Intestines

Appendicitis - which doctor to contact

People are interested in which doctor to go with appendicitis for an accurate diagnosis, emergency care. The disease catches a sudden, a visit to the doctor is delayed, considering its symptoms as a manifestation of other, less dangerous diseases, expecting the pain to pass away. This is dangerous - running appendicitis is broken, pus is poured into the abdominal cavity, causing peritonitis, sepsis, death. It is impossible to postpone the assistance.

What does it look like?

Suspicion of appendicitis falls with pain under the right ribs, not passing when changing position, after sleeping. The pains are aggravated by activity. There is a single vomiting, when going to a more severe stage - diarrhea. The temperature increases slightly, there is a weakness, nausea. Inflammation of the appendix of the cecum is confused with:

  • Gynecological diseases
  • Intestinal infections, poisoning,
  • Kidney disease.

During pregnancy for long periods, pain is generally weakly felt, inflammation risks starting asymptomatic. The child has complaints, causing the thought of poisoning, gastritis.

Clinical picture

The main cause of appendicitis is inflammation of the appendix, which can occur against the background of the following predisposing factors:

  • mechanical obturation of the lumen of the appendix with the subsequent activation of the microorganisms inhabiting the intestines,
  • infection of the appendix compared to other infectious diseases,
  • vascular pathology,
  • impaired intestinal motor function,
  • the formation of fecal stones in the intestines,
  • chronic abdominal diseases.


The patient appears characteristic symptoms. One of the first symptoms is abdominal pain, localized mainly in the left iliac region (may first appear in the epigastric or paraumbilical zone).

With an atypical location of the appendix in the abdominal cavity, the symptoms may resemble renal colic, cholecystitis, adnexitis (in women). Suspect appendicitis is referred to the surgeon, as the treatment of the disease is carried out by surgery.

Features of reception at the expert

Patients with appendicitis go to a doctor with a surgical specialty.. Since the disease is characterized by the development of inflammation and purulent complications, the most effective method of treatment is surgical removal of the appendix. If you have any warning signs of inflammation of the appendix, then you should seek help from a surgeon immediately.

First, the doctor will determine the patient's characteristic symptoms of the disease, paying close attention to exactly where the stomach begins to hurt during palpation, as well as the presence or absence of peritoneal irritation symptoms.

For statement of the diagnosis rather characteristic clinical picture, however in addition appoint the following researches:

  • general blood analysis,
  • general urine analysis,
  • X-ray of the abdominal organs,
  • Ultrasound of the abdominal organs,
  • irrigoscopy
  • CT scan,
  • invasive research methods (diagnostic laparoscopy).

Additional diagnostic methods are needed primarily to exclude other acute surgical diseases. If appendicitis comes to a doctor for surgical treatment, therefore, in the process of examination, the doctor must determine the indications for surgery and begin preparing the patient. After removal of the appendix, the recovery period in most cases proceeds safely and takes on average about a month.

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Which doctor identifies and treats acutely flowing appendicitis

Appendicitis with the most acute manifestations of inflammation is considered a surgical pathology. When inflammation occurs in the organ, a purulent focus quickly arises and if the vermiform appendix is ​​not removed in time, it will burst, and all the purulent mass will come out and then extensive surgical intervention will be required. Therefore, to go if there is a suspicion of an inflammation of the appendix for obtaining advice, it is necessary to see a surgeon. Indicate the acute stage of appendicitis may include such signs:

  • Pain that appears first in the upper abdomen and then a few hours later shifting to the right iliac region, that is, almost down.
  • Nausea, dyspeptic disorders are possible, often rising temperature.
  • Vomiting, most often it is a one-time.
  • With a pronounced inflammatory reaction in the body signs of intoxication of the body are added.

It must be said that the listed symptoms relate to a typical variant of appendicitis. But there is also an atypical course of the disease, in which the signs of inflammation of the appendix are smoothed out or pains are detected only at the top or in all the lower abdomen. Therefore, when various changes in health, abdominal pain with different localization, dyspeptic disorders appear, it is necessary to consult and clarify the reason with the district or any other general practitioner or contact the emergency room of any state hospital. The doctor on duty does not have the right to refuse to examine you; if necessary, any specialist will send the patient for a consultation to the surgeon.

The doctor makes a diagnosis not only on the basis of the patient's history and examination. In order to accurately determine all changes and establish the diagnosis, blood and urine tests are taken, if possible, instrumental examination is carried out. Appendicitis is also confirmed by means of various tests, the methodology of which must be perfectly mastered by any experienced surgeon. That is, it is naturally possible to set up an acute inflammation of the appendix on your own, but this will not always be a reliable diagnosis without proper experience.

