PID without cervical motion tenderness?

[montaname]

I am a 38 year old woman in monagamous relationship. 3 weeks ago on the 6th day of my cycle I developed RLQ pain and low back pain. My physician did an ultrasound,& spiral CT which revealed clear kidneys,normal appendix with no inflammation but with small calcifications. It showed a mildly enlarged uterus and ovaries.
The pain (which was mainly in the low back on the right side) stayed with me off and on for the entire month. I have no rebound tenderness, and no real pain when my stomach is palpated.

Three days ago I developed a light green vaginal discharge. Returned to physician who took cultures. It was noted that I now had a temp of 99.7F and increasing RLQ pain far down near my pubic bone, radiating around and above my hip and into my low back. Phys. repeated the CT and my appendix looked exatcly the same, normal but for the calcifications. 4.5mm across. There was more free fluid low in my pelvis.

He perscribed Zithromax and Cleocin as I am allergic to many antibiotics. Upon taking the 500mg of Zith. I became extremely nauseated. I have remained nauseated and my physician told me to discontinue the Zpack but take the Clindamycin which I began taking yesterday  at 1:30pm. I still have mild fever and LRQ pain. I went to the ER this morning because I just feel so sick. They did full exams and I have NO tenderness on exam on my appendix, but do have HEAVY bright green discharge from my cervix. My WBC is 4.7, but I have no real cervical motion tenderness. They are SURE that I have PID as I have had it several times before. can I have PID without cervix tenderness?

[gummybear12]

Hi.  I'm 18 and was diagnosed with PID yesterday.  We don't yet know the cause.  My doctor sent my swab to test for chlamydia and has me on antibiotics.  I'm really worried about all of this.  I've heard that PID can make you infertile, and I have no idea how long I might have had this.  Is there any way to tell if you have scar tissue? Right now I can hardly move without being in pain (exhaling even kind of hurts), and my lower stomach is soo swollen.  My doctor told me to take it easy with physical activity, but i'm having a problem because i am a full time dancer and i have a performance next week.  Could anyone tell me how soon from when you start taking antibiotics does the pain go away so you can exercise and do physical activity?? I was dancing for about a week and half (well trying to anyway lol) under this very painful condition and I think that it may have made it worse so I'm scared.  I just don't know what to do about this!  I know that after 48 hours I should be feeling better, but she said that if i'm not feeling better after 48 hours that i need to go back to my regular doctor because something else that is obviously less common is wrong. UGH! how can you tell how long you've had it? and is this likely to be chronic?

[punkybear]

Did you have cervical motion tenderness when you had PID before? From what I have ever heard cmt and rebound pain are hallmarks for pid. PID always starts in the cervix, I beliece. The bacteria weaken the cervix and gain access to your upper reproductive tract. So I would think that your cervix would be tender if you had PID but the green discharge does sound like PID. The only way to truly diagnos PID is with a laparscopy. Have you ever had one before when you were diagnosed?

[AnnieBrooke]

Sure.  PID is pelvic inflammatory disease, not cervical inflammatory disease.  You could have something going on in the uterus that is confined to the uterus.  You could have something going on in an ovary.  You could have something going on that is draining through a tube but doesn't bother the cervix.  Keep at it, they will find it.  :)  Good luck!