What are the symptoms of chronic appendicitis?

Chronic appendicitis is a type of appendicitis. Patients usually experience pain and tenderness in the right lower abdomen. At the same time, these patients with chronic appendicitis have a history of acute attacks, so these symptoms must be taken seriously and treated in a timely manner.

1. Have a typical history of acute appendicitis

Patients with a typical history of recurrent acute appendicitis often have more severe acute appendicitis lesions in the past. The medical history should include a history of typical acute appendicitis attacks. If there is a history of concurrent appendicitis abscess or inflammatory mass, the diagnostic value will be greater.

2. Pain in the right lower abdomen

There are recurrent attacks of right lower abdominal pain and tenderness. The thickening of the appendix wall, narrowing of the lumen, and obstruction of emptying can easily induce acute infection or residual infection, which often causes right lower abdominal pain and tenderness. The location of abdominal pain and mild tenderness caused by chronic appendicitis should be the same as that of previous acute appendicitis, differing only in degree.

3. X-ray barium meal examination

This is a very important examination, especially when there is no typical history of onset. The barium meal examination can not only clearly determine that the tenderness point is located in the appendix, but also rule out other lesions. The X-ray signs of chronic appendicitis are interrupted, twisted, slow emptying of the appendix, and difficulty in pushing due to adhesions. If the appendix cavity is completely blocked, it will not be visualized. The relationship between the tenderness point and the appendix can be judged based on the location of the ileocecal visualization.