Appendicitis is a common disease that occurs as a result of inflammation of the vermiform appendix of the cecum (appendix). It can appear in a person of any age, however, appendicitis most often occurs in people between 10 and 30 years old.
The operation to remove acute appendicitis is not at all difficult, but neglect of medical care in some cases leads to death: peritonitis, purulent peritonitis, blood poisoning, rupture of appendicitis - the risk of death. But how can you distinguish inflammation of the appendix from ordinary food poisoning or simple indigestion?
In which side is the human appendix located? There is a common misconception about appendicitis on the Internet: they write that its location can be anywhere, so there is no need to pay attention to the location of the pain if inflammation is suspected. This is not entirely true. In general, appendicitis is located on the right side of the lower abdomen.
The leading symptoms of acute appendicitis are pain. They can start anywhere - a person thinks that his whole stomach hurts. After a certain period of time, pain is concentrated in the area of the right lower abdomen. The acute pain in the right side periodically goes away, and then comes back with renewed vigor.
Exception! Although rare, a right-sided location of the heart occurs; accordingly, the projection of the human cecum will be on the left side. Pregnant women also have a different physiology: during the period of gestation, the appendicitis of the expectant mother may change its location.
It is not necessary for a person to have all the possible signs of appendicitis; in some cases, inflammation can develop with very mild symptoms or symptoms belonging to other diseases (intestinal colic, food poisoning, inflammation of the appendages in women, influenza, liver dysfunction). But even the slightest suspicion of a common “trouble” is a reason to visit a doctor.
The onset of inflammation of the appendix in children is gradual. Children with appendicitis will behave restlessly, wake up at night from pain, and may cry. The child’s body is able to react to such a disease with “cold symptoms” (cough, runny nose). When adults try to touch the stomach, the child begins to resist.
In older people, symptoms of appendicitis are less noticeable, which often leads to delayed diagnosis. In addition, against the background of inflammation of the appendix in older people, chronic diseases worsen; this also slows down the recognition of the main source of anxiety.
If there is even the slightest hint of appendicitis, you should not hesitate to call an ambulance or go to the hospital yourself, because the disease is fraught not only with serious complications, but also with death.
If you have appendicitis, it is not advisable to:
All the tips on how to check for appendicitis are advisory in nature, but you definitely need to know them in order to turn to specialists for help in time.
It is estimated that in our country acute appendicitis affects about a million people every year.
The mortality rate due to it seems to be low: only 0.2-0.3%, but behind such insignificant numbers lies about 3,000 human lives that doctors cannot save. And in the summer, when many people are at their dachas and far from doctors, it is especially important to be able to distinguish appendicitis from ordinary abdominal pain in order to see a doctor in time.
Blind but dangerous
The appendix is a short and thin blind vermiform appendix 7-10 cm long, located at the end of the cecum (the initial part of the large intestine). Like any part of the intestine, the appendix produces intestinal juice, but so little that it does not play a special role in digestion. Therefore, for a long time it was considered a “mistake of nature” and was removed by the patient at the first opportunity. But recently, scientists discovered lymphoid cells in the caecum, the same as in human tonsils. And since these cells have the properties to protect the body from infections, the assumption was born that the appendix is part of the immune system.
However, the number of protective cells in it, as it turned out, is very insignificant and cannot have a strong effect on the immune system. So most experts are still confident that there is no benefit from the appendix, but the harm in case of its inflammation can be significant: acute appendicitis not diagnosed in time can cost not only health, but also life.
Experts do not agree on the exact causes of appendicitis. However, risk groups have been identified.
For example, people suffering from diseases such as chronic tonsillitis, pneumonia, persistent colds, diseases of the gastrointestinal tract, caries. As a result of these diseases, infections penetrate through the bloodstream into the appendix and provoke an inflammatory process there. So healthy teeth are the key to health for appendicitis.
There is also a stress theory. It is based on the fact that as a result of excitement in a person, a sharp narrowing of the blood vessels occurs and this leads to sudden bleeding of the appendix and the development of its inflammation.
But most often the occurrence of appendicitis is explained by blockage of the junction of the colon and the appendix, which often happens with constipation and chronic colitis.
How to identify him?
In most people, the appendix is located approximately halfway between the navel and the right ilium. In this place, with appendicitis, the maximum pain is felt. But if the appendix is raised to the right hypochondrium, closer to the liver, pain will appear in this area. And if the appendix is lowered into the lower part of the pelvis, then in women appendicitis is easily confused with inflammation of the appendages, in men - with the bladder.
