Can pelvic inflammatory disease cause a burning sensation in the vagina?

Hello,

Welcome to icliniq.com.

I understand your concern.

Pelvic inflammatory disease (PID) is the infection of a woman's upper genital tract and has a multimicrobial etiology, and up to 70 percent of cases are nongonococcal and nonchlamydial.

Symptoms of PID include lower abdominal pain, bilateral adnexal tenderness, and cervical motion tenderness. If it is severe, the oral temperature will be around 38.3 centigrade. Also, there will be abnormal cervical or vaginal discharge. Also, lab studies will show elevated ESR (erythrocyte sedimentation rate) and C-reactive protein.

To diagnose PID (pelvic inflammatory disease), the doctor (preferably a gynecologist) must do a per speculum and per vaginal examination to report whether there is any cervical infection and cervical motion tenderness present. Diagnosis is based on your symptoms and the finding of tenderness during the internal examination. In severe cases of PID, you may have to be admitted to the hospital to receive antibiotics through a drip in your arm.

The report you have attached (attachment removed to protect the patient's identity) mostly looks like there is contamination in the sample, and not taken properly. For diagnosis of PID, you need to visit a doctor who will do an internal examination and take samples for culture and sensitivity from the cervix and vagina.

Your history suggests me more of a UTI (urinary tract infection) and pyelonephritis (infection of the kidney due to untreated or resistant UTI) rather than PID. So, I suggest an ultrasound pelvis and KUB (kidney, ureter, and bladder). Unfortunately, we cannot start the treatment till then. Kindly revert for more queries.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I reviewed your reports (attachment removed to protect the patient's identity). As I mentioned, PID (Pelvic inflammatory disease) is diagnosed based on symptoms and clinical examination. Without a clinical examination, it is impossible to diagnose PID.

The pain you are describing is more suggestive of pyelonephritis and kidney stones. Moreover, if you go through this attachment, you can see you have calcium oxalate crystals, which are the most common cause of kidney stones - hard clumps of minerals and other substances that form in the kidneys. As you have already done a CT scan of the urinary tract, which is good that we can see whether any kidney stones are present. For PID, I told you to visit a gynecologist for an internal examination.

Thank you.