What should I do if I have stomach pain with 20 mm of pelvic effusion?

A pelvic effusion of 20 mm accompanied by stomach pain usually requires medical attention to identify the cause and provide targeted treatment.

A pelvic fluid accumulation of 20 mm is considered a moderate amount of fluid. Accompanied by abdominal pain, it may indicate diseases such as pelvic inflammatory disease, ovarian cyst rupture, or ectopic pregnancy. Mild pelvic inflammatory disease can be treated with antibiotics such as ceftriaxone sodium injection combined with metronidazole sodium chloride injection, combined with hot compresses to relieve pain. If the vital signs of effusion caused by rupture of the corpus luteum of the ovary are stable, conservative treatment can be used, such as tranexamic acid tablets to stop bleeding and bed rest. Fluid accumulation caused by fallopian tube pregnancy requires drug treatment with methotrexate tablets or laparoscopic surgery according to the blood HCG level. For fluid accumulation caused by endometriosis, you can take ibuprofen extended-release capsules to relieve pain, or use goserelin extended-release implants to inhibit endometrial growth. Tuberculous pelvic inflammatory disease requires the standardized use of isoniazid tablets combined with rifampicin capsules for anti-tuberculosis treatment.

In daily life, you need to keep your vulva clean and dry, and avoid strenuous exercise and heavy physical labor. The diet should be light, with appropriate supplements of high-quality protein such as egg custard, steamed fish, etc., and limit the intake of spicy foods. Pay attention to the changes in abdominal pain and vaginal bleeding, prohibit sexual intercourse during treatment, and follow the doctor's instructions to review pelvic ultrasound regularly. If fever, syncope or abdominal pain worsens, emergency treatment should be given immediately.