pelvic heaviness
Introduction
Introduction The main symptom of pelvic weight is increased vaginal discharge. The color and amount of leucorrhea vary depending on the pathogen. The vaginal discharge can be viscous or amine, sometimes with bloodshot or a small amount of blood, or with contact bleeding. It can also manifest as a sudden onset of severe pelvic pain, accompanied by a pelvic mass that suggests severe potential lesions. An incarcerated uterus can cause acute pelvic pain in early pregnancy, often accompanied by uterine posterior tilt and pelvic adhesions. Acute growth or degeneration of uterine fibroids can also cause acute pain.
Cause
Cause
Uterine fibroids, ectopic pregnancy, uterine prolapse and other reproductive system diseases can produce pelvic weight.
Examine
an examination
Related inspection
Pelvic inflation contrast X-ray lipiodol imaging cervical secretion culture
1. Carefully ask the relevant medical history and collect relevant clinical data.
2. Closely check the patient to clearly understand the clinical symptoms of the patient.
3, appropriate physical examination of the patient, a preliminary understanding of the morphological changes of the various organs of the patient.
4. Perform relevant equipment examinations on patients and conduct laboratory tests as appropriate.
5, comprehensive consideration of various inspection results, combined with the clinical symptoms of various organ damage, and finally draw a corresponding diagnosis.
Diagnosis
Differential diagnosis
The clinical features of pelvic septicemia are "three pains, two more and one less". That is, pelvic pain, low back pain, sexual pain, menstruation, vaginal discharge, gynecological examination with fewer positive signs. Pelvic venography is often required. Laparoscopic or surgical confirmation of pelvic vein thickening, detour, varicose veins, and other organic diseases of the reproductive organs are excluded.
Lower abdomen bulge: The part below the navel, the fall is falling, and the swelling is full. The general meaning is that the small belly is falling down and expanding. In daily life, women always encounter a lot of unspeakable discomfort, and lower abdominal bulge is a more common one. Lower abdominal bulge is mainly related to pelvic congestion, and many of them can be classified as medically known as pelvic congestion syndrome.
Pelvic sag: common in peritoneal pseudomyxoma, the disease has a long history, the course of disease can be extended for several months or years, and some can be more than 10 years, due to clinically non-specific performance, mainly in the abdomen Progressive swelling, abdominal pain and complaints, there are repeated episodes of right lower abdomen pain or discomfort or pelvic sag, right lower abdomen mass or intestinal obstruction, peritonitis and other complications, the rate of misdiagnosis is as high as 89.7%, the examination may have Ascites and unclear nodules, often misdiagnosed as cirrhosis and tuberculous peritonitis, abdominal cysts and other delays in treatment.
