The onset of Bartholin's gland inflammation is related to its anatomical location. The Bartholin's glands are located at the back of the labia majora on both sides, and the gland duct opens on the inner side of the labia minora near the hymen. Due to the characteristics of the anatomical location of the disease, when the vulva is contaminated during sexual intercourse, childbirth or other situations, pathogens can easily penetrate and cause inflammation. Bartholin's gland inflammation is caused by infection with multiple pathogens. If it is not treated in time, it will cause acute suppurative inflammation and become Bartholin's gland abscess. This disease is common in women of childbearing age. Typical symptoms of Bartholinitis include: 1) Inflammation on one side: manifested as pain, redness, swelling and pus discharge on one side. Many patients seek medical attention because they cannot walk, or the symptoms may be slightly relieved by changing body position. 2) Local swelling, pain, burning sensation, burning sensation in the lower body, difficulty walking, 3) Difficulty in urination and defecation: mainly due to pain and fear of worsening pain after defecation, so people dare not defecate, which may eventually lead to fecal ileus. At this time, there are often complications such as abdominal pain, bloating, and cessation of defecation and gas discharge from the anus; 4) Fever: It is mainly seen in some patients with more serious conditions. Pain and other stress factors lead to the release of inflammatory mediators such as serotonin and interleukin in the body, resulting in an increase in the body temperature set point. 5) Inguinal lymph node enlargement: mainly manifested by lower abdominal pain accompanied by pain on the outer side of one thigh. Enlarged lymph nodes can be palpated by palpation, and the diagnosis can be confirmed by color Doppler ultrasonography of the inguinal lymph nodes. 6) Others: mainly symptoms of abscesses penetrating related tissues, such as pus discharge from the urethra orifice and obvious abnormalities in urethral secretions; During the acute attack of Bartholinitis, patients need to stay in bed and keep the area clean. They can culture the Bartholin's gland secretions and then give relevant antibiotics for treatment. They can also use heat-clearing and detoxifying Chinese medicine for local hot compresses or sitz baths, which can often have a radical effect. The diagnosis of this disease is mainly based on the above typical symptoms plus the culture of urethral secretions. The former plays a great role in diagnosis. Therefore, Bartholinitis is a disease that requires comprehensive analysis and is easily confused with Bartholin's gland cysts and condyloma acuminatum. |
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