Where to turn if you suspect appendicitis

Having recorded the alleged signs of appendicitis, it is necessary not to postpone the medical examination. When deciding who to contact in case of suspected inflammation of the appendix, you can go several ways:

  • For acute, severe pain, severe deterioration of health, it will be necessary to call an ambulance to the house or to the place of their work. An ambulance doctor, after examining and palpating the abdomen, will decide whether you need further immediate examination or the diagnosis of the body can be postponed for several days.
  • For dull pain in the abdomen with unclear localization also do not need to delay the examination. In this case, you can contact your local feldsher or therapist. After the examination, the doctor will write out the necessary directions for tests and refer them to narrow specialists for additional examination.
  • Appendicitis may be during pregnancy. In pregnant women, acute inflammation may develop according to an atypical scenario, and therefore, feeling any disturbing signs in the abdomen, the expectant mother must necessarily inform about the change in the state of health of her gynecologist.
  • In women, the signs of appendicitis are often similar to ectopic pregnancy. With a delay, pain in the abdomen will not be superfluous to undergo an ultrasound scan in a short time and an examination by a gynecologist.

With appendicitis, all medical care in the acute phase of the disease in public institutions is free. Any hospitals and clinics that receive funding from the state are obliged to examine Russian citizens. The patient is not only examined for free, but is further treated. Appendectomy, that is, the removal of the inflamed appendix in the traditional way, that is, using a conventional operation is free of charge. The doctor must describe in detail all his feelings, explain when the pain started, whether there are dyspeptic disorders. If possible, it is advisable to take an outpatient card with you, it always indicates transferred operations, drug allergies, chronic pathologies. Based on these data, the doctor will be able to exclude or suggest other pathologies associated with abdominal pain.

Especially carefully it is necessary to treat with signs indicating appendicitis in children. At this age, inflammation develops very quickly and the sooner qualified medical care is provided, the easier the child will undergo surgery and the recovery period after it. If the child is not worried about acute, but periodic abdominal pain, then initially he should be examined by a pediatrician. In the future, after tests and diagnostic examinations, the doctor will decide - to whom else to send the baby in order to accurately determine the cause of the different types of abdominal pain.

Appendicitis in its symptoms is often similar to other diseases. Some of them are not treated by a surgeon, but by a therapist or other specialist. But some appendicitis-like diseases also require emergency surgery.

Differential diagnosis of appendicitis

Doctors differentiate an acute appendicitis with three groups of disease changes of a different nature.

Pathologies that are treated conservatively:

  • Myocardial infarction. Similarity to appendicitis arises due to the localization of pain in the upper abdomen, which is also possible in acute heart attack.
  • Pneumonia right and pleurisy. Inflammation of the lungs is often accompanied by abdominal pain and muscle tension, these symptoms are especially characteristic of children.
  • Dysentery and acutely flowing gastroenteritis differ from appendicitis in the nature of pain. In these diseases, pain is cramping, repeated vomiting, in most cases diarrhea is noted. During palpation there is no muscle tension and it is not possible to accurately determine the point of greatest pain.
  • Helminthiasis A tangle of parasites can clog the intestinal lumen, causing sharp pain and symptoms of intoxication. In tests for helminthic invasion, the doctor will see a large number of eosinophils and signs of anemia.
  • Adnexitis is an inflammation of the ovary. Pain in this disease can be given to the perineum, groin, in the past a woman has a history of genital diseases, possibly a violation of the menstrual cycle.

Pathologies requiring planned surgery:

  • Urolithiasis disease. In case of acute development and blockage of ureteral stone, renal colic occurs with paroxysmal pain in the lower back area. Pain can give down the abdomen.
  • Crohn's disease.
  • Calculous cholecystitis in the acute stage.
  • Education cecum.

Pathologies requiring emergency surgery:

  • Perforated stomach ulcer. It differs from appendicitis by the sharp appearance of dagger pain in the stomach area, and the patient develops signs of a shock.
  • Ectopic pregnancy. In addition to pain, a woman can have a bloody discharge in a small volume from the genital tract, there is a delay of menstruation or a change in their nature. With severe bleeding, there are also signs of a shock.
  • Acute intestinal obstruction from appendicitis is distinguished by the absence of a strong tension of the muscles of the abdominal wall, during palpation, the doctor can determine the intestinal formation - invaginate.

In connection with the similarity of appendicitis with the above diseases, the patient always needs careful examination and examination. If necessary, the doctor attracts other specialists to the examination of the patient, conducting additional examinations. The decision to conduct an operation is made only on the basis of the totality of all the data obtained during the inspection and examination. The outcome of both conservative and surgical intervention largely depends on at what stage of development of the pathological process a sick person will go to a doctor. Therefore, having noted the signs similar to appendicitis in the very first hours from the beginning of their appearance, it is necessary to call the nearest ambulance or go to the hospital independently. It is necessary to get tested in a short time even if abdominal pains of a different nature continue for six hours, with or without breaks. When fixing the pain before the examination by a specialist, it is impossible to take analgesics, it is forbidden to apply a hot-water bottle to the stomach, preferably at this time and not to eat and drink less water.

Appendectomy is considered one of the easiest operations in practical surgery, but only if the inflammation of the appendix is ​​not complicated by other changes. To avoid this, it is always necessary to seek help from health workers in the early hours of the onset of pain and other changes in health.

