I would like to know about the causes of appendicitis and diagnosis of early symptoms. And I thought it would be nice to know the treatment as well, so I summarized it. The medical term we commonly call appendicitis is acute appendicitis or acute appendicitis, but it is often referred to as appendicitis.
Appendicitis. Causes of Acute Appendicitis
Causes of Appendicitis
Infection caused by intestinal bacteria, bacteria in the blood settling in the appendix causing inflammation, allergies, etc. are various but not definitive causes. B. It is known that the appendix is longer than normal, the contents are easily stagnant in the appendix, or roundworms enter the appendix.
In fact, the cause of appendicitis is that the entrance to the appendix is blocked and inflamed. It is said that when fecal debris enters this space and closes it, bacteria multiply and the appendix expands, thinning the intestinal wall and causing inflammation.
It is said that the number of patients undergoing surgery for inflammation of the appendix under the appendix at the bottom of the colon reaches 100,000 per year. Acute appendicitis was reported in 17% of patients with abdominal pain who visited the emergency room. So, if you have persistent abdominal pain, you may suspect appendicitis.
appendicitis. early appendicitis symptoms
Abdominal pain occurs in more than 95% of cases, and other symptoms include anorexia, nausea, and vomiting, as well as local abdominal tenderness and fever. Abdominal pain initially has vague overall abdominal pain, similar to enteritis, and then gradually localizes to the right lower abdomen.
Depending on where the appendix is stretched, pain may appear in the side rather than the right lower abdomen, and if it is located on the pelvic side, it is said that there is a feeling of wanting to see the stool even after defecation.
Right lower abdominal pain, which is the lower right side, often occurs, and men and women are not different. At first, it starts with epigastric or lower abdominal pain and continues to right lower abdominal pain. You should take a good look.
appendicitis. Appendicitis Diagnosis and Testing
Depending on the degree of progression, appendicitis is classified into early appendicitis, purulent appendicitis, gangrenous appendicitis, and perforated appendicitis. Recently, with the development of antibiotics and fluid treatment, chronic appendicitis may also occur. Other diseases also show symptoms similar to those of appendicitis, so it is necessary to differentiate them.
In the case of colorectal diverticulitis, it is similar in that it is caused by food waste feces being stuck, but diverticulum refers to a space that protrudes outward like a pocket from organs with spaces inside, such as the stomach, large intestine, and gallbladder. It means that it has become weak and protrudes outward like an algae, and it is called colonic diverticulitis when stool or food causes inflammation in the diverticulum.
In appendicitis, characteristic clinical symptoms and physical examination are the most important in diagnosis, and additional blood tests and imaging tests such as abdominal ultrasound or abdominal CT may be helpful. In physical examination, pain occurs when the right lower abdomen is pressed by auscultation, palpation, percussion, etc., and rebound pain, which intensifies when the hand is released, is observed. When it increases more than that, it is diagnosed as appendicitis.
Ultrasound and CT, which are imaging tests for more accurate diagnosis, are useful for diagnosing appendicitis in women of childbearing age or children, and more accurate abdominal CT has recently been used for diagnosis. CT can check whether the appendix is perforated or not, whether there is an abscess or not, and is useful for differentiating it from other diseases.
typhlitis. appendicitis treatment
Since the aftereffects of neglect are much more serious than the complications of surgery, active surgical treatment is required when appendicitis is suspected. In most cases, appendectomy is performed and fasting is required for several days after surgery. Recently, laparoscopic surgery with less scarring and faster recovery after surgery is preferred over open surgery.
For open surgery, a 3cm incision is made in the right lower abdomen, and it is said to be essential when the abscess has spread throughout the abdominal cavity due to peritonitis. Laparoscopic surgery is performed by making a hole in the size of 0.5 to 1.5 cm, and has the advantage of less scarring and faster recovery.
typhlitis. Appendicitis course and complications
Perforation means to pierce a hole. Since appendicitis has a 20% chance of perforation within 24 hours of onset and a 70% chance of perforation within 48 hours, appendicitis requires rapid surgical treatment.
As a complication, wound infection is the most common. If the appendix is inflamed or an abscess is formed, an intra-abdominal abscess may occur in the pelvis or subdiaphragm. fistula) may occur.
As with all abdominal surgeries, bowel obstruction (adhesion of barrier tissue that can occur after abdominal or pelvic surgery) can occur immediately after surgery and may even occur many years after surgery.
typhlitis. How to prevent appendicitis
There is no special way to prevent appendicitis, but it is said that performing surgery without delay when appendicitis occurs is helpful in preventing postoperative complications. If you have abdominal pain due to appendicitis and it lasts longer than usual, the best way is to have surgery as soon as possible through medical examination and examination.
Care after surgery
Wound management in open surgery and laparoscopic surgery is similar. After discharge, you can take a shower by sealing the surgical site with a waterproof band during daily life, and it is safe to take a bath after 1 month according to the doctor’s instructions. You can start with light exercise, such as walking on flat ground, for 2 to 3 months after surgery, and then gradually increase the intensity of exercise starting with weak exercise. It would be nice
You need to fast for a few days immediately after surgery, but you can eat normally after discharge. If redness, warmth, swelling, discharge, or open wounds occur at the wound site after discharge, you should visit the hospital. Below are links to good foods to prevent cancer and ways to lower blood sugar, so please check it out.