Does pelvic inflammatory disease cause abdominal distension?

In life, many women suffer from pelvic inflammatory disease. After suffering from pelvic inflammatory disease, the uterus and ovaries of women will be affected by inflammation, which will not only cause dysmenorrhea during menstruation, but also affect women's ovulation function. Therefore, if it is pelvic inflammatory disease, it must be actively treated to avoid the disease from seriously affecting the reproductive function. So, will pelvic inflammatory disease cause abdominal distension?

Pelvic effusion is divided into physiological pelvic effusion and pathological pelvic effusion. Because the pelvic cavity is the lowest part of the abdominal cavity in the whole body, when there is exudate or transudate, it will be drained into the pelvic cavity, thus forming pelvic effusion. Some normal women will have a small amount of blood accumulate in the pelvic cavity during menstruation or ovulation, forming pelvic effusion, which is physiological pelvic effusion. Physiological pelvic effusion often occurs in women after ovulation or in early pregnancy, and usually disappears naturally, generally without the need for physical therapy. Therefore, in clinical practice, pelvic effusion in most women is caused by inflammation, that is, pathological pelvic effusion.

The main symptoms of pelvic effusion are: often accompanied by lower abdominal pain, lumbosacral pain, low back pain, lower abdominal distension and pain, or aggravated by prolonged standing, overwork, sexual intercourse, or premenstrual period, and severe cases affect work. Or there may be increased leucorrhea, menstrual disorders, heavy menstrual bleeding, dysmenorrhea, and sexual discomfort.

Pelvic effusion may also manifest as a retroverted uterus, limited mobility, or adhesions; or thickening and tenderness of the fallopian tubes; or palpable cystic masses; or flake-like thickening and tenderness near the uterus. Pelvic effusion can cause a feeling of falling, and the typical cause of abdominal bloating is intestinal gas accumulation. There is no direct connection between them. However, when pelvic fluid effusion stimulates the intestinal wall, it may cause slower intestinal motility and lead to gas accumulation in the intestines. The subjective symptom is bloating.

Pelvic effusion can be cured completely, but it can only be effectively treated after the pathogenic bacteria are identified.

How should pelvic effusion be treated?

1. Surgical treatment

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 complete cure to avoid recurrence of residual lesions. Unilateral oophorectomy or hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. Chronic pelvic inflammatory disease single therapy is less effective, and comprehensive treatment is more effective.

2. 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.

3. Other drug treatments

When using anti-inflammatory drugs, you can also use 5 mg of α-chymotrypsin or 1500 U of hyaluronidase at the same time, injected intramuscularly once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. The medication should be discontinued if local or systemic allergic reactions occur in individual patients.