PID, Pelvic inflammatory disease: Difference between revisions

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* Pelvic inflammatory disorder /disease is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Therefore PID is consist of these entities
* Pelvic inflammatory disorder /disease is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Therefore PID is consist of these entities
* Related disease are: [[Female remedies]], [[AUB, Abnormal uterine bleeding|AUB]], [[Abortion]]


=== Complication ===
=== Complication ===
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* [[Salpingitis]]
* [[Salpingitis]]
* [[Endometritis]]  
* [[Endometritis]]  
* [[Vaginitis]]
* Tubo-ovarian abscess
* Tubo-ovarian abscess
* Pelvic peritonitis
* Pelvic peritonitis
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!
!
!
!
!
!Leukorrhea
!Other Sign/ Symptoms
|-
|-
|'''Top remedy'''
|'''Top remedy'''
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=== [[Sep, Sepia|Sep]] ===
=== [[Sep, Sepia|Sep]] ===
|
|
* Y'''ellowish green in color or is milky''' '''white'''
* '''Yellowish green in color or is milky''' '''white'''
* Large lumps
* Large lumps
* Blood stained
* Blood stained
* Offensive: Foul vaginal discharge in case of gonorrhoea infection
* Offensive: Foul vaginal discharge in case of gonorrhoea infection
* Excessive '''vaginal itching'''/ '''Burning'''  
* Excessive '''vaginal itching'''/ '''Burning'''  
* '''Intercourse is very painful'''.
* Vaginal discharge gets profuse after urinating.  
* Vaginal discharge gets profuse after urinating.  
* Agg: Before and after menses.  
* Agg: Before and after menses.  
* Leucorrhea at the menopause age with excessive hot flushes, perspiration, and weakness.
|
* ''B''urning or griping in the uterus is present.
* Menstrual irregularities of various kinds
* [[Dyspareunia]]
* '''Pelvic pain and bearing down sensation in the pelvis''' as if pelvic organs would come out from vulva is marked
* '''Pelvic pain and bearing down sensation in the pelvis''' as if pelvic organs would come out from vulva is marked
* menstrual irregularities of various kinds
* Leucorrhea at the menopause age with excessive hot flushes, perspiration, and weakness.
|-
|-
|'''Milky White Colored'''
|'''Milky White Colored'''
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* Vaginal discharge +  Backache and weakness.  
* Vaginal discharge +  Backache and weakness.  
* Gonorrhoea with thick mucus discharge milky white in color.
* Gonorrhoea with thick mucus discharge milky white in color.
|
|-
|-
|'''Watery Transparent Vaginal Discharge'''
|'''Watery Transparent Leucorrhea'''  
|
|
=== [[Nat-m, Natrium muriaticum|Nat-m]] ===
=== [[Nat-m, Natrium muriaticum|Nat-m]] ===
|
|
* Natrum Mur is usually prescribed for vaginal discharge which is '''watery transparent.''' It is very profuse and attended with weakness. Abdomen pain and bearing down pains may attend it. Itching in vagina may occur too. Besides, it can also be used when thick white vaginal discharge occurs in place of menses.
* Natrum Mur is usually prescribed for vaginal discharge which is '''watery transparent.''' It is very profuse and attended with weakness. Abdomen pain and bearing down pains may attend it. Itching in vagina may occur too. Besides, it can also be used when thick white vaginal discharge occurs in place of menses.
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|-
|-
|'''Offensive Leucorrhea + Violent Itching'''
|'''Offensive Leucorrhea + Violent Itching + [[Dyspareunia]]'''
|
|
=== [[Kreos, Kreosotum|Kreos]] ===
=== [[Kreos, Kreosotum|Kreos]] ===
|
|
* '''Leucorrhea''' is yellow leaving a yellow stain on the linen.  
* '''Leucorrhea''' is Yellow / Yellow stain on the linen.
* The discharge is '''very foul smelling'''.
* Offensive, itching, corrosive leucorrhoea
* The condition gets worse between periods.  
* The condition gets worse between periods.  
* Standing and walking makes the discharge worse and the patient feels better while sitting or lying down.  
* Standing and walking agg Leucorrhea
* Intense pain is felt during intercourse.  
* She feels better while sitting or lying down.
* Pain is also felt while urinating.  
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* It is highly recommended for vaginitis cases.
* Burning in the genitalia is felt along with pain.
* Bleeding after intercourse.  
* Pain is also felt while urinating.
* It is highly recommended for [[vaginitis]] cases.
|-
|-
|'''Leucorrhea + Severe Burning'''
|'''Leucorrhea + Severe Burning'''
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* She is physically and mentally exhausted after menses.
* She is physically and mentally exhausted after menses.
* Chronic constipation and go without passing stool for many days.
* Chronic constipation and go without passing stool for many days.
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|-
|-
|'''Egg White + Leucorrhea'''
|'''Egg White Leucorrhea'''
|
|
=== [[Borx, Borax|Borx]] ===
=== [[Borx, Borax|Borx]] ===
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* '''Leucorrhea''' is worse for two weeks between the menstrual cycle.  
* '''Leucorrhea''' is worse for two weeks between the menstrual cycle.  
* Swelling of labia may attend it.
* Swelling of labia may attend it.
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|-
|-
|'''Leucorrhea + Pain In Lower Abdomen (Pelvic Pain)'''
|'''Leucorrhea + Lower Abdomen/ Pelvic Pain'''
|