Alarming symptoms

Appendicitis is a disease that affects both adults and small children. Depending on the age, the manifestations of the disease may vary. However, there are characteristic signs that may indicate the beginning of the inflammatory process in the appendix:

  • pain in the right iliac region, which does not disappear after sleep, during a change in body position,
  • slight or sharp rise in temperature
  • single vomiting in adults, multiple - in children,
  • nausea, weakness
  • in some cases, possible violations of the chair.

Of particular difficulty is the definition of the disease in women, since these symptoms may be characteristic of gynecological pathologies. Pregnant women may not pay attention to the manifestations of appendicitis, confusing them with toxicosis in the early stages. In the later periods, the pain is not very pronounced or practically absent.

The appendix can be taken for poisoning, aggravation of gastritis. However, in no case can you ignore the symptoms, as appendicitis in extreme cases can lead to death or numerous complications.

What is dangerous disease

The main danger of this disease is that pus from a burst appendix pours into the abdominal cavity, causing inflammation and the development of blood poisoning. In this case, abdominal surgery with washing the peritoneum, as well as a set of measures aimed at the treatment of sepsis.

The need for an operation in acute appendicitis is well illustrated by a well-known historical example.

The incident occurred on April 29, 1961 at the Soviet Antarctic station. The only doctor who was there, Leonid Ivanovich Rogozov, felt ill. Symptoms indicated acute appendicitis. Conservative treatment did not bring any results, because it was decided to conduct the operation.

Otherwise, the probability of a fatal outcome due to peritonitis and sepsis was high. The doctor removed the appendix to himself, the assistants were a meteorologist and a mechanical engineer. Abdominal surgery lasted 1 hour and 45 minutes, ended successfully. The doctor quickly went on the mend, and this case became famous all over the world.

When the first signs of the disease appear, it is necessary to seek medical help as soon as possible to prevent the development of complications.

What to do if you suspect a disease

The first question that arises in patients is which doctor they should call for appendicitis? You should get an appointment with the surgeon as soon as possible. Depending on the intensity of the pain and associated symptoms, you can do the following:

  • If the pain is acute and severe, there are other symptoms, such as nausea, weakness, vomiting - you need to call an ambulance.The doctor will examine the patient, palpation of the abdomen. If necessary, the patient is immediately hospitalized for examination and possible emergency surgery. If the situation is not critical, the specialist will explain what actions should be taken.
  • With minor pain, you should go to the local surgeon as soon as possible. The doctor will collect anamnesis, prescribe a laboratory and other studies, for example - tomography of the abdominal cavity and ultrasound. After receiving all the data will be diagnosed. The patient will be given a referral for hospitalization, and already in the hospital itself, the attending physician will sign out further actions.

  • If the pain appeared in pregnant women, you should first consult with the gynecologist to exclude fetal pathologies or systemic diseases. After that, the gynecologist can redirect the pregnant surgeon to undergo examinations.
  • Women often take appendicitis for an ectopic pregnancy, so the first thing to do is to contact a gynecologist and do an ultrasound of the uterus and appendages. In the absence of confirmation of suspicion, the doctor will independently send for examination to the surgeon.
  • If you suspect appendicitis in children, you need to act immediately, because at a younger age, the disease develops rapidly and becomes acute. If the parents observe that the child tries not to lie down on the diseased side, presses the legs to the stomach, is capricious, does not want to play - this is the first sign of the development of the disease. The child should be taken to hospital as soon as possible in order to pass all necessary examinations and carry out the operation on time.

Complications

Patients often try to delay the visit to the hospital, hoping that the condition will stabilize. Many have a fear of surgery. Timely treatment at a medical institution, when appendicitis has not yet taken an acute form, allows laparoscopy.

With this type of surgery on the abdomen, 3 small incisions are made into which the instrument is inserted. The operation itself takes a little time, the patient quickly goes through a rehabilitation period and can return to a full life.

If the visit to the surgeon was tightened and peritonitis developed, then abdominal surgery is indicated. To do this, an incision is made on the side, the peritoneum is cleaned of residual pus, washed and impose internal and external seams. Recovery from such surgery takes longer, the risk of complications is high.

They may be as follows:

  • Suppuration of stitches. If this happens, the suture is removed, the affected area is cleaned, disinfected. Stitches are put on again, antibiotics are prescribed to the patient. To lie in the hospital will have to stabilize.
  • The accretion of internal and external seams. Occurs if the patient is not engaged in exercise therapy and tries to move as little as possible. This condition can adversely affect the work of the internal organs, so the seams are excised and stitched again. The discharge time is delayed.
  • The divergence of the seams and the formation of hernia. Occurs after abdominal surgery, when the patient lifts the weights or exposes himself to excessive loads. The stitches diverge, the abdominal organs can move into the cut hole. This is often the intestines. In this case, re-surgical intervention is carried out, and the patient has to be longer in the hospital.

