Right adnexal pain

Pain in the right adnexal region, patients mostly feel pain in the right lower abdomen, and the causes of pain are clinically divided into two categories: acute and chronic pain. Acute pain may be related to acute appendicitis, ruptured bleeding from ectopic pregnancy, torsion of ovarian cysts, acute pelvic inflammatory disease, and ruptured corpus luteum. Chronic pain is commonly caused by chronic pelvic inflammatory disease, chronic enteritis, and endometriosis. The common causes and treatment of acute pain and chronic pain in the right adnexal area are as follows: I. Acute pain causes and treatment: 1. Acute appendicitis: Because of the proximity of the right adnexa to the appendix, appendicitis may spread to the right adnexal area during an attack, resulting in pain, and surgery is recommended. Broad-spectrum antibiotics that inhibit anaerobic and aerobic bacteria, such as cephalosporin antibiotics combined with metronidazole anti-infective treatment, can be used before surgery. Surgical treatment can be done by appendectomy, etc.; 2. Ectopic pregnancy rupture and bleeding: if there is an obvious history of menopause, there is sexual life and no contraceptive measures are taken, the right adnexal pain may be ectopic pregnancy, most of the ectopic pregnancies are located on the fallopian tube, with the increase of the gestational sac, which makes the fallopian tube rupture, pain in the right adnexal area can occur. In this case, B-ultrasound examination can be done, and it can be seen that there is an inhomogeneous mass in the right adnexal area. At this time, emergency surgical treatment is needed, and surgery is feasible, such as tubectomy and oophorectomy; 3. Ovarian cyst torsion: mainly caused by cystic lesions of the ovary, which can be manifested as sudden right-sided lower abdominal pain, often accompanied by nausea, vomiting, and even shock. Pelvic inflammatory disease: because the pelvic cavity is infected and inflammation is caused, usually the right side of the lower abdomen first appears pressure pain, mostly cramping pain, may also be accompanied by fever, bloating and other symptoms, can spread to the whole abdomen, the whole abdomen pain. Emergency surgical treatment, hysterectomy, ruptured corpus luteum resection, etc.; 6. Fallopian tube infection: after the fallopian tube is infected by pathogens, due to the infiltration of leukocytes in the body caused by swelling of the endothelium, interstitial edema, exudation, etc., resulting in the fallopian tube mucosal epithelium off, triggering acute episodes of right lower abdominal pain, usually take antibiotic treatment, such as cefaclor, levofloxacin hydrochloride tablets. Second, chronic pain causes and treatment: 1, chronic pelvic inflammatory disease: due to the pelvic tissues or organs, infected by bacteria, can also cause chronic pain in the right lower adnexal region, usually caused by infection, lower abdomen with a feeling of swelling, the need to apply antibiotics according to the drug sensitivity test. Antibiotics such as ceftazidime and penicillin can be used for treatment; 2. Chronic enteritis: due to long-term infection of the intestine, which is not cured and causes damage to the intestinal wall, it can cause pain in the right lower abdomen. Chronic enteritis needs to be examined and diagnosed by colonoscopy, and then given targeted treatment, and can be treated with antibiotics such as ceftazidime and penicillin; such as estrogen and progestin, etc., and can also be treated by surgery such as total hysterectomy and conservative surgery; 3. Other gynecological inflammatory diseases: such as vaginitis, cervicitis, etc., as the vagina and cervical mucosa tissue is infected by viruses or bacteria, causing inflammation, which will The right side of the lower abdomen pain appears, should pay attention to avoid sexual intercourse during menstruation, pay attention to personal hygiene, avoid wind and cold, should not be overworked. Daily need to pay attention to diet, prohibit drinking, avoid eating cold, spicy food, less fried and indigestible food, can use drugs such as metronidazole, ceftazidime and other treatment; 4, endometriosis: is due to the growth of endometrial cells on organs other than the endometrium, if the growth in the intestines or bladder, etc., can cause pain in the right lower abdomen, can take drug therapy, such as progesterone, progesterone, etc., surgery Hysterectomy, endometrial lesion removal, etc. can be taken.