Appendicitis


Appendicitis

Description appendicitis

In fact, it is an inflammation of the worm-like projection(appendix vermiformis) appendicitis, which is a pouch on his end.

The appendix is a narrow, tubular tail attached to the cecum (cecum). One of its ends is closed and the second orifice into the colon. It measures about 10 cm in length and 1 cm in width and was obviously an evolutionary remnant.

The appendix is placed in the right lower abdomen and digestive activity has no meaning. Rather, it is considered a lymphatic organ, without which the body can not easily be circumvented.

Acute appendicitis develops very quickly, so it among the sudden abdominal diseases that may threaten humans right to life. There is a blockage of the appendix solid piece of stool, a foreign body, or even cancer.

Inflammation of the appendix may be a dual nature. Either acute with symptoms develop within a few days, or chronic, long-term variable characteristic abdominal pain.

 

Risk factors for appendicitis

Earlier it was said that the cause of appendicitis is swallowing seeds and chewing gum, teeth and tongue insufficiently comminuted food, pinworms or roundworm infestation.

Roundworms are intestinal parasites into the body through ingestion of contaminated food and may actually appendix, but very rarely clog.

Appendicitis is also related to our eating habits. In developed countries, the diet contains enough fiber, and it has resulted in slowing the progression of intestinal digesta. It may even lead to blockages that cause appendicitis.

In reality however, this minority reasons. Mostly it is a totally unpredictable disease that threatens the lives of otherwise perfectly healthy individuals. Chronic appendicitis may appear eg. For people who were once acute appendicitis dispersed.

 

Prevention of appendicitis

Since the risk of disease depend on heredity, gender or age, it can affect only partially diet.

In Europe, it is one of the most common inflammatory diseases, while in some parts of Africa and Asia is almost never occur. Therefore, we believe that the only effective prevention is a diet rich in fiber, which the inhabitants of these lands so often consume.

This indicates that, to reduce the risk of this disease contributes dairy products, vegetables, fruits, cereals, almonds and walnuts.

Another prevention is to avoid a reduction in defense and penetration of microbial infections.

 

Signs and symptoms of appendicitis

Saving the appendix is not the same for each person. The anatomical atlas describes six different sites, which can be found wormlike appendage, and therefore neither the symptoms are not always the same.

Typical for developing this disease are pain around the navel, which is slowly moving to the right lower abdomen. Instead greatest pain is mostly found in two thirds of the connector navel and pelvic bone spur. This point is called McBurneyův and is named after the American surgeon who first described it.

Accompanying symptoms are often nausea, vomiting, temperatures around 37.5 ° C, rapid heartbeat, constipation, bloating, loss of appetite and abdominal tenderness to the touch.Rarely can occur even less diarrhea.

Pain usually increase during walking and other vibrations, while sneeze or cough. Sick seeks relief position, which is mostly lying on your back with your knees bent.

If it’s inflammation at an advanced stage and begins to irritate even the abdominal wall, appears painful prick sudden release fingers at the previous compression.

In addition to these typical syndromes of this disease occur in different variations, respectively.mimic other abdominal disorders. Therefore, when any problems in the abdominal cavity to see a doctor! Appendicitis may often be confused with renal colic, cholecystitis, and gynecological diseases.

 

Diagnosing appendicitis

If the disease does not show typical manifestations may be a diagnosis rather difficult. Examination is not possible without proper history (the patient accurately describes how the trouble interpreting how long they last and whether there are any changes), palpation and palpation of the abdomen to measure the pulse and temperature, and also includes the examination per rectum (examination finger through the rectum) .

Further blood tests looking for an increase in the number of white blood cells and other signs of inflammation. It is used as imaging techniques such as SONO (ultrasound), respectively. CT (computed tomography), endoscopy and X-ray (plain or with contrast filling).

In women it is also recommended gynecological examination, to avoid the genital organs diseases.Pain in the lower abdomen in women are often the cause of the uterus, fallopian tubes or ovaries, respectively. They occur during the menstrual cycle. Appendicitis often mimic fibrous nodules in the wall of the uterus, ovarian cysts and tumors and inflammation in a small saucepan.

During pregnancy may also be a miscarriage and rarely the reason for an ectopic pregnancy, where the fertilized egg settles outside the womb, eg. In the fallopian tube or abdominal cavity. This condition threatens the life of the mother directly, because the fallopian tube is relatively well supplied with blood, and when it threatens disruption of internal bleeding.

 

Treatment of appendicitis

If on the basis of these tests will confirm suspected appendicitis, the patient is immediatelyhospitalized in the surgical ward. He must not eat or drink anything and he is infused. The surgeon can then decide for conservative or surgical procedure.

The conservative approach is to stay in a hospital bed, a strict diet and ice packs on his stomach. Usually, doctors proposed when the pain subside or slight inflammation. Up to 50% of appendiceal inflammation subsides without surgery. Inflammation may, however, after some time again ignite.

Far more frequently selected operative treatment, even if the diagnosis is not clear, but appendicitis can not be excluded. Inflamed appendix is removed either by a short incision orlaparoscopically (using a tiny camera and thin instruments). After laparoscopic surgery remain belly, generally two or three small scars. The way in which the operation is carried out, the surgeon depending on the acuteness of the inflammation and the overall condition of the patient. They are mostly unassuming surgery, requiring a lot of preparation.

After surgery, the patient is usually still one day fasting and then he prescribed a diet by gradually adding foods into your diet.

After several weeks should not consume a diet that would irritate the treated area. That means avoiding too much spicy food, dishes with a high percentage of indigestible residues (citrus), nuts and strawberries.

If the operation proceeds without complications, the patient should immediately second, respectively. the third day after the operation for the first time to rise from the bed to prevent the risk of thromboembolic disease in which the circulating formed blood clot, which may have serious consequences.

Further funds are administered pain relief (analgesia) and follows the departure of urine and feces.If everything goes smoothly, the average length of stay 4-7 days and for good healing scars must be followed six weeks without increased physical activity.

 

How can I help myself

If you suspect appendicitis, seek immediate medical attention. Because if not for acute appendicitis immediately started treatment, can have a deadly impact, there is no reason to wait.

 

Complications of appendicitis

If acute appendicitis is not timely detected and treated, danger and transgression inflammationof the surrounding organs, and in the worst case even rupture of the appendix and spilling its contents into the abdominal cavity. After the rupture occurs at the moment of sudden pain relief and temporary relief, but at this point is beginning to develop a serious inflammation of the peritoneum (peritonitis), whose consequences are often fatal. The rupture of the appendix indicates a very hard abdomen sensitive to palpation.

Several days after the operation the patient must remain on tracking a few days in the hospital. It often happens that vomiting occurs arrest winds and stools, abdominal pain or temperature. This is a serious complication and often must be performed even a single surgery.

Frequent postoperative complications are also adhesions that can cause poor intestinal transit and female infertility.

Can be very serious appendicitis in pregnancy. Indeed diagnosis is often difficult because the uterus interferes with the investigation. And untreated inflammation can easily transfer to the uterus and thus endanger the fetus. In such a situation, it is necessary to proceed to the operation through the rectum (per rectum). The uterus must be covered with drapes and the surgeon could not even touch her. Because of the risk of premature birth.

 

Notes for appendicitis

If it is more serious in terms of inflammation, eventually. happens to burst appendix or damage to the peritoneum, it should be indicated spa treatment.

After the surgery is never this disease can not be repeated.

Other names: appendicitis, appendicitis, Capsules, inflammation of the intestine worm-like promontory

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