What are the symptoms of appendicitis?

Appendicitis is a relatively common disease with a relatively high incidence rate. If appendicitis occurs, it must be treated promptly. This disease has a relatively high cure rate, but if it is not treated in time, the harm is also relatively large. It is easy to cause drilling and appendicitis gangrene. The symptoms of appendicitis are also relatively obvious, mainly pain in the lower right abdomen, a bit like stomach pain, and patients often experience symptoms such as nausea and vomiting.

What are the symptoms of appendicitis?

1. Right lower abdominal pain is a characteristic of acute appendicitis. About 55% of patients initially experience pain in the left upper abdomen or around the navel, which is similar to a stomachache. After a few hours, the pain turns to the right lower abdominal pain, which is persistent and worsens in paroxysmal ways. When gangrene occurs in the appendix, severe throbbing pain may occur, and the pain is particularly severe before the appendix perforates. Once perforated, the contents of the appendix cavity flow out and the pain seems to be relieved, but the range is expanded. At this time, pressing the abdomen with your hand will feel very hard, and the abdominal pain will worsen when pressing. Press the lower right abdomen with your hand, and then raise your hand suddenly, the abdominal pain will become more severe, which is called rebound pain. This is peritonitis. The location of each person's appendix is ​​different, and the abdominal pain that occurs is also different. A high-positioned appendix may manifest as right waist pain, while a low-positioned appendix may cause lower abdominal pain. Due to changes in the degree and location of abdominal pain, acute appendicitis is often misdiagnosed as other diseases, especially in the elderly and children. Therefore, in clinical practice, whenever acute abdominal pain occurs, it must be differentiated from appendicitis to avoid delaying treatment and causing serious illness. 2. General symptoms: Patients may experience nausea, vomit 1 to 2 times, and have symptoms such as loss of appetite, abdominal distension, and diarrhea. The patient likes to lie on his side with his back bent and his knees bent. Some patients suffer from fever, headache, general weakness, and increased total white blood cell count in blood tests.

Methods for treating appendicitis: The surgical methods for different clinical types of acute appendicitis are also different. 1) Acute simple appendicitis: perform appendectomy and primary suture of the incision. In units with the necessary conditions, laparoscopic appendectomy can also be performed. 2) Acute suppurative or gangrenous appendicitis: perform appendectomy. If there is pus in the abdominal cavity, it should be carefully removed, and the abdomen should be closed after the pus is wiped clean with wet gauze. Pay attention to protecting the incision and suture it once. 3) Perforated appendicitis: It is advisable to use a right lower abdominal transrectus abdominis incision to facilitate intraoperative exploration and diagnosis, remove the appendix, clear abdominal pus or flush the abdominal cavity, and place abdominal drainage according to the situation. During the operation, pay attention to protecting the incision, flushing the incision, and primary suture. Pay attention to the incision after the operation and drain it in time if there is infection. 4) Periappendiceal abscess: If the appendix abscess has not yet ruptured or perforated, it should be treated as acute suppurative appendicitis. If the appendix perforation has been wrapped to form an appendectomy abscess, the condition is relatively stable and antibiotics or Chinese medicine should be used to promote the absorption and disappearance of the abscess. Puncture and drainage or catheterization can also be performed under ultrasound guidance. If the abscess expands and has no tendency to be localized, it is advisable to perform a B-ultrasound examination first to determine the incision site and then perform surgical incision and drainage. Incision and drainage are mainly used for drainage. If the appendix is ​​easy to expose, it should also be removed. If the root of the appendix is ​​intact, simple ligation should be performed. If the root of the appendix is ​​gangrenous and perforated, a U-shaped suture can be used to close the cecal wall at the appendix opening. Strengthen supportive treatment after surgery and use antibiotics rationally.