How to distinguish acute pelvic inflammatory disease from chronic pelvic inflammatory disease?

Pelvic inflammatory disease is a common gynecological disease, which can be divided into acute and chronic. So how to diagnose acute and chronic pelvic inflammatory disease? Let's ask experts to introduce it to us.

Regarding how to diagnose acute and chronic pelvic inflammatory disease, experts explain as follows:

Acute and chronic pelvic inflammatory disease can be diagnosed based on medical history, symptoms and signs. However, differential diagnosis must be done well. The main differential diagnosis of acute pelvic inflammatory disease includes: acute appendicitis, ectopic pregnancy, ovarian cyst pedicle torsion, etc.; the main differential diagnosis of chronic pelvic inflammatory disease includes: endometriosis and ovarian cancer.

Acute pelvic inflammatory disease is characterized by a history of acute infection, dull pain in the lower abdomen, muscle tension, tenderness and rebound pain, accompanied by rapid heart rate, fever, and a large amount of purulent vaginal secretions. In severe cases, there may be high fever, headache, chills, loss of appetite, a large amount of yellow leucorrhea with odor, lower abdominal distension and tenderness, and lower back pain. When there is peritonitis, there may be nausea, bloating, vomiting, diarrhea, etc. When pus is formed, there may be a lower abdominal mass and local compression and irritation symptoms. If the mass is located in the front, there may be difficulty urinating, frequent urination, and painful urination. If the mass is located in the back, it may cause diarrhea.

The systemic symptoms of chronic pelvic inflammatory disease are sometimes low fever and fatigue. Some patients develop neurasthenia symptoms due to the long course of the disease, such as insomnia, lack of energy, and general discomfort. The lower abdomen is distended and painful, and the lumbar and sacral pain is often aggravated after fatigue, sexual intercourse, and before and after menstruation. Chronic inflammation can lead to pelvic congestion, menorrhagia, menstrual disorders when ovarian function is damaged, and infertility when the fallopian tubes are blocked by adhesions.

Through the above introduction, how to diagnose acute and chronic pelvic inflammatory disease? I believe everyone has understood it. If you still have any questions, please consult our online experts, who will answer you in real time.

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