Why Do I Have Lower Back Pain, Yellowish Discharge, and Abdominal Pain?
Lumbar pain, yellowish leukorrhea, and lower abdominal pain may be caused by gynecological infections and require medical attention promptly to identify the cause and develop a targeted treatment plan. These symptoms may involve inflammation, urogenital infections, or other gynecological disorders, and early intervention is crucial. Common causes of lumbar pain, yellowish leukorrhea, and lower abdominal pain include: ①Pelvic inflammatory disease: a common gynecological infection usually caused by bacterial infection, which may be accompanied by odorous leukorrhea, lower abdominal pain, and lumbar-sacral soreness and swelling; ②Vaginitis: such as fungal vaginitis or bacterial vaginosis can lead to increased and abnormally colored leukorrhea, potentially stimulating pain; ③Endometritis: due to bacterial infection in the uterine cavity, often accompanied by abdominal pain, lumbar soreness, and increased secretions; ④Urinary tract infection: infection may also cause urgent urination, painful urination, and even discomfort in the lumbar region and lower abdomen; ⑤Early ectopic pregnancy: in women of reproductive age, a history of amenorrhea necessitates vigilance against ectopic pregnancy, which may be accompanied by bleeding and severe pain, requiring prompt investigation.
Treatment plans for these issues depend on the specific cause. For confirmed pelvic inflammatory disease, broad-spectrum antibiotics such as cephalosporins, berberine, or metronidazole in combination may be selected. Vaginitis is recommended to be treated with antifungal medications (e.g., clotrimazole vaginal tablets) under professional guidance or with metronidazole suppositories for anaerobic infections. In severe cases of endometritis, intensified anti-infective treatment, such as combined use of gentamicin, ampicillin, and other injectable drugs, is necessary. If symptoms involve urinary tract infections, fosfomycin or nitrofurantoin can be taken to alleviate symptoms. Dietary adjustments can aid in treatment, with increased water intake and reduced consumption of spicy and stimulating foods facilitating inflammation recovery. In terms of daily care, attention should be paid to personal hygiene, with frequent changes of underwear and maintenance of clean and dry private areas, avoiding the use of irritating cleansers. For unmarried women or those preparing for pregnancy, unsafe sexual behavior should be avoided, and regular gynecological examinations should be conducted. Avoid self-medication when symptoms arise and seek symptomatic treatment under medical guidance. In cases of accompanying fever, worsening pain, or abnormal bowel movements, immediate medical attention is required for further diagnosis and treatment.