When the process is located behind the cecum, when it is wrapped towards the kidney and ureter, pain occurs in the lower back, radiating to the groin, leg, and pelvic area. If the process is directed inside the abdomen, then pain appears closer to the navel, in the middle abdomen and even in the pit of the stomach.
Pain occurs suddenly, without any obvious reason. At first they are not too strong - they can still be tolerated. And sometimes, from the first minutes of an attack of acute appendicitis, they become unbearable and proceed like colic.
The pain will torment a person as long as the nerve endings of the appendix are alive. When its necrosis occurs, the nerve cells will die and the pain will subside. But this is no reason to calm down. Appendicitis will not “resolve.” On the contrary, the resolution of pain is a reason for immediate hospitalization. Acute appendicitis is accompanied by other symptoms. At the onset of the disease, general malaise, weakness, and loss of appetite appear. Nausea and sometimes vomiting may soon occur, but only once. A typical temperature ranges from 37.2 to 37.7 degrees, sometimes accompanied by chills. A white or yellowish coating appears on the tongue.
Simple techniques will help you recognize appendicitis. But keep in mind that self-diagnosis must be carried out very carefully.
1 Lightly tap with the pad of your bent index finger in the area of the right ilium - with appendicitis it always hurts there.
2 For comparison, also tap on the left iliac region, which in case of inflammation of the appendix will not cause pain. Attention: you cannot carry out palpation (feeling the abdomen with your hands) yourself, there is a danger of rupturing the appendix, which usually leads to peritonitis.
3 Try coughing loudly: increased pain in the right iliac region will tell you that you have appendicitis.
4 Apply gentle pressure with your palm to the area of your abdomen where it hurts the most. Hold your hand here for 5-10 seconds. The pain will ease slightly. Now remove your hand. If pain appears at this moment, this is a sign of acute appendicitis.
5 Take a fetal position, that is, lie on your right side and pull your legs towards your body. With appendicitis, abdominal pain will ease. If you turn on your left side and straighten your legs, it will intensify. This is also a sign of acute appendicitis.
But self-diagnosis should be limited to this. Do not hesitate to consult a doctor, since appendicitis itself, and all the diseases that it can masquerade as (renal colic, exacerbation of pancreatitis or cholecystitis, peptic ulcers of the stomach and duodenum, acute inflammation of the bladder, kidneys, female organs), require hospitalization!
If a diagnosis of acute appendicitis is made, the first-line treatment is emergency surgery. Currently, there is a gentle laparoscopic method in which the appendix can be removed without a large incision. Unfortunately, in our country this type of operation is not yet widespread enough due to the poor technical equipment of hospitals.
The main task of the postoperative period is to avoid complications, for example, suppuration of the postoperative wound. In their occurrence, most often there is no fault of the surgeon. Whether or not this complication occurs depends on the state of the appendix at the time of surgery - the greater the degree of inflammation, the higher the risk of suppuration.
If the operation was successful, young patients have their stitches removed already on the 6-7th day and discharged from the hospital. But for elderly people, as well as with chronic diseases (diabetes mellitus, hypertension, cardiac ischemia, etc.), the sutures are removed 2-3 days later. After this, it is advisable to seal the wound with an adhesive plaster.
Do not take a bath or go to the sauna for about a month: water and temperature loads on fragile scar tissue make the seam rougher, wider and unsightly. At least three months, and older people should not lift weights for six months. Avoid sports that strain your abdominal muscles. Try not to catch a cold: coughing is dangerous for you.
If you try to “endure” appendicitis, peritonitis may occur - inflammation of the abdominal cavity. Its symptoms:
increasing pain throughout the abdomen, nausea, vomiting, in severe cases - drowsiness, lethargy, bluish tint to the face;
pulse up to 120-140 beats per minute, temperature up to 39-40 C;
the tongue is covered with a white coating, then becomes dry, like a crust, the lips dry out and crack;
the stomach is swollen, it hurts in all its areas, but especially on the right.
Peritonitis can only be treated surgically. Moreover, the operation is very complex and lengthy. Unfortunately, it is not always possible to save the patient. That is why, if you experience any abdominal pain, you should never delay visiting a doctor. As they say, we don’t want to scare anyone, but everyone should remember how dangerous appendicitis is.
