If you have acute appendicitis, what should you pay attention to, please 3Q

Acute appendicitis is one of the most common diseases in abdominal surgery, and most patients can seek medical attention in time and get good results. However, sometimes diagnosis is quite difficult, and some serious complications can occur if not managed properly. So far, acute appendicitis still has a mortality rate of 0 1 0 5.

What are the precautions for acute appendicitis? Precautions for acute appendicitis include surgery, timely, not using painkillers casually, and consolidating medication after symptoms disappear. Precautions for acute appendicitis 1:

Abdominal pain should not be treated with painkillers until a definitive diagnosis is made. Because the pain relief masks the condition, it is easy to delay the diagnosis and cause serious consequences. Precautions for acute appendicitis 2:

After suffering from acute appendicitis, if the family has no effect, send it to the hospital in time. Precautions for acute appendicitis 3: According to the current medical level and technical conditions, acute appendicitis surgery has a good effect, and it is easy to recur even if it is conservatively cured, so acute appendicitis is still mainly operated on when conditions permit.

Precautions for acute appendicitis 4: Non-surgical** patients should be thorough when taking medication. After the disappearance of symptoms and signs, the drug should be used for a few weeks to consolidate the effect and reduce**.

Precautions for acute appendicitis 5: Hospitalization** should be arranged by the doctor. Escorts should cooperate with medical staff to do a good job of the patient's work.

Precautions for acute appendicitis 6: The condition and signs of appendicitis vary greatly, and many patients present atypically. If you are not sure, it is better to go to the hospital.

so as not to delay the diagnosis,**.

If you have acute appendicitis, you need to pay attention to: 1. Seek medical attention in time and do not delay; 2. Do not use painkillers before diagnosis, so as not to delay the diagnosis; 3. If surgery is required, be decisive and not tolerated.

It may be caused by strenuous exercise, or it may be caused by not taking good care of your stomach and intestines after eating. You should take more medications, and you should also pay attention to your diet, your lifestyle habits, and exercise.

It's usually caused by you eating cold food, so I suggest you cut the appendix directly. It's just an immune organ anyway.

Because of some bacterial reasons, the bacteria in the appendix cavity lead to direct infection, and you need to take medication so that you can do it better**.

Disease Name: Chronic Appendicitis Disease Introduction: Chronic appendicitis is generally caused by acute appendicitis, and the acute inflammatory stage may not be obvious in a few cases.

When the body's resistance is reduced by cold or exertion, it often causes irregular dull pain in the right lower abdomen. Pathogenesis: Most chronic appendicitis is a lesion left over from resolution of acute appendicitis.

When acute appendicitis attacks, symptoms can go away quickly if the inflammation is mild at the time, but the inflammation can become chronic after a few weeks. Chronic inflammatory cell infiltrates predominantly lymphocyte and eosinophils may be seen in the mucosal and serous muscle layers, and foreign body giant cells may be seen in the appendix wall. In addition, the appendix fibrous tissue proliferates, fat increases, the walls of the tubes thicken, and even the lumen narrows or becomes blocked.

These lesions interfere with the emptying of the appendix and compress the nerve endings in the parietal layer of the appendix with mild, severe pain. A small number of patients with chronic appendicitis may have foreign bodies such as fecal stones, grains, and eggs in the appendix cavity. Clinical signs:

often has a typical history of pain attacks in the right lower quadrant, and often has irregular vague pain in the right lower quadrant; Pain can be induced when the body's low resistance is reduced by cold, strenuous exercise, or improper diet. Some symptoms are similar to gastrointestinal disorders caused by ulcer disease, chronic cholecystitis, etc., or changes in bowel habits. Some patients have reversed the situation.

The most important sign is frequent, mild, fixed tenderness in the right lower quadrant. Diagnosis: The diagnosis of chronic appendicitis is established based on the patient's history of typical acute appendicitis attacks, frequent recurrent pain in the right lower quadrant, localized tenderness in the right lower quadrant, and abnormal appendix on barium x-ray.

Ancillary tests: X-ray barium swallow shows appendix abnormalities, such as non-filling or irregular filling, delayed barium emptying, and difficulty in moving the appendix. Routine blood tests:

In acute attacks, neutrophil counts may be elevated. Appendectomy is appropriate once the diagnosis is confirmed.