Appendicitis - which doctor to contact

Appendicitis is one of the most common surgical pathologies and can occur in any person, regardless of gender and age. It is important to know which doctor to contact for appendicitis, and what the symptoms of this disease may be. Appendicitis refers to diseases that require emergency medical care, so if you have signs of appendicitis, you must immediately call an ambulance.

The main cause of appendicitis is inflammation of the appendix, which can occur against the background of the following predisposing factors:

  • mechanical obturation of the lumen of the appendix with the subsequent activation of the microorganisms inhabiting the intestines,
  • infection of the appendix compared to other infectious diseases,
  • vascular pathology,
  • impaired intestinal motor function,
  • the formation of fecal stones in the intestines,
  • chronic abdominal diseases.

The patient appears characteristic symptoms. One of the first symptoms is abdominal pain, localized mainly in the left iliac region (may first appear in the epigastric or paraumbilical zone).

With an atypical location of the appendix in the abdominal cavity, the symptoms may resemble renal colic, cholecystitis, adnexitis (in women). Suspect appendicitis is referred to the surgeon, as the treatment of the disease is carried out by surgery.

Patients with appendicitis go to a doctor with a surgical specialty.. Since the disease is characterized by the development of inflammation and purulent complications, the most effective method of treatment is surgical removal of the appendix. If you have any warning signs of inflammation of the appendix, then you should seek help from a surgeon immediately.

First, the doctor will determine the patient's characteristic symptoms of the disease, paying close attention to exactly where the stomach begins to hurt during palpation, as well as the presence or absence of peritoneal irritation symptoms.

For statement of the diagnosis rather characteristic clinical picture, however in addition appoint the following researches:

  • general blood analysis,
  • general urine analysis,
  • X-ray of the abdominal organs,
  • Ultrasound of the abdominal organs,
  • irrigoscopy
  • CT scan,
  • invasive research methods (diagnostic laparoscopy).

Additional diagnostic methods are needed primarily to exclude other acute surgical diseases. If appendicitis comes to a doctor for surgical treatment, therefore, in the process of examination, the doctor must determine the indications for surgery and begin preparing the patient. After removal of the appendix, the recovery period in most cases proceeds safely and takes on average about a month.

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What kind of doctor to contact for inflammation of appendicitis and where to go

Inflammation of the appendage of the cecum occurs suddenly. Often a person does not suspect that the pathological process has begun. However, the signs of the disease are quite pronounced. Therefore, it is worth knowing what symptoms call an ambulance and turn to a gastroenterologist or surgeon. The doctor will conduct a detailed diagnosis of the disease.

Symptoms causing danger in appendicitis

The inflammatory process in appendicitis begins with discomfort in the right side. After 6-7 hours, the pain migrates to the ileal area on the right side. In addition, the intensity of the pain varies.

Therefore, the following features are distinguished:

  • constant discomfort,
  • when moving the body pain syndrome increases,
  • sharp severe pain
  • easing discomfort.

Each feature and intensity of pain syndrome is associated with the cause of appendicitis. In addition, with sharp cramps in the abdomen there is a high probability of the disease turning into a purulent form. If the pain diminishes and resumes, then this symptom accompanies the gangrenous lesion. With the manifestation of acute appendicitis, symptoms similar to intestinal upset occur.

Therefore, you should pay attention to:

  • bouts of nausea, turning into vomiting,
  • loss of appetite
  • urging to the toilet
  • frequent emptying of the bladder.

Acute appendicitis is specifically manifested in pregnant women. Initially, discomfort can manifest itself not from the right side, but in the area of ​​the stomach. Due to the increase in the uterus, the appendage is displaced. However, a consultation with a doctor should be made on the basis of a constant temperature of 37 ° C and vomiting at any time of the day. However, most doctors have doubts about the occurrence of appendicitis.

If a patient has a destructive lesion, the signs of inflammation are more pronounced. This is often the case in children, which causes the appearance of complications.

To determine the course of appendicitis in your body, you need to monitor each sign. To do this, the patient is required to pay attention to the pain in the right abdomen. If appendicitis proceeds, then in the first hours discomfort is manifested in the navel area or around it. After some time, pain occurs in the lower abdomen from the right side. The patient notes that the affected area is a few centimeters above the pelvic bone.

For self-determination of your condition, it is recommended to gently press on the abdominal area. If you experience severe pain, you need to call an ambulance or you should go to a general practitioner in the hospital.

During pressure, pay attention to the seal of the abdominal wall. When pressing on the abdominal area, the finger is slightly immersed in the skin, but when appendicitis the area becomes hard. Other than that, the stomach seems swollen.

After the discovery of pain, you can try to walk for a while. If immediately after the first sign it is done with difficulty, then this manifestation is accompanied by acute appendicitis. In addition to walking the patient is recommended to lie down. If the pain subsides when the position is on the right side, this is considered inflammation of the process.

It is necessary to monitor the spread of discomfort. If the pain is accompanied by nausea and vomiting, then it is necessary to call the ambulance brigade.

