aPPENDICITIS

In case of appendicitis you get stomach upset and the pain is usually in the lower right part of the stomach. You may need surgery, but you can also be treated with antibiotics. Then you do not always need surgery.

It is not really the appendicitis that is inflamed by appendicitis, but the small appendage that is on the appendicitis.

symptoms

In case of appendicitis, you usually have one or more of the following symptoms:

  • You are in pain and are sore around the navel.
  • You have pain in the lower right part of the stomach. You may also start to feel pain around the navel, but the pain will move down from the navel to the lower right part of the stomach.
  • It hurts more and more, especially in the lower right part of the stomach.
  • It hurts more when you move, cough or sneeze.
  • You feel ill and have poor appetite.
  • You may vomit.
  • You get a fever after a few days. Usually the fever is quite low.

Sometimes it can be difficult to understand that you have appendicitis, because the symptoms are not always clear. It may also be difficult to recognize the symptoms at the onset of inflammation. Children may also have stomach ache for other reasons .

Ruptured appendix 

The appendicitis may burst due to inflammation. In adults, it can take up to three days from the first inconvenience. In children it can go much faster, especially in children under seven years. Then it can take twelve hours from the first symptoms until the appendicitis breaks down.

Broken appendicitis can sometimes cause peritonitis. It is most common in children under seven years and in people over 70 years. Symptoms of peritonitis are as follows:

  • You have a lot of stomach ache.
  • You have a fever over 39 degrees.
  • You have a very hard time walking.
  • You cannot relax in the abdominal muscles when you are in the toilet to poop.

When and where should I seek care

If you think you have appendicitis, contact a health care center or an emergency room immediately. If closed, seek care at an emergency room.

It can be difficult to assess stomach pain, especially in children who cannot tell themselves. Call medical help if you or the child need medical advice. Then you can get help assessing symptoms or help with where you can seek care.

If it’s in a hurry

Call helpline immediately if the symptoms come quickly and you become very poor.

Treatment

The appendicitis is usually treated with surgery to remove the appendicitis. You are usually operated on for a couple of hours after your doctor finds out that you have appendicitis. Most operatives for appendicitis have had symptoms for less than two days.

Broken appendicitis needs to be treated quickly. This is to prevent the peritoneum from becoming inflamed. You can also get antibiotics before surgery.

Operation with peephole technique or open surgery

You can be operated on either with puncture or the surgeon may choose to open the abdomen, a so-called open surgery. It is most common for the surgeon to operate with peephole technique. Pitch hole technology is also called laparoscopy.

During surgery, the surgeon examines the appendicitis, and surgically removes the appendage if it is inflamed. The appendage is usually not removed unless it is infected. But sometimes, the surgeon can still remove a healthy appendix to send it for analysis.

The surgeon may need to open the abdomen, even though they have started operating with peephole technique. It could be, for example, if the appendage is very inflamed or if it has grown firmly in the tissue of the appendix. In an open surgery, the surgeon cuts an incision on the right side just below the navel. The surgeon always removes the appendage during an open surgery.

An advantage of peephole technology is that the surgical wounds heal faster and that there will be less scars, compared to open surgery.

You are anesthetized during the operation

How long you have to wait for surgery depends, among other things, on when you last ate. You need to be anesthetized during the operation, and before anesthesia you need to have an empty stomach. Therefore, you may have to wait a few hours before operating. During that time, you must not eat anything.

Surgery reduces the risk of complications

An appendicitis can heal by itself. But most often, doctors want to operate anyway, to avoid complications such as ruptured appendicitis and peritonitis.

After the surgery

You may stay in the hospital for a day after the operation, regardless of whether you have been operated with peephole or open surgery.

It can hurt to pee and poop, since the abdominal muscles may have difficulty relaxing after surgery. After two days you can shower, but you need to protect the operating wounds .

If you have surgery for a broken appendicitis, you may need to make a return visit six to ten days after the operation. Otherwise, you usually do not need to make a return visit.

If you have been operated with peephole technology, you will usually be fully recovered after about a week. It usually takes longer if you have an open surgery, and you may need to be sick for two to three weeks. How long you need to be on sick leave depends on how physically heavy your work is.  

If you get worse again after surgery, contact your health care provider

If you have a fever over 38.5 degrees or if you experience a stomach ache after surgery, contact a health care center or an on-call clinic. If closed, seek care at an emergency room.

Treatment with antibiotics

Appendicitis can also be treated with antibiotics . This can be, for example, if you cannot be anesthetized for various reasons, or if there is a warbler at the appendage.

Treatment with antibiotics is almost as effective as surgery, and probably involves fewer complications such as wound infection and warts. But since the appendicitis remains, there is a risk that it will become inflamed again. The risk is greatest for the next two years. If you get appendicitis again, the appendage is removed.

