HomeAnswersObstetrics and Gynecologypelvic inflammatory diseaseI have had abdominal and back pain with white discharge for the past six days. Why?

Can white discharge, back pain, and abdominal pain indicate pelvic inflammatory disease?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At October 16, 2022
Reviewed AtOctober 17, 2022

Patient's Query

Hi doctor,

I have been experiencing back and abdomen pain for the past five to six days. Also, I have a white discharge.

Hello,

Welcome to icliniq.com.

I understand your concern.

Back pain with white discharge could be caused by pelvic inflammatory disease or infection of the pelvic organs. Bacteria usually causes it. It is important to begin treatment as soon as possible to avoid future complications. You must conduct the investigations I have written to determine the cause. Also, begin the treatment as advised. It is recommended that you use a condom if you are sexually active.

Investigations to be done

A CBC (complete blood count), pelvic ultrasound, and high vaginal swab (HVS) culture should be performed. You should also get a Pap smear test if you are sexually active.

Treatment plan

Take tablet Metronidazole (Flagyl) 400 mg and tablet Doxycycline (Doxy) 100 mg twice daily after food for seven days. Also, take the tablet Pantop DSR (Domperidone and Pantoprazole) once daily before food for seven days.

Preventive measures

Wear loose cotton underwear.

Regarding follow up

Follow up with reports.

Patient's Query

Hi doctor,

Thank you for the reply.

Can I start taking this medication before the tests?

Hello,

Welcome back to icliniq.com.

I understand your concern.

It is preferable to begin the medications after the tests have been completed. However, it is best to start medications sooner if the pain is severe.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Priyadarshini Tripathy
Dr. Priyadarshini Tripathy

Obstetrics and Gynecology

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