- Appendicitis - when we must act immediately
- Acute appendicitis
Appendicitis - a disorder in which the appendix becomes inflamed and filled with pus. Appendix - this process colon, located in the lower right abdomen. Scientists are still not clear what it is. Appendicitis causes pain, which usually begins around the navel, and then moves to the lower right part of the abdomen. Typically, the pain of appendicitis is amplified for 12-18 hours, until finally it becomes painful.
Appendicitis can occur at any age, but most often it occurs in people aged 10 to 30. The standard treatment for appendicitis involves the surgical removal of the appendix.
Symptoms
In appendicitis may include the following signs and symptoms:
- Gradually increasing pain in the abdomen;
- Soreness at the pressure on the lower right side of the abdomen;
- Pain aggravated by coughing or while driving;
- Nausea;
- Vomiting;
- Lack of appetite;
- Slight rise in body temperature;
- Constipation;
- Diarrhea;
- Swelling of the abdomen.
Localization of pain may vary depending on the age of the patient and the location of the appendix. Pregnant women and young children the pain of appendicitis is usually localized not in the same place in the remaining patients.
When to see a doctor
When you see any symptoms of appendicitis as soon as possible to undergo a medical examination. If the pain is so severe that you can not sit still or find a comfortable position, call an ambulance.
Causes
The causes of appendicitis are not always clear. Sometimes it is caused by:
- Obstruction. Food waste or a hard part of the chair can block the appendix.
- Infections. Sometimes appendicitis is caused by infections, such as gastrointestinal viral infections.
In both cases, begin rapid multiplication of bacteria in the appendix, which is why it becomes inflamed and filled with pus. In the absence of prompt treatment can occur ruptured appendix.
Complications
Appendicitis can cause serious complications, including:
- A ruptured appendix. At the same time the contents of the intestines and cause infection microorganisms can penetrate into the abdominal cavity. This may result in infection of the abdominal cavity (peritonitis).
- The formation of an abscess. Typically, abscess
Abscess - why it is so dangerous ulcers?
It formed after the rupture of the appendix. If not begin treatment while abscess burst, leading to the rapid spread of infection through the body.
Diagnostics
First of all, the doctor will ask you about your symptoms - detail tell him, when you start to feel pain, and as time has changed its character. Then he probably will palpate the abdomen. A blood test will help identify the infection and urine tests - to make sure that the symptoms are not caused by a urinary tract infection or kidney stones
Kidney stones: identify and treat
. To confirm the diagnosis often requires a study using medical imaging techniques - usually the X-ray, ultrasound, or CT scan.
Treatment
In most cases, prescribe appendectomy appendicitis - surgery to remove the appendix. The operation is performed through an incision in the abdominal cavity, the length of which is 5-10 cm. Now appendectomy can be done using a laparoscope - in this case requires a much smaller incision. Typically, after laparoscopy
Laparoscopy - why is it necessary?
the patient recovers faster and has the scars are less noticeable, but this type of surgery is not for everyone. When you break the appendix or abscess open appendectomy is needed, as in the course of this operation, the surgeon can clean the abdominal cavity of pus.
After appendectomy patient has to stay in hospital for one or two days.
If the operation is carried out using a laparoscope, for three or five days after surgery, the patient will have to limit physical activity. After open surgery to remove the appendix are advised to avoid intense exercise for 10-14 days. Probably, the doctor will recommend you for some time to take painkillers. Call your doctor if they do not help - severe pain increases the burden on the body, and slows down the healing process.