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=== [[Con, Conium Maculatum|Con]] ===
=== [[Con, Conium Maculatum|Con]] ===
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* Burning in vagina is present.  
* Burning in vagina is present.  
* Lower back feels weak.
* Lower back feels weak.
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|-
|-
|'''Milky White Or Yellow Leucorrhea'''  
|'''Milky White /Yellow Leucorrhea'''
|
|
=== [[Calc-c, Calcerea carbonica|Calc]] ===
=== [[Calc-c, Calcerea carbonica|Calc]] ===
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* Resistant Milky [[PID, Pelvic inflammatory disease|Leukorrhea]], esp in girls (Cann-s, Merc, Puls, Sep) which sometimes leads to Cauterization / Cryo therapy needs (Ars, Sul)
* Resistant Milky [[PID, Pelvic inflammatory disease|Leukorrhea]], esp in girls (Cann-s, Merc, Puls, Sep) which sometimes leads to Cauterization / Cryo therapy needs (Ars, Sul)
* Thick and gushing [[PID, Pelvic inflammatory disease|Leukorrhea]] (Am-c, Borx, Calc-p, Cop, Ferr, Kali-m, Puls, Sep)  
* Thick and gushing [[PID, Pelvic inflammatory disease|Leukorrhea]] (Am-c, Borx, Calc-p, Cop, Ferr, Kali-m, Puls, Sep)  
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|-
|-
|'''Greenish Vaginal Discharge'''
|'''Excessive Greenish Leucorrhea'''
|
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=== [[Merc, Mercurius Solubilis|Merc]] ===
=== [[Merc, Mercurius Solubilis|Merc]] ===
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* The discharge is worse at night.  
* The discharge is worse at night.  
* Its use is also indicated for blood-stained vaginal discharge.
* Its use is also indicated for blood-stained vaginal discharge.
* Acrid/ Excoriating/ Itchy discharges that cause a burning sensation in the vagina
* Leucorrhea agg upon urination.
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* Stitching uterine pain may be present.
* Stinging ovarian pain.
|-
|-
|'''Thick Yellow, Ropy Vaginal Discharge'''
|'''Thick Yellow/ Ropy Leucorrhea'''
|
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=== [[Hydr, Hydrastis Canadensis|Hydr]] ===
=== [[Hydr, Hydrastis Canadensis|Hydr]] ===
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* Y'''ellow, thick and ropy''' and hangs down in long strings.  
* '''Yellow, thick and ropy''' and hangs down in long strings.  
* Excessive vaginal itching is always felt.  
* Excessive vaginal itching is always felt.  
* The discharge gets worse immediately after menses with a lot of weakness.  
* The discharge gets worse immediately after menses with a lot of weakness.  
* During intercourse, soreness is felt in the vagina, after which bleeding from vagina may also occur.
* During intercourse, soreness is felt in the vagina, after which bleeding from vagina may also occur.
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|-
|-
|'''Vaginal Discharge And Backache'''
|'''Leucorrhea + [[Low back pain|Backache]]'''
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|
=== [[Kali-c, Kalium carbonicum|Kali-c]] ===
=== [[Kali-c, Kalium carbonicum|Kali-c]] ===
|
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* S'''harp, cutting pain in the lower back''' with a feeling as if the back would break.  
* '''Sharp, cutting pain in the lower back''' with a feeling as if the back would break.  
* The vaginal discharge is yellow with burning and itching in the vulva.
* The vaginal discharge is yellow with burning and itching in the vulva.
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|-
|-
|'''Profuse Gushing Vaginal Discharge'''
|'''Profuse Gushing Leucorrhea'''  
|
|
=== [[Graph, Graphites|Graph]] ===
=== [[Graph, Graphites|Graph]] ===
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* The color of discharge is white and is accompanied by excessive weakness in the back.  
* The color of discharge is white and is accompanied by excessive weakness in the back.  
* Weakness worsens on walking and sitting.
* Weakness worsens on walking and sitting.
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|'''Intensely''' '''Painful Periods'''
|Med
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* '''Leucorrhea''' of acrid nature 
* Fish-like odor '''Leucorrhea'''
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* Excruciating pain the pelvic area along with ovarian pains
* Pain amel with pressure.
* Menstrual bleeding is copious, dark and offensive.
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|'''PID + Heavy Periods'''
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=== [[Sabin, Sabina Officinalis|Sabin]] ===
|
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* Menses are Profuse/ Gushing / Bright red colored + Dark clots
* Blood may have an offensive odor.
* Motion agg the blood flow.
* Pain in the sacral back extending to pubes before menses.
* Endometritis / [[Oophoritis]]  following [[Childbirth During remedies|childbirth]] or an [[abortion]].
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|'''PID + [[AUB, Abnormal uterine bleeding|Metrorrhagia]]'''
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=== [[Phos, Phosphorus|Phos]] ===
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* Leucorrhoea of white or watery mucus may be present.
* A weak sensation in the abdomen with leucorrhoea.
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* Profuse uterine bleeding 
* Weakness after menstrual bleeding.
* Ovarian pain (esp left-sided).
* Ovarian pain esp during menses.
|}
|}


