What are the differences in the early identification methods of acute and chronic adnexitis?

The early symptoms of adnexitis are relatively hidden and easily ignored by patients, thus delaying the best time to treat the disease. So, what are the differences in the early self-identification methods of acute and chronic adnexitis?

1. Early identification of acute adnexitis

Acute adnexitis has two typical characteristics in the early stage, namely abdominal pain and fever. The abdominal pain is generally limited to bilateral pain in the lower abdomen. Patients rarely vomit, and the symptoms are aggravated during defecation, accompanied by urinary pain, constipation, abdominal distension, etc. Some patients may also have mucus in their stool, which is mainly caused by inflammatory stimulation of the colon wall. The fever symptoms caused by acute adnexitis are mostly in the high fever range. Patients can have a high fever of 39℃-40℃, with irregular remittent fever, accompanied by chills or chills. If the inflammatory lesions are isolated due to adhesions, the patient's body temperature will drop quickly; if the high fever drops once and then rises repeatedly, it means that the inflammation has spread or suppurated changes.

2. Early identification of chronic adnexitis

Chronic adnexitis also has two typical characteristics in the early stage, namely abdominal pain and irregular menstruation. Unlike acute adnexitis, the abdominal pain symptoms of patients with chronic adnexitis are mostly latent, mainly characterized by soreness, swelling, and a feeling of falling in the lower back and sacrum, and the symptoms often worsen after fatigue. Some patients also experience filling and emptying pain in the bladder and rectum, or bladder and rectal irritation symptoms such as frequent urination and tenesmus. The menstrual disorders of patients with chronic adnexitis are mainly frequent menstruation and excessive menstrual flow, which may be the result of pelvic congestion and ovarian dysfunction.