What doctor treats inflammation of the appendage of the cecum?

When appendicitis should consult a surgeon, gastroenterologist or therapist. If symptoms appear in a woman in position, it is recommended to consult a gynecologist. A patient with inflammation of the appendage of the cecum should go with appendicitis to a doctor with a surgical orientation. This is due to the fact that the treatment of the disease takes a lonely - removal of the appendage.

Regardless of the doctor, when a patient has inflammation of the process, the patient is diagnosed. This is necessary to establish an accurate diagnosis. This is especially required for women during gestation. Sometimes the symptoms are confused with inflammation of the ovary or other organs of the small pelvis.

The doctor during appendicitis conducts palpation and questioning the patient. For this, he makes an examination of the intestine and the iliac region. If the signs of the disease are confirmed, the patient is sent to remove the appendix.

For any development of the disease, the patient is subjected to an appendectomy. However, surgery has contraindications and is done only by a surgeon. In case of late treatment for help, the patient has complications of appendicitis. Therefore, the operation to remove the appendage is carried out by different methods. To prepare the patient for intervention, he is placed in a surgical hospital.

To do this, there are the following methods of intervention:

  • minimally invasive surgery
  • classic dissection

Carrying out diagnostics and determining the site of inflammation

When referring to a doctor with signs of appendicitis, the patient is subjected to additional laboratory tests. In order to accurately identify the inflammatory process, you will need to pass a general analysis of blood and urine. To recognize the size of the appendix spend x-rays and ultrasound.

In some cases, intestinal irrigoscopy is used. Diagnosis is carried out with the introduction of a contrast agent through the rectum. The procedure is necessary for radiography. In addition, use CT or laparoscopy of the abdominal cavity.

Diagnostic methods are used to eliminate inflammation of other organs. After treatment of acute appendicitis, a recovery period of 30 days is required. If there is no complication in an adult or a child, then rehabilitation reaches 2 weeks.

In case of persistent pain accompanied by vomiting, appendicitis is referred to a general practitioner or a gastroenterologist. After diagnosis, the patient is sent to the surgeon. However, for women in the position it is necessary to consult a gynecologist. Signs are capable of accompanying other diseases. In addition, in the treatment of the classical method, there are a number of contraindications. This is advised by the attending physician.

Appendicitis - which doctor will be able to correctly diagnose

Inflammation of the appendix is ​​one of the most common surgical pathologies requiring emergency intervention. Appendicitis with acute manifestations of the disease can occur at the most inopportune moment in life and practically in each of us, ranging from small babies to people of old age. Most of us understand that uncomplicated appendicitis is the easiest to operate on, surgical intervention is mostly uncomplicated, and the recovery period takes only a few days. But in order to undergo the necessary treatment in time, it is necessary not only to know the main symptoms of appendicitis, but also to understand which doctor will be able to correctly set the diagnosis and suggest the correct treatment tactics.

Timely visit to the doctor - the guarantor of successful treatment

Noticing health problems, feeling persistent pain in the abdomen, symptoms resembling appendicitis, an urgent need to consult a doctor. Modern diagnostics will allow to clarify in detail the state of health, the origin of pain, malaise. Emergency care will eliminate the risks to health and life, reduce the rehabilitation period by months, allow you to take advantage of the opportunities of laparoscopy, to carry out the operation easily. Caught in time, the disease does not leave a negative imprint on your lifestyle for the long term. The risk of negative consequences, dangerous complications will remain minimal.

Operational diagnosis and doctors will help with minimal time loss to diagnose the disease, eliminating gynecological and other similar problems. Research will put an end to reflections. It is unreasonable to be afraid of surgery - unfortunately, appendicitis is not treated otherwise, and it is deadly to launch it.

Who to contact?

Who should I contact if an inflammation of the appendix is ​​suspected? If there is suspicion of appendicitis, there is no point in contacting the local physician, the surgeon will help. To him go, if the symptom - only pain, a person is able to go, wait in line.

An acute attack involves an ambulance call at home, at work, in any public place. Not knowing where to turn, call an ambulance, help for the patient with appendicitis is urgent, doctors will arrive.

When a diagnosis is made to a woman, especially a pregnant woman, it makes sense to consult a gynecologist and exclude gynecological inflammations.

How is it diagnosed?

For the diagnosis, the doctor will conduct a series of manipulations. Inflammation that spreads to the process is diagnosed by palpation. Attention is paid to complaints, the general condition of the patient. May appoint ultrasound, other studies to exclude other diseases. Assign general tests, tomography of the abdominal cavity, the diagnosis is made according to the obtained data. If it is confirmed that the cecum and appendix are to blame - the patient is hospitalized, prepared for surgery. Conservative treatment does not help.

Postoperative complications

Complications occur in the preoperative period, during surgery, after the event. During surgery, anesthesia and allergy create risks.

Medical errors and difficulties associated with the patient’s unstable condition, with the need for prolonged cleansing of the abdominal cavity from pus are dangerous.

