Appendicitis (appendicitis)

Algemene gastro-enterologie

An appendicitis is a inflammation of the appendix. This is a worm-shaped appendix measuring an average of 9 cm at the end of your cecum. Symptoms that may indicate acute appendicitis include:

  • fierce soreness right in your lower abdomen;
  • pain when patting, pressing and releasing in the sensitive area.

Appendicitis is often referred to as “appendicitis”, but appendicitis does not cause the entire cecum to become inflamed. The cecum is the blind (closed) ending part of your colon. This is located in the lower right part of your abdomen, at the junction between your small and large intestines.

Symptoms

stomach ache

  • Most of the time, you have soreness in your lower right abdomen which is getting worse quickly. This is the typical symptom of appendicitis.
  • You can also get heavy first pain around your navel feel. This pain moves to the lower right after a few hours or days.
  • You may have pain in another place. This is because the exact location of the appendix varies from person to person.

Other complaints

  • You may have less appetite, feeling nauseous and vomiting.
  • You have a fever and you feel bad.
  • Driving on a bumpy road hurts. Coughing, walking and jumping are also painful.

Causes

Often, a narrowing or blockage of the appendix, usually due to a piece of hardened stool, is the cause of appendicitis.

Examinations

Survey and physical examination

Your doctor usually suspects the diagnosis of appendicitis based on the typical signs and symptoms during the physical exam.

  • Your stomach is sensitive in the lower right corner.
  • Your abdominal muscles are tense (muscle resistance). In the sensitive area, your stomach becomes hard.
  • Pressing your stomach and letting go hurts.

Blood tests

In addition, your doctor draws blood to detect inflammation and the number of white blood cells.

Imaging research

If your doctor is unsure about the correct diagnosis, he will also ask for a ultrasound or perform a CT scan. Based on these tests, he will determine whether you have appendicitis or something else. Namely, many disorders cause acute abdominal pain, especially in women (e.g. intestinal infection, urinary tract infection, kidney stones, gynecological infections, ectopic pregnancy,...).

Keyhole surgery

If the diagnosis is still unclear after imaging tests, keyhole surgery may be necessary. The doctor can then remove your appendix immediately if it is inflamed.

Treatments

Delete Appendix

To treat appendicitis, a surgeon usually has to remove the appendix via a surgery (appendectomy). Nowadays, this is usually done via a keyhole surgery: through three small incisions, the surgeon can view and remove your appendix. This operation is performed under full anaesthesia. You will receive antibiotics at the same time via an infusion.

Antibiotic treatment

  • At a beginning appendicitis with mild symptoms antibiotics alone can sometimes be sufficient as a treatment.
  • If you peritoneum inflamed is, you need to get a abdominal lavage undergo. This is done with surgery: a surgeon rinses your abdominal cavity with lukewarm serum to remove all pus. You will be given antibiotics in an infusion.
  • If you have a abscess if you have, you will first be given antibiotics against the typical bacteria in the abscess. Later, a surgeon may remove your appendix.

Points of interest

Attachments and additional information