Pain from appendicitis occurs when the appendix is inflamed. At first glance, appendicitis is not a serious pathology, but if measures are not taken in a timely manner, it can even end in death. It is very important to pay attention to pain during appendicitis, it can be different. How to distinguish pain from appendicitis from other diseases? What to do if you have pain? When is emergency surgery necessary for appendicitis?
The main symptom is severe pain in the abdominal area. At the beginning of the development of inflammation, the pain spreads throughout the abdomen and can be localized in its upper part. It is worth noting that the pain is poorly localized, so it is difficult to distinguish it from other pathologies.
Usually the patient calls an ambulance because the attack of pain is severe and lasts about 6 hours. The patient cannot name where it hurts most with appendicitis, but, as a rule, discomfort first occurs in the epigastric region (under the stomach). Then the pain appears in the right side, it becomes more pronounced.
Painful sensations with appendicitis can vary in intensity. A distinctive feature is that they do not stop, they are constant.
In case of sharp and intense pain, you need to urgently go to the hospital. Most likely, the appendix has ruptured (perforation). No less dangerous is sharp pain, which is accompanied by restlessness; it may indicate an acute form of appendicitis. In this case, a purulent process may begin to develop in the appendix.
Appendicitis pain can worsen when a person walks or moves. The patient walks carefully and keeps his hands on the right abdomen.
Attention! If suddenly the pain from appendicitis subsides for a while, this does not mean that everything is fine. On the contrary, such a symptom may indicate progressive gangrene of the appendix, which is accompanied by the death of nerve endings.
Quite often the patient completely loses his appetite and feels sick. Constipation may also occur. Some people think that they have problems with the gastrointestinal tract because the symptoms are similar. To rule out appendicitis, you should immediately consult a doctor. He examines the abdomen by palpation. As a rule, the pain is most localized in the iliac region on the right. It is important to consider that there are no exact symptoms for appendicitis, so you should immediately contact a specialist.
Additional symptoms of appendicitis include:
The maximum pain occurs under the right rib (near the liver). If your appendix is located in the lower part of the pelvis, the pain will be localized on the right side. It happens that the location of the appendage is behind the cecum, in which case it turns towards the ureter and kidney. The patient experiences unbearable lumbar pain that radiates to the leg, groin, and pelvis. If the process is directed inward to the abdomen, pain will occur near the navel.
With acute appendicitis, weakness appears and problems with appetite may occur. After some time, severe nausea and vomiting appear, and the temperature rises to 48 degrees. In some situations, the patient is bothered by chills, and a white coating is visible on the tongue.
You can perform a self-diagnosis:
In any case, it is not advisable to engage in self-diagnosis; it is best to immediately call an ambulance. Your doctor will help you find out the underlying cause of your pain. Quite often, the symptoms of appendicitis are confused with pancreatitis, renal colic, acute cholecystitis, stomach ulcers, acute inflammation in the bladder and female organs. Under no circumstances should you refuse hospitalization if you experience pain in your abdomen.
If the diagnosis is confirmed, emergency surgery is performed. Today there is a modern gentle technology - laparoscopy . It doesn't leave a big scar.
The main thing after surgery is to follow medical recommendations to prevent complications. Quite often there can be suppuration of the wound; it can be provoked by the inflammatory process of the appendix during surgery.
If the operation is timely and without complications, the patient is discharged within a week. Later, stitches can be removed for patients with hypertension, diabetes, or cardiac ischemia.
Thus, it is very important to promptly pay attention to the pain that occurs with appendicitis. To avoid serious consequences, it is best to immediately go to the hospital or call an ambulance, otherwise everything could end tragically.
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Appendicitis is an acute inflammatory process of the vermiform segment of the cecum; the disease is diagnosed in people of any age, but most often at 20–35 years of age. The pathology requires immediate medical attention, otherwise peritonitis may occur.
Inflamed appendicitis must be removed
The appendix (vermiform appendix) is an appendage of the cecum, its length is 3–9 cm, structural features can be seen in the photo. Inside, the cavity is filled with lymphatic tissue; the process performs protective functions in the body. The cells synthesize antibodies that destroy pathogens; the process itself contains beneficial bacteria to maintain an optimal balance of intestinal microflora.