After surgery, complications are associated with the patient's initial severe condition in a neglected case, non-compliance with diet, hygiene, and suture care.

Perhaps the accretion of the inner seam with the outside with pain, when the patient seeks not to move, refuses to perform the sports complex. Physical activity after the operation is contraindicated, but with the improvement of the condition, you must begin to move. When the sutures are fused, it is necessary to excise them and impose new ones, which postpones the discharge period and forces them to stay in hospital for weeks.

Suppuration of seams occurs when improper care, infection, non-compliance with hygiene rules. It is necessary to remove the seams, disinfect the surface. The person is in the hospital until the infection passes, healing begins.

Hernias and discrepancies occur with excessive loads, rejection. The problem forces you to stay in the hospital for a long time, the seam after the discrepancies and inflammation remains rough, the scar is very noticeable.

Which doctor to contact with appendicitis?

Appendicitis is a painful inflammation of the appendix, the vermiform process of the cecum, which is located in the lower right part of the abdomen.

Appendicitis is a common surgical disease. 4-5 out of 1000 people face it. More often, appendicitis develops at the age of 20-40 years old, women suffer twice as often as men. There are no reliable measures for the prevention of appendicitis, but it is believed that the use of large amounts of fiber reduces the likelihood of developing the disease.

First there is pain in the middle of the abdomen. Then it goes into the lower right part of the abdomen and gradually strengthens. Appendicitis requires emergency medical care, most often a surgical operation is performed to remove the appendix. If appendicitis is not treated, the appendix can rupture and cause life-threatening complications.

Up to the end it is not clear what are the causes of appendicitis, but it is believed that the disease often develops when the entrance to the appendix is ​​blocked, for example, with a small piece of feces.

What is an appendix?

An appendix is ​​a small, rather thin, process 5-10 cm long. It is connected to the cecum, in which fecal masses are formed.

The function of the appendix is ​​not fully understood. It is known that in the lumen of the appendix, beneficial intestinal microbes, which are involved in the digestion of food, actively proliferate. In addition, the appendix is ​​an intestinal "amygdala", as it contains lymphoid tissue and is involved in the formation of immunity and protection against infections. However, the removal of the appendix has almost no effect on human health, since the body is able to compensate for its absence.

Appendicitis symptoms

Appendicitis usually begins with a pain in the middle of the abdomen that can pass and reappear.

Within a few hours, the pain passes into the lower right side of the abdomen, where the appendix is ​​located, and becomes acute and constant. The pain may increase with pressure on the abdomen next to the appendix, when coughing or walking.

If you have appendicitis, other symptoms may occur, for example:

  • nausea,
  • vomiting
  • lack of appetite,
  • constipation,
  • temperature 38º C or higher
  • diarrhea.

If you have a pain in the abdomen that gradually gets worse, consult a doctor immediately or call an ambulance.

Appendicitis can be easily confused with another disease, such as urinary tract infection, Crohn's disease, gastritis, intestinal infection, or ovarian disease. However, all conditions in which there is constant intense abdominal pain require immediate medical attention.

Call the ambulance number - 03 from a landline phone, 112 or 911 - from a mobile if abdominal pain has increased dramatically and swept the entire abdominal cavity. This is a possible sign of rupture of the appendix.

When rupture of the vermiform process, bacteria enter the abdominal cavity, which can cause severe complications, such as inflammation of the inner lining of the abdominal cavity (peritonitis) and blood infection.

Causes of Appendicitis

Diagnosis of appendicitis

Appendicitis treatment

Complications of appendicitis

Which doctor to contact with appendicitis?

Appendicitis is a painful inflammation of the appendix, the vermiform process of the cecum, which is located in the lower right part of the abdomen.

Appendicitis is a common surgical disease. 4-5 out of 1000 people face it. More often, appendicitis develops at the age of 20-40 years old, women suffer twice as often as men. There are no reliable measures for the prevention of appendicitis, but it is believed that the use of large amounts of fiber reduces the likelihood of developing the disease.

First there is pain in the middle of the abdomen. Then it goes into the lower right part of the abdomen and gradually strengthens. Appendicitis requires emergency medical care, most often a surgical operation is performed to remove the appendix. If appendicitis is not treated, the appendix can rupture and cause life-threatening complications.

Up to the end it is not clear what are the causes of appendicitis, but it is believed that the disease often develops when the entrance to the appendix is ​​blocked, for example, with a small piece of feces.

What is an appendix?

An appendix is ​​a small, rather thin, process 5-10 cm long. It is connected to the cecum, in which fecal masses are formed.

The function of the appendix is ​​not fully understood. It is known that in the lumen of the appendix, beneficial intestinal microbes, which are involved in the digestion of food, actively proliferate. In addition, the appendix is ​​an intestinal "amygdala", as it contains lymphoid tissue and is involved in the formation of immunity and protection against infections. However, the removal of the appendix has almost no effect on human health, since the body is able to compensate for its absence.

Appendicitis symptoms

Appendicitis usually begins with a pain in the middle of the abdomen that can pass and reappear.

