appendicitis

appendicitis's disease overview

appendicitis is the term that the appendix is ​​infected. The appendix is ​​a small intestine, a few centimeters long, located in the lower right abdomen, sticking to the cecum is the next place between the small intestine and the large intestine.

Appendicitis is one of the most common emergency scenes with a ratio of 1:15 people with appendicitis throughout their lives. Broken appendicitis is one of the dangerous complications if not detected and treated promptly.

Causes of appendicitis's disease

appendicitis occurs when the appendix is ​​blocked, often due to feces, objects or cancer. Conclusion can also be the result of inflammation because the appendix is ​​often edema and increased secretion to respond to any inflammation in the body. When congested, bacteria often multiply quickly, causing the appendix to be inflamed, edema and fluid, forming pathological spiral.

Symptoms of appendicitis's disease

What is the symptom of appendicitis ? Here are classic symptoms when appendicitis:

  • Abdominal pain comes around the navel or above the navel, mainly the feeling of discomfort or mild pain. After that, the pain moves to the lower right corner of the abdomen and localities there. At this time, abdominal pain is clearer, pain increases when patients move, cough, and when visiting. The patient's stomach may feel hard.
  • Anorexia, decrease appetite.

  • Nausea and vomiting immediately after abdominal pain.
  • No fever or mild fever. High fever is a manifestation of severe condition when appendicitis is late or appendicitis is broken .
  • Digestive disorders with constipation, diarrhea or air can also be encountered.

    The above symptoms usually only appear in about 50% of cases, the rest usually have no typical symptoms, especially in groups of patients including children and women. pregnancy and the elderly.

  • Children with appendicitis with diarrhea, vomiting, anorexia, abdominal pain that easily diagnosed and missed appendicitis. Therefore, children with signs of digestive disorders should be taken to medical facilities for examination and elimination of surgical emergency diseases, including appendicitis.

  • In pregnant women, symptoms of abdominal pain and nausea are often thought of other diseases and appendicitis easily forgotten.

    Elderly people with appendicitis often manifests discreet, non -characteristic symptoms, so the diagnosis and treatment is delayed. Therefore, complications of inflammatory appendicitis may be quite high, about 30% of cases.

    Prevention of appendicitis's disease

    There is no way to prevent appendicitis. However, it is realized that appendicitis is rarely seen in people with a diet rich in fiber such as vegetables and fruits.

    Diagnostic measures for appendicitis's disease

    How many patients wonder how appendicitis is diagnosed.

    The diagnosis of appendicitis is often considered not easy. Symptoms of appendicitis are often vague, and similar to many other diseases such as gastritis, urinary tract disease, biliary tract or ovarian disease in women.

    Doctors need clinical examination with the following procedures:

  • Abdominal examination: In patients with appendicitis , gently pressing on the pain of the abdomen and the sudden drop of hand will make the pain worse, suggestive Italy the inflammation of the surrounding peritoneum. In patients who are late, they can see stiffness or abdominal muscles when examined in inflamed areas.
  • Rectal examination: Can be done when necessary. Women of reproductive age can be appointed to visit rectums to eliminate gynecological diseases.
  • Subclinical tests are necessary to determine diagnosis, including:

  • Blood test: Detecting inflammation when the number of white blood cells increases in blood formula, increased blood crp is a sign of infection.
  • Urine analysis test: Eliminate urinary tract infections, which is also the cause of abdominal pain with fever.
  • Imaging diagnostic: abdominal X -ray, ultrasound or abdominal comparison is the diagnostic diagnostic means used for diagnosis to identify appendicitis and appendicitis Eliminate other similar illnesses.
  • appendicitis's disease treatments

    appendicitis is an emergency condition that needs to be treated with surgery to remove inflamed appendix. Antibiotics are usually prescribed for surgery to prevent abdominal peritonitis. Surgery to remove appendicitis may be laparoscopic surgery or open surgery with abdominal incision from 5 to 10 centimeters long. Endoscopic surgery is dominating the treatment of appendicitis because of its outstanding advantages:

  • less invasive, shorter surgery time. , about 1 to 3 days. Can be applied to all patients with appendicitis . Cases are late, when appendicitis is broken, the infection spreads to the abdomen, the patient needs to be opened to remove the appendicitis and clean the abdominal cavity. Pus drainage out of the abdominal wall should be performed in patients with appendicitis abscess.

    After surgery, the patient is treated with painkillers and antibiotics if the number of cases of appendicitis has no complications, and only a few symptoms, a surgical doctor notice Patients who do not need surgery immediately may appoint antibiotics and clinical monitoring. Non -surgical treatments can avoid surgical complications such as incision infection, abscess formed in the abdomen, cardiovascular complications, but often has a high recurrence rate.

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