Appendicitis – Symptoms and causes / detailed article
Appendicitis – Symptoms and causes / detailed article – Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon to the lower right side of your abdomen.
Appendicitis causes pain in your lower right abdomen. However, in most people, pain starts around the navel and then goes on. As the inflammation worsens, the pain of appendicitis usually increases and eventually becomes severe.
Although anyone can develop appendicitis, it mostly occurs in people between 10 and 30 years of age. Standard treatment involves surgical removal of the appendix.
Symptoms – Appendicitis – Symptoms and causes / detailed article
Signs and symptoms of appendicitis may include:
Pain on the right side of the lower abdomen
Sudden pain that starts around your navel and often transfers to your lower right abdomen
Pain worsens if you cough, walk, or do other jerking movements.
nausea and vomiting,
loss of appetite,
Low-grade fever may worsen as the disease progresses.,
Constipation or diarrhea,
The site of your pain may vary depending on your age and the condition of your appendix. When you are pregnant, the pain may come from your upper abdomen because your appendix is high during pregnancy.
Causes – Appendicitis – Symptoms and causes / detailed article
An obstruction in the lining of the appendix that results from infection is a possible cause of appendicitis. Bacteria multiply rapidly, causing the appendages to become inflamed, swollen, and pus. If not treated immediately, the appendix may burst.
If you have appendicitis, your appendix should usually be removed as soon as possible. This operation is known as appendectomy or appendectomy.
Surgery is also generally recommended if you have a chance of appendicitis but it is not possible to make a clear diagnosis.
The reason for this is that it is considered safer to remove the appendix than to run the risk of an appendix burst.
In humans, the appendix does not perform any significant function and its removal does not cause any long-term problems.
Appendectomy is performed under general anesthetic using a keyhole or open technique.
Keyhole surgery (laparoscopy) is usually the preferred method of removing appendix because recovery is quicker than open surgery.
This operation involves making 3 or 4 small cuts (incisions) in your stomach (abdomen). Special devices are then inserted, including:
A tube that gas inflates your abdomen – This allows the surgeon to see your appendix more clearly and gives them more room to work.
A laparoscope – a small tube containing a light source and a camera, which relates images inside the abdomen to a television monitor.
Small surgical instrument used to remove appendix
Once the appendix has been removed, the incisions will usually be closed with inconsistent stitches. Regular stitches can also be used, which need to be removed at your GP surgery 7 to 10 days later.
In some circumstances, keyhole surgery is not recommended and open surgery is done instead. Contains:
When the appendix has already burst and formed a lump called appendix mass
When the surgeon is not very experienced in laparoscopic removal
People who have had abdominal surgery before
In these cases, the operation involves making an even larger cut in the lower right part of your abdomen to remove the appendix.
When there is widespread peritonitis – an infection of the inner lining of the abdomen – it is sometimes necessary to operate through a long cut along the central part of the abdomen in a procedure called a laparotomy.
With keyhole surgery, the incision is closed using either incompatible sutures or regular sutures that need to be removed at a later date.
After both types of surgery, the removed appendix is regularly sent to a laboratory to check that there are no signs of cancer. It is a precautionary measure, although it is rare for a serious problem.
One of the main benefits of keyhole surgery is that the recovery time is reduced and most people can leave the hospital a few days after the operation.
If the appendix is operated quickly, most patients can go home within 24 hours. With open or complex surgery – for example, if you have peritonitis – it may take up to a week before you go home.
You are likely to have some aches and pains for the first few days after the operation. It improves over time, but you can take painkillers if necessary.
If you had keyhole surgery, you may experience pain in the tip of your shoulder for about a week. This is due to the gas that was pumped into the stomach during the operation.
You may also experience some short-term constipation. You can help reduce it by not consuming codeine painkillers, being rich in fiber and well hydrated. If the problem is particularly troublesome then your GP may prescribe medication.
Before leaving the hospital, you will be advised about your wound care and what activities you should avoid.
In most cases, you can return to normal activities in a few weeks, although more vigorous activities can be avoided for up to 4 to 6 weeks after open surgery.