If you have had a broken appendicitis, you can receive antibiotics both before and after the operation. It is to reduce the risk of peritonitis.

You may need to have the colon examined if you are older than 50, have had mild appendicitis and have been treated with antibiotics. This is to rule out that the inflammation was caused by a tumor in the large intestine.

Small risk of getting sick again

It is very uncommon to get appendicitis again if you have been operated on for appendicitis. But if the surgeon leaves an excessively long stump of the appendix, there is a risk that the stump will become inflamed again.

What is appendicitis?

In appendicitis, the small appendage to the appendicitis is inflamed, and not the appendicitis itself. The appendage is about a centimeter wide and ten centimeters long, about the size of a little finger. It sits on the appendix, which is the first part of the large intestine.

Broken appendicitis means that the appendage breaks due to inflammation. It is not the bowel that breaks, even though it is called so.

Another word that doctors can use for appendicitis is appendicitis.

Most common to get appendicitis when young

You can get appendicitis regardless of age, but most people who get sick are between ten and twenty years old.

It is unusual for children under two years to develop appendicitis. But if they get sick, the appendicitis quickly becomes inflamed until it ruptures. This means that children often have broken appendicitis already when they come to a hospital.

What is the cause of appendicitis?

Something closes to the appendage

Appendicitis is often the result of something 
clogging the appendage, such as a hard piece of food. The reason why some people get appendicitis is not entirely certain, but often it is because something closes to the opening between the appendage and the appendicitis. Then the pressure in the appendix increases. It can lead to the appendage being infected by viruses or bacteria, which causes the appendage to swell and where it is formed.

Sometimes the surgeon can find what is stuck in the aperture of the appendix. For example, it may be a hard snack that has not been broken down or a small chunk of hard poop. But usually, the surgeon does not find anything clogged, but only a thickened and inflamed appendicitis.

The appendicitis can also be caused by something else clogging the appendage, although it is unusual:

  • A small bulge on the intestinal mucosa, so-called intestinal pocket .
  • A form of growth in the mucous membrane, so-called polyp.
  • A tumor , which means that cells have started to proliferate. Most tumors are not due to cancer.

May be confused with gynecological disorders

It may be difficult for a physician to distinguish between appendicitis and obstruction from the uterus or ovaries. Therefore, you may need to be examined by a gynecologist, to ensure that the inconvenience is not due to, for example, a pregnancy outside the uterus .

Investigations and investigations

When you come to a doctor you will start by telling you about your symptoms. Then the doctor feels on your stomach, and if it hurts the lower right part of the stomach.

The doctor may need to examine the rectum with his finger. If you have appendicitis it hurts more when the doctor pushes up and to the right, in the direction the appendicitis lies.

Blood sample

You may have blood tests to see if you have an inflammation or infection, including a so-called CRP test . CRP tests are often referred to as the quick sink.

Ultrasound or computed tomography may be needed

If the doctor is unsure, you may need to be examined for ultrasound or computed tomography . But the studies may not show that you have appendicitis. However, the studies can show if it was formed anywhere in the appendix.

You can be admitted to the hospital for observation

You may need surgery if your doctor suspects you have appendicitis. But you can also stay in the hospital for observation if the doctor is unsure. Then you have to have blood tests and a doctor examines your stomach at regular intervals. It is to see how the symptoms develop.

If you stay in a hospital, you probably will not eat anything, should you become worse and need to be operated quickly. However, you get a drop in the blood.

complications

It is uncommon to have complications following a bowel operation, but the risk increases if you have surgery for a broken appendicitis. This is why you should be checked by a doctor six to ten days after the operation if you have a broken appendicitis.

It does not matter if you have been operated with peephole technique or with an open surgery. The following complications may occur:

  • The wound can become infected, even if you receive antibiotics.
  • It can be gathered were inside the abdomen. The total amount was usually lost with antibiotic treatment or if the surgeon empties the product collection. They then use ultrasound to find the product collection.
  • There is an increased risk of getting a so-called deep infection. It is treated for a few days with antibiotics.

If you have surgery for a broken appendicitis, the risk increases slightly for sterility, as well as for the following diseases:

  • volvulus 
  • ectopic pregnancy, that is, a pregnancy outside the uterus 
  • groin hernia  on right side.

Unusual with life-threatening complications

It is very rare to have life-threatening complications of appendicitis. It is mainly people over 80 who get these complications. The complications after surgery are then mainly:

  • infection in the operating wound
  • pneumonia
  • urinary infection
  • heart attack .

It is important that you understand the information you receive

In order to be able to participate in your care and make decisions, it is important that you understand the information you receive from the healthcare staff. Ask questions if you don’t understand. You can also ask to have the information printed to read it peacefully.

If you need interpretation in other languages , you may have the right to receive it. You may also have the right to receive interpretation assistance in case of hearing loss .

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