The inflamed appendix increases in size
Where is the appendix located? The process in humans is located in the lower right part of the iliac region, with a mirror arrangement of organs - on the left side.
Appendicitis is a fairly common disease, but doctors have not been able to fully figure out what causes the appendix to become inflamed.
The main theories of inflammation of the appendix:
According to studies by Spanish scientists, appendicitis in children developed in 40% of cases after eating seeds and chips.
Frequent consumption of chips by a child can cause appendicitis
The inflammatory process most often occurs in an acute form; chronic appendicitis is diagnosed in only 1% of patients - periods of exacerbation are followed by remission. In the typical course of the disease, the symptoms are cyclical, the disease goes through 4 stages of development.
Between the rupture of the appendix and the development of peritonitis, a bright interval occurs - all unpleasant symptoms disappear, this is a very dangerous harbinger, the person feels better, and stops thinking about the need to see a doctor.
At the first stage of development of the inflammatory process, appendicitis can be confused with other diseases, since the pain is localized above the navel in the epigastric region, solar plexus, but for several hours it has been shifting to the iliac region on the right side.
The first signs of appendicitis:
Inflamed appendicitis causes high fever
Latent appendicitis may manifest itself with other symptoms with mild pain; a similar clinical picture often occurs in diabetics.
In elderly people, the clinical picture of inflammation of the appendix is blurred - the pain is mild, the process occurs without temperature or with a slight increase in temperature, but in this category of patients complications and death are diagnosed more often than in middle-aged men and women.
In the initial stages of pregnancy, the symptoms of appendicitis appear as usual, difficulties arise after the fourth month - the uterus increases in size, begins to put pressure on the internal organs, the loops of the esophagus are displaced, and the appendix rises to the liver.
Location of appendicitis at different stages of pregnancy
The pain can radiate to the kidneys; due to the stretching of the uterus, the abdomen is tense, so palpation is an ineffective method of diagnosis in pregnant women. The inflammatory process is dangerous for the mother and child - miscarriage, premature birth can occur, the fetus begins to suffer from intoxication and oxygen starvation.
The appendix can become inflamed not only in adults, but also in children; the disease is most dangerous in the perinatal period and in patients of a younger age group - young children cannot talk about their feelings, tell and show where it hurts, which makes diagnosis much more difficult.
Symptoms of the disease in children:
When a child is inflamed, the lymph nodes become enlarged
In children under 6 years of age, when the appendix is inflamed, there may be no pain on the right side; discomfort may affect the navel area and lower abdomen.
How quickly does appendicitis develop in a child? It may take 24–36 hours between the appearance of the first signs and peritonitis.
In the classic location, the appendix is located below the cecum on the right side, but in atypical forms of the disease, the symptoms may differ slightly from those of acute appendicitis.
Options for the location of the process:
The most difficult to diagnose is wandering appendicitis - pain appears in the upper abdomen or in the navel area, the discomfort constantly moves for the first 12 hours, then becomes stronger and more constant.
In some cases, the appendix may have an atypical location
Palpation is one of the main methods for diagnosing acute appendicitis; instrumental and laboratory methods are designed to confirm the diagnosis, determine the degree of development of the inflammatory process, blood group and coagulability.
Most diagnostic methods for determining pathologies of the digestive system are named after the author of the symptom, they have been used for a long time, their effectiveness and information content have been proven by time.
Almost every person encounters a disease such as appendicitis throughout his life. What kind of disease is this? What are its symptoms and treatments? Appendicitis is an inflammation of the appendix, a worm-shaped appendage of the rectum.
Expert opinion: The appendix is a vermiform appendix of the cecum.
The disease has a characteristic, pronounced clinical picture and can only be treated with surgical intervention.
Doctors distinguish two types of appendicitis: acute and chronic. Chronic appendicitis, in turn, can have three morphological forms:
One of the main symptoms of the disease – pain in the lower abdomen (usually on the right) appears in 90% of cases of appendicitis. The first sign of an acute form of the disease may be the patient’s complaints about the periodic occurrence of discomfort and mild pain from the gastrointestinal tract: pain in the navel, bloating, colic. After visiting the toilet, there may be a short-term relief, but after some time these symptoms usually return.
Over the course of 2-3 hours, rare colic turns into a constant aching and bursting pain. At this time, pain moves to the right, to the lower abdomen. This process is called the Kocher-Volkovich symptom. To save yourself from the approaching pain and severe discomfort at this moment, it is recommended to lie on your right side and pull your legs bent at the knees towards your stomach.