Within a few hours, the pain passes into the lower right side of the abdomen, where the appendix is ​​located, and becomes acute and constant. The pain may increase with pressure on the abdomen next to the appendix, when coughing or walking.

If you have appendicitis, other symptoms may occur, for example:

  • nausea,
  • vomiting
  • lack of appetite,
  • constipation,
  • temperature 38º C or higher
  • diarrhea.

If you have a pain in the abdomen that gradually gets worse, consult a doctor immediately or call an ambulance.

Appendicitis can be easily confused with another disease, such as urinary tract infection, Crohn's disease, gastritis, intestinal infection, or ovarian disease. However, all conditions in which there is constant intense abdominal pain require immediate medical attention.

Call the ambulance number - 03 from a landline phone, 112 or 911 - from a mobile if abdominal pain has increased dramatically and swept the entire abdominal cavity. This is a possible sign of rupture of the appendix.

When rupture of the vermiform process, bacteria enter the abdominal cavity, which can cause severe complications, such as inflammation of the inner lining of the abdominal cavity (peritonitis) and blood infection.

Causes of Appendicitis

It is not completely clear what causes appendicitis. The appendix is ​​connected to the cecum, in which fecal masses are formed. It is located in the lower right part of the abdomen. It is believed that in some cases appendicitis causes a small piece of feces, which falls into the appendix and closes the entrance to it. After that, the bacteria in the appendix begin to multiply, it is filled with pus and swells.

Some types of inflammatory bowel disease, such as Crohn's disease and ulcerative colitis, can also cause blockage of the appendix. The source of inflammation in the appendix can be a gastric infection that has moved through the intestine to the appendix. If the swollen appendix is ​​not surgically removed, it will eventually rupture and the infection may spread to other organs.

Diagnosis of appendicitis

Diagnosing appendicitis can be difficult, especially if you do not have typical symptoms. It happens about every second patient. Moreover, sometimes the appendix can be located in an unusual place, for example, in the pelvis, behind the large intestine or liver. Appendicitis pain can mimic other diseases, such as bladder or urinary tract infection, Crohn's disease or gastritis.

The doctor will ask you about the complaints, examine the abdomen and check whether the pain is aggravated by pressure in the area of ​​the appendix (lower right side of the abdomen). If your symptoms correspond to typical signs of appendicitis, this is usually enough so that your doctor can diagnose with certainty.

Additional examinations for appendicitis

If your symptoms are not typical, additional tests and tests may be required to confirm the diagnosis and rule out other diseases. Studies of suspected appendicitis:

  • a blood test to check if your body is fighting infection
  • urinalysis to rule out other diseases, such as a bladder infection,
  • magnetic resonance imaging (MRI) or ultrasound (ultrasound) - they are very well established in the diagnosis of appendicitis,
  • pregnancy test for women.

If your doctor thinks an appendix has ruptured, you will be immediately referred to hospital for treatment.

Appendicitis treatment

Complications of appendicitis

Which doctor to contact with appendicitis?

Appendicitis is a painful inflammation of the appendix, the vermiform process of the cecum, which is located in the lower right part of the abdomen.

Appendicitis is a common surgical disease. 4-5 out of 1000 people face it. More often, appendicitis develops at the age of 20-40 years old, women suffer twice as often as men. There are no reliable measures for the prevention of appendicitis, but it is believed that the use of large amounts of fiber reduces the likelihood of developing the disease.

First there is pain in the middle of the abdomen. Then it goes into the lower right part of the abdomen and gradually strengthens. Appendicitis requires emergency medical care, most often a surgical operation is performed to remove the appendix. If appendicitis is not treated, the appendix can rupture and cause life-threatening complications.

Up to the end it is not clear what are the causes of appendicitis, but it is believed that the disease often develops when the entrance to the appendix is ​​blocked, for example, with a small piece of feces.

What is an appendix?

An appendix is ​​a small, rather thin, process 5-10 cm long. It is connected to the cecum, in which fecal masses are formed.

The function of the appendix is ​​not fully understood. It is known that in the lumen of the appendix, beneficial intestinal microbes, which are involved in the digestion of food, actively proliferate. In addition, the appendix is ​​an intestinal "amygdala", as it contains lymphoid tissue and is involved in the formation of immunity and protection against infections. However, the removal of the appendix has almost no effect on human health, since the body is able to compensate for its absence.

Symptoms of appendicitis

Appendicitis usually begins with a pain in the middle of the abdomen that can pass and reappear.

Within a few hours, the pain passes into the lower right side of the abdomen, where the appendix is ​​located, and becomes acute and constant. The pain may increase with pressure on the abdomen next to the appendix, when coughing or walking.

If you have appendicitis, other symptoms may occur, for example:

  • nausea,
  • vomiting
  • lack of appetite,
  • constipation,
  • temperature 38º C or higher
  • diarrhea.

If you have a pain in the abdomen that gradually gets worse, consult a doctor immediately or call an ambulance.

