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Appendicitis

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Appendicitis

Appendicitis is inflammation of the appendix. Appendix is present in the lower right side of the abdomen. It is 3 1/2-inch-long tube of tissue that extends from the large intestine. It is worm shaped vermiform appendix.

Symptoms of appendicitis are

  • Loss of appetite
  • Abdominal pain around appendix area (Lower right side of the abdomen)
    • Abdominal pain may increase while coughing, moving, deep breathing, jumping.
  • Nausea
  • Vomting
  • Fever
  • Constipation or diarrhea with gas
  • Pain in the lower back region

Causes of appendicitis

  • Infection due to bacteria, fungi or parasites in the body
  • Wall of appendicitis may be flimflammed due to the presence of faecal matter.
  • Crohn’s disease
  • Intestinal disorder
  • Accumulation of undigested seeds in the appendix
  • Pin worm infection
  • Lymphoid hyperplasia

Complications with Appendicitis

  • Abdominal inflammation
  • Sepsis :- Sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs
  • If it is ignored an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity which leads to peritonitis.
  • If appendicitis is ignored it may rupture leads to shock which can be fatal.

Diagnosis : Diagnosis of the disease mainly based on disease

  • Blood test  : a complete blood count (CBC) is done to check for signs of infection (White blood cells count increases)
  • Urine test: to check out a urinary tract infection
  • Retal exam
  • Ultrasonography and Doppler sonography are useful to detect appendicitis, especially in children.
  • Computed tomography (CT) has become frequently used, especially in people whose diagnosis is not obvious on history and physical examination

Treatment :

  • Some antibiotics are used to treat appendicitis
  • But in severe conditions appendicitis have to be removed surgically through laparotomy, or laparoscopy.
  • Surgery related to appendicitis is called as appendectomy. Antibiotics are given before an appendectomy to fight possible peritonitis. General anesthesia is usually given, and the appendix is removed through a 4-inch incision or by laparoscopy. If you have peritonitis, the abdomen is also irrigated and drained of pus.

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