The typical symptom of appendicitis is metastatic pain in the right lower abdomen, and the typical sign of appendicitis is the appendix point, also known as the McCere's point, which is tenderness at the junction of the middle and outer 1 3 on the line between the navel and the most prominent point on the right side of the pelvis (right anterior superior iliac spine), and sometimes the tender point can be slightly higher than this point, but it is in the right lower quadrant area. When inflammation is severe, there may be local muscle stiffness (muscle tension) at the tender site, and the patient may also cry out for pain (medically called rebound tenderness) when the hand is raised sharply from the tender point. If you don't want to have surgery (that is, conservative**), you can use a combination of traditional Chinese and Western medicine**, intravenous infusion, antibiotics (anti-inflammatory) are the first choice for Western medicine, and commonly used drugs are penicillin, gentamicin, methrin, etc. (the specific drug is subject to the hospital).

In case of high fever, symptomatic treatment such as Tylenol, analgesia, lebiline, APC and so on can be given to reduce fever and cool down. Traditional Chinese medicine generally uses heat-clearing and detoxifying products, and rhubarb peony bark soup is commonly used to add or subtract. Commonly used clinical drugs include raw rhubarb, danpi, comfrey, red peony, gongying, wild chrysanthemum, purple lily, soybean grass, peach kernel, fried beetle, etc.

For those with obvious body heat, antelope horn powder, raw gypsum, forsythia, gardenia and other medicines can be added. For a first-time, isolated appendicitis like yours can be done without surgery**.

Appendicitis is now relatively fast and effective**surgery**, but because of the different physical conditions of each person, some people are also suitable for non-surgery**.

Surgery **** simple acute appendiceal inflammation. Most patients can**, but patients with chronic inflammation are susceptible**. Therefore, if the diagnosis of acute appendiceal inflammation is clear, the appendix will be removed by emergency surgery.

Due to pelvic congestion during pregnancy, inflammation of the appendix develops faster, so surgery should be performed promptly. If the diagnosis is unclear, if the patient has localized peritonitis or systemic infection, an open examination should be performed to avoid delay**. If there is no acute inflammatory appendix during surgery, other acute lesions should be explored.

If appendiceal inflammation forms a peripheral abscess at the time of patient presentation, a non-surgical procedure should be performed first**. After the abscess is absorbed, the appendix is removed after 3 months or half a year.

Acute appendicitis is best to operate within three days**, if it exceeds three days, it can only be conservative**. When an abscess is formed, if it is conservative and effective, continue to be conservative, and if the control effect is not good, it will need to be drained. Chronic appendicitis is best to have surgery as soon as possible**, but the next acute attack will make it worse, usually requiring surgery, and the risks will be more and more complex.

If appendicitis is diagnosed, surgery is needed to remove the appendix in most cases. If the inflammation of the appendix is relatively mild, it is called simple appendicitis, if the patient is unwilling to have surgery, or the patient's general condition is relatively poor and not suitable for surgery, you can consider doing conservative**, and control the inflammation by using antibiotics and anti-inflammatory. However, in most cases, there is a possibility of appendicitis through conservative ** in the future, so it is recommended that after the diagnosis of appendicitis, it is a wiser choice to have surgery as soon as possible.

Appendicitis is a relatively simple operation, and the risk lies in the patient's own heart and lungs, and the function of these organs. If you are young and have good cardiopulmonary function, generally this risk is very small, if you have a heart problem, there is myocardial ischemia or more serious heart problems, or the function of the lungs is not very good, the risk of this surgery is quite large, so in the elderly, although it is a small operation, it is also risky.

In addition to mild acute appendicitis, a liquid or semi-liquid diet can still be used, in principle, acute appendicitis must be closely observed and fasted for the first 24 to 48 hours to reduce intestinal peristalsis and increase the chance of inflammation localization. For chronic appendicitis, you can eat a normal diet, but it is advisable to eat light and easily digestible foods.

During an appendicitis attack, bed rest should be taken preferably, preferably in a semi-recumbent or reclining position. Pay close attention to changes in your condition, such as abdominal pain. For appendicitis, appendectomy is the main option.

Acute appendicitis, especially purulent, tremor, gangrenous appendicitis, should be treated with emergency surgery for appendectomy. Patients with appendiceal mass formation can wait for 2 to 3 months after the inflammation has subsided before undergoing appendectomy. If the effect of simple acute appendicitis and chronic appendicitis is not obvious, in principle, appendectomy should be performed.

Strict fasting is required before appendectomy.

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