Latest revision as of 10:47, 9 January 2024

Clinic

  • Pelvic inflammatory disorder /disease is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Therefore PID is consist of these entities
  • Related disease are: Female remedies, AUB, Abortion


Complication

Sign / Symptoms Entities Complications Causes
  • Lower abdominal pain
  • Vaginal discharge
  • Fever
  • Burning with urination
  • Pain with sex
  • Bleeding after sex
  • Irregular menstruation.
  • Uterine / Adnexal tenderness
  • Periappendicitis
  • Perihepatitis
  • Infertility
  • Ectopic pregnancy
  • Chronic pelvic pain
  • Cancer
  • Fitz-Hugh–Curtis syndrome: Occasionally, the infection can spread to the peritoneum causing inflammation and the formation of scar tissue on the external surface of the liver
  • Bacterial:
    • Mostly Neisseria gonorrhoeae or Chlamydia trachomatis (75 -90%)
  • Viral: MMP

Remedies

Banerji protocols

First line Med C200 one dose daily

In Acute condition Apis C30 one dose every 2 hour Con C3 + Sep C6 two doses daily

Second line
  • Thuj C30 two doses daily
  • In Acute condition Bell C30 one dose every 10-15 min
Third line Carb-an C200 two doses daily

Remedies

Leukorrhea Other Sign/ Symptoms
Top remedy

Sep
  • Yellowish green in color or is milky white
  • Large lumps
  • Blood stained
  • Offensive: Foul vaginal discharge in case of gonorrhoea infection
  • Excessive vaginal itching/ Burning
  • Vaginal discharge gets profuse after urinating.
  • Agg: Before and after menses.
  • Leucorrhea at the menopause age with excessive hot flushes, perspiration, and weakness.
  • Burning or griping in the uterus is present.
  • Menstrual irregularities of various kinds
  • Dyspareunia
  • Pelvic pain and bearing down sensation in the pelvis as if pelvic organs would come out from vulva is marked
Milky White Colored

Puls
  • Agg on lying down.
  • It causes itching and burning in vagina.
  • Vaginal discharge + Backache and weakness.
  • Gonorrhoea with thick mucus discharge milky white in color.
Watery Transparent Leucorrhea