Increased abdominal pain with the slightest movement, be it an attempt to cough or stand up, or when shaking while walking or riding in transport is a typical sign of appendicitis in an adult or child.
Expert opinion: These symptoms will be related to peritoneal irritation. Irritation of the peritoneum can occur with peritonitis, perforation of a stomach ulcer, acute pancreatitis and other diseases of the abdominal organs.
Typically appendicitis occurs on the right side, but cases of left-sided appendicitis have been reported in medical practice. In this case, the appendage of the cecum is on the left.
Expert opinion: Such situations arise in the case of dextraposition of organs, that is, with their mirror arrangement. The heart will be on the right, the liver on the left, etc.
In addition, the pain that occurs during an attack directly depends on how the appendix is located. Pain in the right lower abdomen, in the pubic area, indicates the pelvic position of the appendix. If it is located in close proximity to the medial line of the abdomen, pain will make itself felt in the navel area. When the appendix is located behind the cecum, pain appears in the lower back and “radiates” to the right leg and groin area.
Pain with appendicitis is not pronounced or severe. Basically, the patient tolerates it until the appendix begins to stretch from the pus accumulated in it, that is, until empyema of the appendix begins. In this case, the pain becomes unbearable. The resulting gangrenous processes contribute to some relief for the patient. This occurs due to the death of nerve endings, which are the source of pain. When the appendix ruptures, pain spreads throughout the entire abdominal cavity along with the purulent contents of the ruptured appendage.
In 80% of patients, the main symptoms of appendicitis are nausea and vomiting in the first hours of inflammation. Therefore, appendicitis can often be confused with a disease or disorder of the gastrointestinal tract. The diagnosis of acute appendicitis is immediately questioned if nausea occurs before abdominal pain. Often a sign of appendicitis, and more so among adults, is refusal to eat. Loss of appetite is typical for 90% of patients with a similar diagnosis.
Also with appendicitis the following are possible:
Acute appendicitis is characterized by the development of some pathological changes that are observed in the first day after the onset of inflammation: lymph disorder and stagnation of blood in the capillaries, hemorrhages and swelling, margination of leukocytes, the appearance of siderophages - specific phagocytes. These changes usually appear in the part of the appendix that is most distant from the medial line of the abdominal cavity.
Typically, a patient admitted to the hospital with suspected appendicitis must be under the supervision of a doctor for some time and undergo a series of tests. After confirmation of the diagnosis, surgery must take place. It can be performed using one of two methods: endoscopic or traditional.
With the traditional method, at the location of the appendix, usually in the right side, an incision is made in the muscle tissue, reaching a length of 8 cm. Next, the surgeon examines the appendix; if the nearby tissues are not inflamed, he removes it, and the area where the rectum and inflamed appendage connects is sutured. When the appendix ruptures, peritonitis can occur. In this case, an operation is also performed to remove the inflamed appendage, after which the patient remains in the hospital for another week under the supervision of specialists and takes antibiotics.
Today, more and more often, surgery to remove the appendix is performed using a modern endoscopic method, in which a tube with a camera at the end is inserted into the abdominal cavity. The doctor monitors the condition of the appendix at this moment on the computer monitor. The inflamed appendage is cut out through a special section; the incision in this case will be significantly smaller than with the traditional method of surgery.
Rehabilitation after a successful operation takes place within two days. The postoperative period does not require any special diets or restrictions. Often, symptoms characteristic of appendicitis can arise due to dyskinetic pathologies. This condition is called false appendicitis. If during surgery the doctor discovers that there is no inflammation of the appendix, he will still cut it out to prevent a possible disease.
Appendicitis is a common disease in women in which inflammation of the appendix or appendix occurs. According to statistics, this pathology occurs twice as often in women aged 20 to 40 than in men. Scientists attribute this to the structural feature of the female body: the appendix is located on the right side of the abdomen next to the organs of the reproductive system, which means inflammation of some organs can affect neighboring ones.
There is a high risk of developing appendicitis in young women during pregnancy. This is due to the fact that the expanding uterus puts pressure on the organs surrounding it and in some of them the blood supply is disrupted.
The attack usually begins suddenly. Immediately before it starts, the person feels great. Typically, the first signs of the disease appear in the evening or at night.
