Acute Appendicitis
General Surgery
Acute appendicitis refers to a condition where the appendix, a small tubular organ located near the cecum in the colon, becomes acutely inflamed. Acute appendicitis can lead to serious health problems and complications.
Symptoms
Common symptoms of acute appendicitis include:
- Severe abdominal pain: Abdominal pain usually starts in the umbilicus and gradually moves toward the right lower abdomen, often worsening within a few hours.
- Loss of appetite: Most patients experience a loss of appetite.
- Vomiting: This may be accompanied by abdominal pain.
- Fever: Your body temperature may rise.
- Abdominal Sensitivity: The patient's lower right abdomen may become very sensitive, causing intense pain at the slightest touch.
- Constipation, diarrhoea, or bloody stools: Some patients may have abnormal bowel movements or even bleeding in their stools.
Factors
Factors leading to acute appendicitis include:
- Faeces, parasite eggs, food residue, gallstones, lymph inflammation, and swelling block the appendix lumen. If the lumen outlet is blocked and mucus cannot be discharged, bacteria can easily invade the lumen wall and cause infection and inflammation.
- The appendix mucosa is damaged, and bacteria invade the appendix wall, causing infection and inflammation of the appendix.
- The wall of the appendix has been damaged, narrowing the lumen and causing inflammation.
- Fatigue and overeating may also lead to appendicitis.
- Frequent use of laxatives for constipation may congest the intestinal mucosa and lead to appendix inflammation.
- Other reasons include gastrointestinal dysfunction, eating habits, or genetics.
- If you have received non-surgical treatment for appendicitis, the appendix mucosa has been destroyed, resulting in fibrosis of the granulation tissue and obstruction of the appendix cavity. It is called chronic appendicitis, which can easily lead to recurring episodes of acute appendicitis.
Diagnosis and Treaments
Diagnosis
Doctors can diagnose acute appendicitis through blood or urine tests, abdominal X-rays, ultrasound, computed tomography (CT), laparoscopy, etc.
Treatment
Except in rare cases, acute appendicitis must be treated surgically.
When appendicitis has formed a local abscess, the doctor will use antibiotics to treat the blemish so that the appendix can be removed later. Once diagnosis or treatment is delayed, a ruptured and perforated appendix may cause peritonitis, sepsis, and even death.
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