Doctor insights on:
Sojourners Inflammatory Disease
Sometimes difficult: PID is sometimes obvious but sometimes not. Diagnosis usually requires -Oral temperature >101° F (>38.3°C) -Abnormal cervical or vaginal discharge -Many white blood cells in vaginal secretions -Elevated erythrocyte sedimentation rate -Elevated C-reactive protein Pelvic pain and confirmed pathogenic bacteria in the genital tract are often considered PID as well.
Dealt w/regularly: The pain / fevers / discharge / overall feeling bad-ness brings many women to the er for treatment of pid. Severity depends on personal health issues and time since infection started--some require IV antibiotics and hospital admission, others get first dose IV in er and prescriptions to go home with. If having vaginal symptoms, please get checked sooner than later.
Recurrent PID: Assuming the diagnosis is correct, recurrent PID can be due to inappropriate treatment or re-infection. There maybe other reasons. More information and testing maybe required to determine the specific reason in your case.
How are you feeling?: Pelvic inflammatory disease is experienced differently by different women. There is an acute stage associated with infections, then a second stage associated with chronic potentially debilitating daily pain. If you have concerns, go to a doc or clinic where you can get urine tested, a Pap smear, and an abdominal & pelvic exam & other relevant blood tests. Until there is hard data, we can't say.See 3 more doctor answers
It depends on your: This is a question you need to discuss with your physician. It depends on your general health and your gynecology health.
By your symptoms: Pid is mosts often diagnosed clinically based on your symptoms of pelvic pain and findings on examination. It is both underdiagnosed and overdiagnosed as the symptoms can be very subtle at times. The only certain way to make this diagnosis requires minor surgery (laparoscopy) which isn't always practical. There are several treatment options in terms of antibiotic therapy.
See below: Pelvic inflammatory disease are caused by infections usually sexually transmitted. Abdominal pain, fever, and pelvic discharge can all be symptoms or some patients may not any symptoms at all. Untreated abscesses and infertility can occur. If you are concerned, it is best to see your gyn for an evaluation.
Immediately: If a certain diagnosis has been made, or if there is very high concern for pid in a woman or a girl, asap is the only right time - immediately!
PID and intestines: Yes-pelvic inflammatory disease also called pid can cause serious abscess in the abdomen leading to hysterectomy, intestinal involvement and severe adhesions and fistula formation. There can be generalized septicemia or growth of bacteria in the blood stream from the disease which in turn can cause paralysis of the intestines with resultant extension of abdomen.
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