Appendicitis
Definition :
Appendicitis is a condition in which your appendix becomes inflamed and fills with pus. Your appendix is a finger-shaped pouch that projects out from your colon on the lower right side of your abdomen. This small structure has no known essential purpose, but that doesn't mean it can't cause problems.
Appendicitis causes pain that typically begins around your navel and then shifts to your lower right abdomen. Appendicitis pain typically increases over a period of 12 to 18 hours and eventually becomes very severe.
Appendicitis can affect anyone, but it most often occurs in people between the ages of 10 and 30. The standard appendicitis treatment is surgical removal of the appendix.
Symptoms:
Signs and symptoms of appendicitis may include:
When to see a doctor
Make an appointment with a doctor if you or your child experiences signs or symptoms that worry you. Abdominal pain so severe that you are unable to sit still or find a comfortable position requires immediate medical attention.
Causes:
The cause of appendicitis isn't always clear. Sometimes appendicitis can occur as a result of:
Complications:
Appendicitis can cause serious complications, such as:
Treatments and drugs:
Appendicitis treatment usually involves surgery to remove the inflamed appendix. Other treatments may be necessary depending on your situation.
Surgery to remove the appendix (appendectomy)
Appendectomy can be performed as open surgery using one abdominal incision that's about 2 to 4 inches (5 to 10 centimeters) long. Or appendicitis surgery can be done as a laparoscopic operation, which involves a few small abdominal incisions. During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix.
In general, laparoscopic surgery allows you to recover faster and heal with less scarring. But laparoscopic surgery isn't appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or if an abscess is present, you may require an open appendectomy. An open appendectomy allows your surgeon to clean the abdominal cavity.
Expect to spend one or two days in the hospital after your appendectomy.
Draining an abscess before appendix surgery
If your appendix has burst and an abscess has formed around it, the abscess may be drained by placing a tube through your skin and into the abscess. Appendectomy can be performed several weeks later after the infection is under control.
Definition :
Appendicitis is a condition in which your appendix becomes inflamed and fills with pus. Your appendix is a finger-shaped pouch that projects out from your colon on the lower right side of your abdomen. This small structure has no known essential purpose, but that doesn't mean it can't cause problems.
Appendicitis causes pain that typically begins around your navel and then shifts to your lower right abdomen. Appendicitis pain typically increases over a period of 12 to 18 hours and eventually becomes very severe.
Appendicitis can affect anyone, but it most often occurs in people between the ages of 10 and 30. The standard appendicitis treatment is surgical removal of the appendix.
Symptoms:
Signs and symptoms of appendicitis may include:
- Aching pain that begins around your navel and often shifts to your lower right abdomen
- Pain that becomes sharper over several hours
- Tenderness that occurs when you apply pressure to your lower right abdomen
- Sharp pain in your lower right abdomen that occurs when the area is pressed on and then the pressure is quickly released (rebound tenderness)
- Pain that worsens if you cough, walk or make other jarring movements
- Nausea
- Vomiting
- Loss of appetite
- Low-grade fever
- Constipation
- Inability to pass gas
- Diarrhea
- Abdominal swelling
When to see a doctor
Make an appointment with a doctor if you or your child experiences signs or symptoms that worry you. Abdominal pain so severe that you are unable to sit still or find a comfortable position requires immediate medical attention.
Causes:
The cause of appendicitis isn't always clear. Sometimes appendicitis can occur as a result of:
- An obstruction. Food waste or a hard piece of stool (fecal stone) can block the opening of the cavity that runs the length of your appendix.
- An infection. Appendicitis may also follow an infection, such as a gastrointestinal viral infection, or it may result from other types of inflammation.
Complications:
Appendicitis can cause serious complications, such as:
- A ruptured appendix. If your appendix ruptures, the contents of your intestines and infectious organisms can leak into your abdominal cavity. This can cause an infection of your abdominal cavity (peritonitis).
- A pocket of pus that forms in the abdomen. If your appendix has burst, infection and the seepage of intestinal contents may form an abscess — a pocket of infection (appendiceal abscess) around the appendix. Appendiceal abscess requires treatment before the abscess tears, causing a more widespread infection of the abdominal cavity.
Treatments and drugs:
Appendicitis treatment usually involves surgery to remove the inflamed appendix. Other treatments may be necessary depending on your situation.
Surgery to remove the appendix (appendectomy)
Appendectomy can be performed as open surgery using one abdominal incision that's about 2 to 4 inches (5 to 10 centimeters) long. Or appendicitis surgery can be done as a laparoscopic operation, which involves a few small abdominal incisions. During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix.
In general, laparoscopic surgery allows you to recover faster and heal with less scarring. But laparoscopic surgery isn't appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or if an abscess is present, you may require an open appendectomy. An open appendectomy allows your surgeon to clean the abdominal cavity.
Expect to spend one or two days in the hospital after your appendectomy.
Draining an abscess before appendix surgery
If your appendix has burst and an abscess has formed around it, the abscess may be drained by placing a tube through your skin and into the abscess. Appendectomy can be performed several weeks later after the infection is under control.
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