Appendicitis

About 8 out of 100 people for a life ill with appendicitis.It is most commonly develops between the ages of 10-30 years, but may occur later.

Appendicitis - inflammation of the appendix of the cecum (the appendix), often requiring surgical removal.

reasons

There are several theories of occurrence of appendicitis.

  • Manual: activation of the intestinal flora of the appendix on the background of mechanical blockage of its lumen fecal stones, enlarged lymph nodes, foreign body, tumor or parasite;eventually in a process slime, bacteria multiply, which leads to inflammation, thrombosis and vascular dying off (necrosis) of the appendix wall.
  • Infectious Diseases.
  • Vascular System defeat of walls of blood vessels (vasculitis), etc.
  • Endocrine: in the lining of the appendix there are many cells secreting serotonin, which, in turn, is a mediator of inflammation.

Symptoms

  • does not stop more than 4 hours abdominal pain (sometimes this is the only symptom).Most of the pain is localized around the navel.Th
    en the pain moved to the lower right area of ​​the abdomen.However, in some cases, pain may be another location (e.g., in the lumbar region).When driving coughing and pain increases.
  • There may be a rise in body temperature, nausea and vomiting.
  • lack of appetite.
  • possible loose stools, frequent urination, tachycardia (increased heart rate), and an increase in pressure.

In children under two years, pregnant women and elderly people, the pain of appendicitis is rarely localized in the lower right part of the abdomen, which greatly complicates the diagnosis.

Since the diagnosis is not always easy, it is very important as soon as possible to come for a visit to the doctor.

Diagnostics

  • medical examination;
  • possible blood test for the presence of infection;
  • may need ultrasonography (US) of the abdomen, or a CT scan (CT).

Treatment

optimal treatment for appendicitis is appendectomy - the surgical removal of the inflamed appendix.If appendicitis is not the time to operate, it can break and cause the development of sepsis.

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