Advice 1: How to diagnose appendicitis

A very common surgical pathology is inflammation of the cecum called the Appendixom. The disease occurs at any age and can be treated only by surgery. With early diagnosis and appendectomy, the likelihood of complications is minimized.
How to diagnose appendicitis
Instruction
1
From the point of view of the diagnosis of appendicitis is quite insidious. He is able to masquerade as various diseases of the gastrointestinal tract, which baffled sometimes even the most experienced doctors. The disease is most common in the age group of 15-35 years, however, are not immune from appendicitis and infants, and the elderly.
2
The first and main symptom of inflammation of the Appendix is abdominal pain. Note its location. At first unpleasant sensations arise in the epigastrium, after a few hours the pain increases and moves to the right side (the side with the iliac region). Before attempting to self-diagnose, call an ambulance. If you suspect appendicitis better to be safe and not wait until the pain becomes unbearable.
3
One of the signs of acute appendicitis is pain when walking. Try to take a few steps. If the pain is so strong that you can't stand on right leg, most likely your suspicions to the inflammation of the Appendix is not groundless.
4
Lie on your left side. If you feel increased pain, rather, it really is appendicitis.
5
Measure the temperature. Its increase may indicate inflammation of the Appendix. As a rule, the temperature does not rise above 38 degrees, and in some cases the temperature may remain normal.
6
On arrival to the hospital hand over the General analysis of blood. The characteristic symptom of appendicitis is to increase the level of leukocytes in the blood.
7
Pass radiographic or ultrasonic examination of the abdominal cavity. This will help to dispel all doubts about the diagnosis.
8
Even if the diagnosis is not finally confirmed, stay in the hospital for several hours for observation. Sometimes the disease is outside the box, and in the case of deterioration of timely surgery can save your life.

Advice 2: How to recognize appendicitis in a child

Inflammation of the vestigial appendage called the Appendix, most commonly found in adults, they have the same easier to diagnose this disease. If appendicitis occurred in a child the clinical picture can be very blurry, in addition, diagnosis is difficult that children can't always tell what and where they hurt.
How to recognize appendicitis in a child
All this, plus the fact that most of the symptoms of appendicitis are characteristic for other problems with the gastrointestinal tract leads to the fact that to determine appendicitis at an early stage in a child can be very difficult, especially at home.

If appendicitis to diagnose and treat fails after some time, the Appendix can burst, after which all its contents fall in the abdominal cavity, causing a strong inflammation. It can even lead to death of the patient. That is why it is very important to pay attention to any ailments, especially in children.

The symptoms of appendicitis


Abdominal pain, especially in the right part of the bottom, loss of appetite, sometimes accompanied by nausea and vomiting, in some cases, diarrhea, or conversely constipation, fever and similar symptoms.
Pay attention to such signals as difficulty walking, pain when coughing, sneezing, jumping, driving the car over bumps.


Often these symptoms may be mild in nature, some may not appear at all. In addition, all these symptoms are also typical of gases, overeating, food poisoning and other diseases. Therefore it is not necessary to act independently when there is any suspicion, you should immediately seek medical help.

Diagnosis of appendicitis


About inflamed Appendix shows the continuing and gradually increasing abdominal pain, which can last even several days. You can confirm the diagnosis with pressure. Put the child on the back, ask to bend legs in knees, and then lightly press down on lower right abdomen and release. When you release the pain becomes much stronger than during the depression, is typical of appendicitis.
Remember to press down very carefully, so as not to cause rupture of the Appendix. To entrust this work to professionals.


In the hospital to recognize such a disease as appendicitis is much easier. This can help ultrasound diagnosis, General blood and urine analysis. The probability of error in this survey - only 5 %.

Treatment is only by surgery. Doctor under anesthesia removes the inflamed vestigial. If there was no rupture of the Appendix, it is a rather simple procedure with a minimal recovery period.

In that case, if the peritonitis could not be avoided surgical intervention becomes deeper, as the doctor will have to remove from the abdominal cavity all foreign objects that managed to get into it. Postoperative recovery also will take longer because of antibiotics.

Advice 3: How to determine the child's appendicitis

Appendicitis should be considered as the most common abdominal diseases that require surgical intervention in children. It is found at any age, but more common in 8-14 years. If your child complains of abdominal pain, you should immediately call a doctor. And while you'll be expecting him, you can try to self-diagnose this insidious disease.
How to determine the child's appendicitis
Instruction
1
Put the child on the back and spend palpation (feeling) of the abdomen. Starting from the left iliac region, move counterclockwise. Symptom of appendicitis is increased pain at palpation in the right iliac region. This feature is very important. In medical practice, he received the name of local tenderness.

You can try to see your child during sleep. Then on palpation of the lower right square of the belly appears a symptom of the repulsion is repulsion hands exploring hand of a sleeping child.
2
The second major symptom is inflammation of the protective muscle tension in the lower right square of the abdomen. To determine this condition, put your hands on the baby's stomach (the left - to the right iliac fossa and the right to the lower left square belly of the patient). Wait for breath and alternately press left and right. Thus, try to determine the difference in muscle tone.
3
Now it is necessary to determine the presence of symptom Shchetkina—Blumberg. Deep gradually apply pressure on the anterior abdominal wall. Then quickly and abruptly take away the hand. For positive symptom, your child will experience sharp pain, arising immediately after you took your hand off of the abdomen.
4
Remember, the child's body for any inflammation reacts by increasing temperature. In appendicitis, the reaction temperature is usually not more than 37-38 degrees. Pay attention to the relationship between heart rate and body temperature. When the temperature rises by 1 degree Celsius pulse rate increases by 10 beats per minute. And inflammatory process in the abdominal cavity, the heart beats more often.
5
Keep in mind, when appendicitis may change the child's behavior. In many cases, parents noted that children are capricious, malkontentigi, restless and lethargic. This is due to the increase of pain. The continuity of pain leads to sleep disorder (it occurs in one third of patients).
6
Have 6-8 children out of 10, when inflammation of the appendicitis and vomiting are observed. Very rarely vomiting is persistent.
7
If your child is showing signs of the disease put him in the bed. You should call a doctor immediately. Remember not to hurt the baby, you should not do the following:

- Don't put on a stomach warmer. This can lead to rupture of the Appendix and peritonitis, because heat accelerates the development of inflammation.

- Do not give any medication. They can lubricate the clinical picture of the disease (to reduce the intensity of the inflammatory process, remove or reduce pain, etc.). Then the correct diagnosis will be difficult.

- Feed, or give drink to the patient. If necessary surgery that is performed under General anesthesia, stomach contents may get into the respiratory tract. To prevent this the child will need to wash out the stomach, and this is a difficult and unpleasant procedure.
Note
Children under 3 years is dominated by General symptoms - fever, diarrhea, vomiting.
Useful advice
At the slightest suspicion, call an ambulance. In children, the disease occurs rapidly, so that the condition of peritonitis may develop immediately after the first complaints.
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