Appendicitis is one of the most common diseases of the digestive system. Appendicitis is caused by an obstruction in the appendix, which leads to increased pressure, problems with blood flow and inflammation. If the blockage is not treated, the organ may rupture and spread the infection through the body.
As the inflammation increases in the appendix and it breaks, the pain can decrease rapidly with a sense of improvement. But since it infects and inflames the lining of the abdominal cavity (a condition called peritonitis), there is worsening of pain and the person becomes more sick. Abdominal pain may be aggravated by walking or coughing, so staying still may be more comfortable, since sudden movements cause pain. Symptoms of appendicitis vary and may be difficult to diagnose in young and old children
Symptoms of appendicitis vary and may be difficult to diagnose in children
"If you have appendicitis, you will feel the pain increase when the doctor suddenly releases the pressure after gently pressing the lower right area of the belly," says gastroenterologist Federico Garis. If you have peritonitis (an advanced stage of infection), touching this area of the belly may cause muscle spasm.
A rectal examination may reveal inflammation, but doctors can usually diagnose appendicitis by describing symptoms through physical examination and laboratory tests. In some cases, additional forms of diagnosis may be required such as: computed tomography of the abdomen, abdominal ultrasound, or laparoscopy.
The appendix has not yet been associated with any vital function for the functioning of the organism. For this reason, doctors do not even think twice about withdrawing it when there is some suspicion of a problem. In most cases, when the diagnosis was made before the installation of generalized peritonitis, the evolution is good and, in a few days, the patient will be recovered. "When surgery is done before complications such as appendage rupture (and the spread of infection), the patient will be recovered and without sequelae for about 15 days, and should only avoid greater physical efforts that can impair healing," says surgeon general Carlos Rubens Maciel.
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