hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and repeated inflammation are also suitable for surgical treatment. The principle of surgery is to completely cure the disease and avoid the chance of recurrence of residual lesions. Adnexemectomy or salpingectomy 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.

3. 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 methods include shortwave, ultrashort wave, iontophoresis (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc. Traditional Chinese medicine also has the method of treating stains with Chinese medicine wrapping.

4. Psychotherapy

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.