Stomach hurts ... Doctors advise us never to treat abdominal pain alone, threatening us terrible consequences of self-treatment. Let's find out what are the symptoms of the most popular surgical disease - appendicitis.
Inflammation of the appendix is called appendicitisappendix cecum - appendix. Inflammation causes pyogenic bacteria that get into the appendix through the bloodstream or lymphatic system. The cause of the disease can also serve as undigested food debris plugging the lumen of the appendix. Depending on the stage of the disease is divided into catarrhal appendicitis (simple), abscess and gangrenous.
Symptoms of the disease
The signal for the beginning of the disease is pain. Initially, the pain does not have a clear position - the patient think that hurts the entire abdomen. But after 5-6 hours, concentrated and pain in the right inguinal region. Our website would like to draw your attention to the following caveat: appendix everyone is different, these are features of the body structure, and from its position depends on the place of localization of pain. If the position of the normal process - pain in the right iliac region if the process is high, it hurts almost right under the ribs if the appendix is folded back, the patient feels pain in the lumbar region, and if the process hangs down, it hurts in the pelvis and above the pubis.
In addition to the patient's pain can disturb vomiting,sometimes diarrhea - if the inflamed appendix causes fluid accumulation in the intestine. Language is often coated with white bloom. Posture forced as the patient is looking for the least painful status: often feel some relief, lying on the right side or on the back. Any spontaneous muscle tension - laughing, coughing - dramatically increase the pain. If you know a bit of the anatomy, you can try to gently (!!!) to test the patient's abdomen: in the right lower abdomen will be noticeably strained muscles, and the patient will feel pain on palpation. At this stage, an urgent need to call an ambulance and hospitalize the patient.
The development of appendicitis
The doctor will determine the shape of appendicitis - simple appendicitis is characterized by inflammation of the appendix. The body temperature is slightly increased, generally no more 37,5S.
If the pain is very strong, no nausea and vomiting(This happens quite often), the patient is in no hurry to see a doctor. And then a simple appendicitis goes in the form of abscess. Sam appendix filled with pus sores appear on its surface. Because ulcers inflammation begins to spread to the tissues surrounding the process - the wall of the intestine, the peritoneum. At this stage, the patient concerned about pain, aggravated by tension of the abdominal muscles, lean people inflamed appendix can even probe, it will resemble a thick cushion.
In the worst cases, phlegmonous appendicitisenters gangrenosum form. At this stage, filled with pus inflammation process spreads to the entire abdominal cavity. However, patients notice that bothers them no pain - this is due to the fact that dead nerve cells of the inflamed appendix. In place of the pain comes worsen. It is now in the inflammatory process dragged the whole abdominal cavity. The intoxication of the organism is growing rapidly, the patient feels a strange euphoria, the pulse is kept at 100 beats per minute (normal 65-70), pale skin, go hard, distended belly.
If the patient is not helped by a soreappendix bursts - this point is very painful for the patient, the pus poured into the abdominal cavity and the patient's life is endangered due to general blood poisoning. Our website tells you all these horrors to convince you as soon as possible, seek medical advice if you are concerned about pain in the abdomen.
Appendicitis is difficult to determine - SymptomsIt varies depending on the location of the appendix, and the doctor denied the opportunity to "look" to the patient's stomach. Traditionally, appendicitis is diagnosed based on the data of blood tests and urine tests - in the blood increases the number of white blood cells, and the protein appears in the urine. But this diagnosis of appendicitis is not limited.
X-rays of appendicitis is rarely done - this is moretypical for children. On X-rays can only detect fecal stone clog the opening of the appendix. To determine the acute appendicitis using ultrasound. If the cause of the pain is not in the appendix, process almost not visible on ultrasound, and if it is inflamed, process will be seen as a tube of about 7 mm in diameter and is surrounded by the doctor sees the accumulation of fluid.
Another type of diagnostics - computed tomography. CT also provides image magnification process, as can be seen altered bowel tissue and peritoneum.
Seeing firsthand the inflamed appendix allowslaparoscopy. The abdominal wall is made a small incision into which a fiber-optic tube with a camera on the end. This is the most reliable method of diagnosis.
Treatment for appendicitis
If a patient comes to the hospital, suffering frompain, it immediately no drag on the operating table. This is due to the fact that under masked symptoms of appendicitis are many other diseases, such as inflammation of the kidneys, women - genital inflammation. Therefore, doctors some time to observe the development of the disease, gather tests and only then draw conclusions about the need for surgical intervention. If diagnosed with "acute appendicitis", the treatment will be operational. Surgery to remove the appendix is performed in two ways: traditional and endoscopic.
In conventional operations soreappendage incision 8-10 cm long. The surgeon cuts the muscles, examining process, and if the surrounding tissue is not inflamed, the appendix is removed and the hole in the intestine in place of attachment of the appendix, is sewn up.
Endoscopic surgery in the patient's stomachintroduced a thin tube with a camera. The doctor sees on the monitor image. Tools are introduced through the holes and remove process under constant visual control. Endoscopic surgery incisions are very small, postoperative period passes much easier and faster. Modern surgery is so good that patients with uncomplicated appendicitis discharged the day after surgery. If the process is still exploded and began peritonitis, will have to lead in the hospital for about a week. These days, the patient will receive intravenous antibiotics, which help the body fight infection development. When the patient is only admitted to the hospital with suspected appendicitis, the doctor just prescribe him antibiotics (cefazolin, tsefantral, erythromycin and others) - is necessary to prevent infection after surgery.
Our website would like to clarify for everyone else, and thismoment. What happens if the patient was on the operating table, the doctor made an incision and found that the appendix is not inflamed? The doctor is likely to still remove the appendix, to prevent the development of appendicitis in the future.
No special diet after the removal of the appendix is usually not required.
It happens that the human body hasso powerful immunity that is capable on its own to suppress the onset of inflammation of the appendix. However, with the weakening of immunity or strengthening the muscles in the abdomen inflammation of the load again "raises its head." This so-called chronic appendicitis - a person periodically there are pains in the right iliac region. Chronic appendicitis gives the patient a lot of inconvenience: every attack of appendicitis threatening peritonitis, and every time an attack is necessary to consult a doctor. Chronic appendicitis does not require the removal process, however, if the attacks are repeated often, better process to remove.
Take care of your health and do not neglect medical treatment for any pain and discomfort. Timely access to a doctor will help to avoid many undesirable consequences.