Nat-m
  • Natrum Mur is usually prescribed for vaginal discharge which is watery transparent. It is very profuse and attended with weakness. Abdomen pain and bearing down pains may attend it. Itching in vagina may occur too. Besides, it can also be used when thick white vaginal discharge occurs in place of menses.
Offensive Leucorrhea + Violent Itching + Dyspareunia

Kreos
  • Leucorrhea is Yellow / Yellow stain on the linen.
  • Offensive, itching, corrosive leucorrhoea
  • The condition gets worse between periods.
  • Standing and walking agg Leucorrhea
  • She feels better while sitting or lying down.
  • Burning in the genitalia is felt along with pain.
  • Bleeding after intercourse.
  • Pain is also felt while urinating.
  • It is highly recommended for vaginitis cases.
Leucorrhea + Severe Burning

Alum
  • Profuse vaginal discharge with severe burning.
  • The discharge is very profuse and even runs down till the heels.  
  • Leucorrhea is transparent, may be ropy as well.
  • Itching is also felt in genitals.
  • Washing the private parts with cold water helps to relieve symptoms.
  • Vaginal discharge gets worse during day and after menses
  • She is physically and mentally exhausted after menses.
  • Chronic constipation and go without passing stool for many days.
Egg White Leucorrhea

Borx
  • Leucorrhea is attended with a feeling as if warm water is flowing.
  • Leucorrhea is worse for two weeks between the menstrual cycle.
  • Swelling of labia may attend it.
Leucorrhea + Lower Abdomen/ Pelvic Pain

Con
  • Along with Sep, it is top Leucorrhea remedy
  • White or yellow Leucorrhea
  • It is attended with griping, pinching or labor like pains in abdomen.
  • Burning in vagina is present.
  • Lower back feels weak.
Milky White /Yellow Leucorrhea

Calc
  • Itching and burning in vagina.
  • Weakness is also marked along with the above symptoms.
  • Leucorrhea agg from exertion and also while urinating
  • Resistant Milky Leukorrhea, esp in girls (Cann-s, Merc, Puls, Sep) which sometimes leads to Cauterization / Cryo therapy needs (Ars, Sul)
  • Thick and gushing Leukorrhea (Am-c, Borx, Calc-p, Cop, Ferr, Kali-m, Puls, Sep)
Excessive Greenish Leucorrhea

Merc
  • Intense itching and burning in private parts.
  • The discharge is worse at night.
  • Its use is also indicated for blood-stained vaginal discharge.
  • Acrid/ Excoriating/ Itchy discharges that cause a burning sensation in the vagina
  • Leucorrhea agg upon urination.
  • Stitching uterine pain may be present.
  • Stinging ovarian pain.
Thick Yellow/ Ropy Leucorrhea

Hydr
  • Yellow, thick and ropy and hangs down in long strings.
  • Excessive vaginal itching is always felt.
  • The discharge gets worse immediately after menses with a lot of weakness.
  • During intercourse, soreness is felt in the vagina, after which bleeding from vagina may also occur.
Leucorrhea + Backache

Kali-c
  • Sharp, cutting pain in the lower back with a feeling as if the back would break.
  • The vaginal discharge is yellow with burning and itching in the vulva.
Profuse Gushing Leucorrhea

Graph
  • It may be present day and night.
  • The color of discharge is white and is accompanied by excessive weakness in the back.
  • Weakness worsens on walking and sitting.
Intensely Painful Periods Med
  • Leucorrhea of acrid nature
  • Fish-like odor Leucorrhea
  • Excruciating pain the pelvic area along with ovarian pains
  • Pain amel with pressure.
  • Menstrual bleeding is copious, dark and offensive.
PID + Heavy Periods

Sabin
  • Menses are Profuse/ Gushing / Bright red colored + Dark clots
  • Blood may have an offensive odor.
  • Motion agg the blood flow.
  • Pain in the sacral back extending to pubes before menses.
  • Endometritis / Oophoritis following childbirth or an abortion.
PID + Metrorrhagia

Phos
  • Leucorrhoea of white or watery mucus may be present.
  • A weak sensation in the abdomen with leucorrhoea.
  • Profuse uterine bleeding
  • Weakness after menstrual bleeding.
  • Ovarian pain (esp left-sided).
  • Ovarian pain esp during menses.

Second class remedies

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