Symptoms of appendicitis

Symptoms of appendicitis

Appendicitis is a relatively common disease that anyone may get. Appendicitis is divided into chronic appendicitis and acute appendicitis. The treatments for these two are also different. You can take medicine or have surgery. Appendicitis is a type of chronic appendicitis, and its symptoms are more obvious. However, many people still don’t know the symptoms of appendicitis. So what are the symptoms of appendicitis?

Causes: 1. Chronic appendicitis with repeated attacks, due to inflammatory adhesions and hyperplasia of fibrous tissue, causes the root of the appendix to adhere to the wall of the cecum; or due to repeated inflammatory stimulation, a fibrous membrane is formed between the root of the appendix and the wall of the cecum to cover the root, making it impossible to identify the connection between the root of the appendix and the cecum during surgery.

2. The patient is too obese and the root of the appendix is ​​covered by fat;

3. The anatomical abnormality of the ileocecal fold causes part of the root of the appendix to be covered by it.

4. Severe local inflammation and edema, and difficult to identify anatomical relationships;

5. The surgical field is not clearly exposed. Sometimes in right inguinal incarcerated oblique hernia, the appendix can be seen falling into the hernia sac. Because the internal ring is incarcerated, the appendix often has mild congestion and edema, and the surgeon will "take advantage of the situation" to remove the appendix; because the root of the appendix and the connection with the cecum cannot be seen clearly, resulting in mistakes. This situation can also occur in patients who undergo upper abdominal surgery and appendectomy at the same time.

Appendicitis is rare. When it occurs, its symptoms are similar to appendicitis without surgery. It is caused by removing too little appendix tissue during surgery. B-ultrasound or barium enema is needed to confirm the diagnosis. Suggestions: If you have pain in the right lower abdomen, it may be caused by intestinal adhesions, etc., not necessarily stump inflammation. You can go to the hospital for a detailed examination to determine the cause and receive timely treatment.

The treatment of appendicitis is easy to diagnose. Anyone with a history of appendectomy who has typical symptoms of "acute appendicitis" after surgery should consider the possibility of this disease and take appropriate treatment depending on the severity of the disease. If the condition is mild, anti-inflammatory treatment can be used. After it is relieved, a barium enema examination can be performed during the quiescent period to confirm the diagnosis before surgical treatment can be performed. The treatment principles are the same as those for simple appendicitis. If the condition is severe and accompanied by signs of peritonitis, laparotomy should be performed as soon as possible and appropriate treatment (as mentioned above) should be given depending on the severity of the local lesions (such as gangrene, perforation, inflammation affecting the cecum, etc.).

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