Here are the main causes of appendicitis that make up the clinical picture:
In this regard, among the preventive measures for appendicitis in women are:
At the very beginning, the patient experiences a non-sharp nagging pain. Moreover, it is not necessarily localized in the right lower abdomen. Pain sensations spread throughout the abdomen and ultimately concentrate at the location of the appendix (Kocher's symptom).
A case from one's life. At the beginning of the attack, my entire stomach ached very badly, and it seemed that my pancreas had worsened. They called an ambulance and took him to the hospital. An emergency operation was performed there. Since there was already a phlegmonous stage with the threat of peritonitis.
Particularly dangerous are cases of patients with an atypical location of the appendix. The symptoms in this case will be different, since the pain will be concentrated not in the right lower side, but in the lumbar region, in the right hypochondrium, in the pubic area or in the perineum. The photo shows where it hurts at different locations of the appendix.
A case from one's life. On the forums, the patient, describing her medical history, writes that at first she had a feeling that her kidneys were hurting, and then she felt pain in the stomach area. After that she lost consciousness. When she woke up, nothing hurt anymore, but her husband insisted on going to the hospital. As a result, he was urgently operated on.
If a destructive form of appendicitis develops, the nature of the pain changes. They become paroxysmal. There is a characteristic increase in pain when coughing or laughing. Often the pain when walking radiates to the leg.
Important! Dangerous signs indicating the development of complications of appendicitis:
A case from one's life. For two days the girl had all the signs of appendicitis. Nausea, vomiting, fever, pain when walking. The delay led to fainting and surgery for peritonitis.
Another important symptom is the low-grade temperature of 37 - 37.5° and at the culmination of the attack can rise to 38°
There are cases when the temperature does not rise or even drops. This happens in women over 50 - 60 years old.
At normal temperatures, the pulse quickens.
In addition to abdominal pain and temperature, you should pay attention to the following features of acute appendicitis in women:
Often in girls, characteristic symptoms appear during menstruation. This is often caused by the proximity of the ovaries and appendix. During menstruation, diagnosing the disease is quite difficult, since during this period many women experience severe aching pain in the lower abdomen.
A case from one's life. Due to the fact that it is difficult to diagnose the symptoms of appendicitis in women during the menstrual cycle, the girl underwent surgery already at the gangrenous stage with serous peritonitis.
In girls, the menstrual cycle is also associated with ovarian rupture, which in its symptoms is very similar to appendicitis. Conversely, during surgery for a ruptured ovary, the surgeon often removes the inflamed appendix. The combination of these diseases is also explained by the fact that inflammation of the appendix (especially if it coincides with ovulation) can provoke rupture or apoplexy of the ovary.
In any case, if the signs listed above appear, consult a doctor immediately. An examination by a doctor, additional examinations and tests will help clarify the diagnosis and prevent the occurrence of unwanted complications.
Chronic appendicitis in a woman can manifest itself in periodic attacks.
For patients with this problem, doctors try to do everything possible to perform an appendectomy in a timely manner and save the person from the risk of the consequences of peritonitis.
A case from one's life. Starting at the age of 11, I had periodic attacks for two years. As a result, in one of the attacks there was very severe pain, they sent me to the hospital and operated on acute appendicitis, preventing peritonitis.
Diagnosis in women is complicated by the fact that the presence of all signs cannot clearly indicate appendicitis. Symptoms can be caused by pathologies of the abdominal cavity, inflammation of the uterus or other organs of the female reproductive system. That is why, if nagging pain appears in the lower right abdomen, you should also visit a gynecologist.
According to one study, of 165 women who were operated on for suspected appendicitis, only 21 found that the problem was inflammation of the appendix.
The topic of inflammation of the appendix is discussed in the video in the program “Live Healthy!”
So the symptoms of appendicitis are similar to the first signs of the following diseases:
Appendicitis in pregnant women is especially difficult to diagnose
Important! In any case, acute, nagging or pressing pain in the abdomen is a reason to urgently consult a doctor. Any diseases of the internal organs are life-threatening if left unattended.
Interesting information. What can and cannot be done before the doctor arrives is discussed on video as part of the “Health TV” program
Treatment for appendicitis is always an operation to remove it or an appendectomy. The operation is performed under general anesthesia. After 5 days, as a rule, the woman returns home, and after two weeks she can already go to work. During this time, you need to stick to a diet and avoid physical activity.