Archive for the ‘Appendicitis’ Category

Treatment For Appendicitis

Saturday, August 28th, 2010

Appendicitis is the most common surgical emergency of the abdomen. It affects about 10% of the population. The incidence of appendicitis is about 1 in 500 persons every year. Appendicitis means inflammation of the appendix. It is thought that appendicitis begins when the opening from the appendix into the cecum becomes blocked. The blockage may be due to a build-up of thick mucus within the appendix or to stool that enters the appendix from the cecum. The mucus or stool hardens, becomes rock-like, and blocks the opening. This rock is called a fecalith (literally, a rock of stool).

Cause Of Appendicitis

The cause of appendicitis cannot be attributed to any one single factor. Fecal material is thought to be one possible obstructing object. Bacteria, viruses, fungi, and parasites can be responsible agents of an infection that leads to swelling of the tissues of the appendix wall, including Yersinia species, adenovirus, cytomegalovirus, actinomycosis, Mycobacteria species, Histoplasma species, Schistosoma species, pinworms, and Strongyloides stercoralis. Also, swelling of the tissue from inflammatory bowel diseases such as Crohn’s disease may cause appendicitis. It appears that appendicitis is not hereditary or transmittable from person to person.

Symptoms Of Appendicitis

Pain in the abdomen, first around the belly button and then in the lower right area
Loss of appetite
Nausea
Vomiting
Constipation or diarrhea
Inability to pass gas
Low fever, which begins after other symptoms
Abdominal swelling
Uncomforting feeling in the abdomen
Pain in the center of abdomen
Indigestion
Diarrhea
Feeling that a bowel movement will relieve the discomfort

Treatment

The treatment requires surgical removal of the appendix. The conventional method is the removal of the appendix by an open laparotomy. The current treatment followed is ligation and electrocauterisation. For patients who have signs of peritonitis a peritoneal lavage with saline is done. The use of drains is controversial.

The recent method of surgery adopted is the Laparoscopic appendectomy. This procedure makes use of a laparoscope for the removal of the appendix. The advantages are shorter hospital stay, decrease in the incidence of postoperative infection, shorter convalescent period and greater cosmetic acceptance. The disadvantages are longer operating time (about 20 minutes).

Symptoms of appendicitis

Tuesday, August 29th, 2006

appendicitis

Symptoms of appendicitis may include

pain in the abdomen, first around the belly button, then moving to the lower right area

loss of appetite

nausea
vomiting

constipation or diarrhea

inability to pass gas

low fever that begins after other symptoms

abdominal swelling

Not everyone with appendicitis has all the symptoms. The pain intensifies and worsens when moving, taking deep breaths, coughing, or sneezing. The area becomes very tender. People may have a sensation called “downward urge,” also known as “tenesmus,” which is the feeling that a bowel movement will relieve their discomfort. Laxatives and pain medications should not be taken in this situation. Anyone with these symptoms needs to see a qualified physician immediately.

The cause of appendicitis

Tuesday, August 29th, 2006

The cause of appendicitis relates to blockage of the inside of the appendix, known as the lumen. The blockage leads to increased pressure, impaired blood flow, and inflammation. If the blockage is not treated, gangrene and rupture (breaking or tearing) of the appendix can result. 

Most commonly, feces blocks the inside of the appendix. Also, bacterial or viral infections in the digestive tract can lead to swelling of lymph nodes, which squeeze the appendix and cause obstruction. This swelling of lymph nodes is known as lymphoid hyperplasia. Traumatic injury to the abdomen may lead to appendicitis in a small number of people. Genetics may be a factor in others. For example, appendicitis that runs in families may result from a genetic variant that predisposes a person to obstruction of the appendiceal lumen.

Appendicitis

Tuesday, August 29th, 2006

The appendix is a small, tube-like structure attached to the first part of the large intestine, also called the colon. The appendix is located in the lower right portion of the abdomen. It has no known function. Removal of the appendix appears to cause no change in digestive function.

Appendicitis is an inflammation of the appendix. Once it starts, there is no effective medical therapy, so appendicitis is considered a medical emergency. When treated promptly, most patients recover without difficulty. If treatment is delayed, the appendix can burst, causing infection and even death. Appendicitis is the most common acute surgical emergency of the abdomen. Anyone can get appendicitis, but it occurs most often between the ages of 10 and 30.