Appendicitis can be easily confused with another disease, such as urinary tract infection, Crohn's disease, gastritis, intestinal infection, or ovarian disease. However, all conditions in which there is constant intense abdominal pain require immediate medical attention.

Call the ambulance number - 03 from a landline phone, 112 or 911 - from a mobile if abdominal pain has increased dramatically and swept the entire abdominal cavity. This is a possible sign of rupture of the appendix.

When rupture of the vermiform process, bacteria enter the abdominal cavity, which can cause severe complications, such as inflammation of the inner lining of the abdominal cavity (peritonitis) and blood infection.

Causes of Appendicitis

It is not completely clear what causes appendicitis. The appendix is ​​connected to the cecum, in which fecal masses are formed. It is located in the lower right part of the abdomen. It is believed that in some cases appendicitis causes a small piece of feces, which falls into the appendix and closes the entrance to it. After that, the bacteria in the appendix begin to multiply, it is filled with pus and swells.

Some types of inflammatory bowel disease, such as Crohn's disease and ulcerative colitis, can also cause blockage of the appendix. The source of inflammation in the appendix can be a gastric infection that has moved through the intestine to the appendix. If the swollen appendix is ​​not surgically removed, it will eventually rupture and the infection may spread to other organs.

Diagnosis of appendicitis

Diagnosing appendicitis can be difficult, especially if you do not have typical symptoms. It happens about every second patient. Moreover, sometimes the appendix can be located in an unusual place, for example, in the pelvis, behind the large intestine or liver. Appendicitis pain can mimic other diseases, such as bladder or urinary tract infection, Crohn's disease or gastritis.

The doctor will ask you about the complaints, examine the abdomen and check whether the pain is aggravated by pressure in the area of ​​the appendix (lower right side of the abdomen). If your symptoms correspond to typical signs of appendicitis, this is usually enough so that your doctor can diagnose with certainty.

Additional examinations for appendicitis

If your symptoms are not typical, additional tests and tests may be required to confirm the diagnosis and rule out other diseases. Studies of suspected appendicitis:

  • a blood test to check if your body is fighting infection
  • urinalysis to rule out other diseases, such as a bladder infection,
  • magnetic resonance imaging (MRI) or ultrasound (ultrasound) - they are very well established in the diagnosis of appendicitis,
  • pregnancy test for women.

If your doctor thinks an appendix has ruptured, you will be immediately referred to hospital for treatment.

Appendicitis treatment

If you have appendicitis, you will need to remove the appendix surgically. Removal of the appendix (doctors call this procedure appendectomy) - this is one of the most common and safe operations.

Making an accurate diagnosis is not always easy. In some cases, it is necessary to resort to complex examinations, including surgical intervention, in order to confirm or deny the presence of appendicitis.

Laparoscopic appendectomy

Surgical intervention is usually performed with minimal intervention (medical name is laparoscopy). Laparoscopy can reduce recovery time and reduce the number and likelihood of complications.

Three small incisions are made to remove the appendix; after their healing, barely noticeable scars remain on the skin. Most often, you can be discharged from the hospital within a few days after the operation, although it may take 1-2 weeks to recover completely.

Open appendectomy

Under some circumstances, laparoscopy is not recommended. Then an open operation is prescribed instead of it - laparotomy appendectomy. It is held:

  • at rupture of the appendix,
  • with tumors in the digestive tract,
  • women in the first trimester (up to 13 weeks) of pregnancy,
  • to people who have already undergone abdominal surgery.

In these cases, the removal of the appendix occurs through a large incision in the abdomen. After a laparotomy, a more noticeable scar remains on the abdomen, and it takes a week for you to get stronger and be able to leave the hospital.

Both the minimal intervention operation and the open surgery are usually carried out under general anesthesia, that is, you will sleep during the surgery.

How to determine the disease at home?

To determine the course of appendicitis in your body, you need to monitor each sign. To do this, the patient is required to pay attention to the pain in the right abdomen. If appendicitis proceeds, then in the first hours discomfort is manifested in the navel area or around it. After some time, pain occurs in the lower abdomen from the right side. The patient notes that the affected area is a few centimeters above the pelvic bone.

For self-determination of your condition, it is recommended to gently press on the abdominal area. If you experience severe pain, you need to call an ambulance or you should go to a general practitioner in the hospital.

During pressure, pay attention to the seal of the abdominal wall. When pressing on the abdominal area, the finger is slightly immersed in the skin, but when appendicitis the area becomes hard. Other than that, the stomach seems swollen.

After the discovery of pain, you can try to walk for a while. If immediately after the first sign it is done with difficulty, then this manifestation is accompanied by acute appendicitis. In addition to walking the patient is recommended to lie down. If the pain subsides when the position is on the right side, this is considered inflammation of the process.

It is necessary to monitor the spread of discomfort. If the pain is accompanied by nausea and vomiting, then it is necessary to call the ambulance brigade.

Watch the video: Appendicitis in Children. Symptoms & Treatment (December 2019).