What should I do if I have appendicitis in middle aged and elderly people?

Surgery, especially in the elderly, appendicitis may easily lead to toxic shock in the elderly, and conservative **may be reversed**, surgery is preferred**! However, if the basic condition of the elderly is relatively poor and cannot be operated, they can only choose to be conservative**! B-ultrasound can rule out pelvic problems, it is recommended to check clearly and operate as soon as possible!

Generally, you can get out of bed for 2 to 3 days!

There are usually two categories of appendicitis: non-surgical and surgical. 1. Non-surgical**, mainly antibiotics**, once appendicitis is diagnosed, if there is an indication for surgery, but because the patient's own condition is poor, or the objective conditions do not allow, or the patient with mild appendicitis has no willingness to operate, non-surgical ** can also be used first. In addition, if an abscess around the appendix has been formed, surgery is not suitable, and effective antibiotics can be selected to absorb the inflammatory mass, and then appendectomy, the conservative ** of appendicitis also includes bed rest, eating, supplementing nutrition, and maintaining the balance of water, electrolytes and acid-base.

The next step is surgery for appendicitis**, once the diagnosis is clear, appendectomy surgery is required, and laparoscopic appendectomy is currently available, and the symptoms of the abdominal organs are more carefully observed, which can rule out and understand the lesions of the abdominal organs outside the appendix.

Answer] :d clinical characteristics of appendicitis in the elderly are: the patient's complaints are not strong, the signs of jujube stool are atypical, and the body temperature and blood leukocytes are not obvious; The clinical manifestations are mild and the pathological changes are severe; The elderly are often accompanied by arteriosclerosis of the stool jujube brigade, and the petrous crust of the appendix artery also has corresponding changes, which can easily lead to ischemia and necrosis or perforation of the appendix. The elderly are often accompanied by cardiovascular diseases, diabetes, etc., which makes the condition more complex and serious.

** appendicitis ** includes surgical ** and conservative**. Surgery** includes transabdominal surgery to remove the appendix (that is, the operation to cut the belly) and laparoscopic surgery, laparoscopic surgery is less traumatic, and the patient recovers quickly after surgery.

If you are old or have contraindications to surgery, you can only be conservative**, that is, antibiotics**.

In the later stages of appendicitis, it is generally said that the inflammation of the appendix and its surrounding tissues has been localized, forming a package. Specific to your grandfather, it should be said that it is still serious, because the physique of the elderly is relatively weak, it is difficult to say whether the inflammation can be controlled, if the inflammation cannot be controlled, the inflammation will spread to the surroundings, and even the whole body.

Older people may have a worse response and may be insensitive to pain, or inflammation may be improving.

In terms of diet, depending on the specific situation of the elderly, if the bowel movement and gas are normal, you can eat some easily digestible foods, soft foods such as porridge, or liquids, such as rice soup.

Appendicitis is divided into acute and chronic. Acute appendicitis must be operated on immediately, otherwise the person will have irreversible consequences due to intestinal perforation. Chronic appendicitis:

You can drink Chinese medicine to reduce inflammation and detoxification**. (Many of my relatives and I have drunk Chinese medicine to cure chronic appendicitis).Your grandfather's condition can be seen by drinking Chinese medicine, it will take about a week to drink Chinese medicine with injections, and the elderly may have to be longer.

Pay attention to your usual diet: don't eat too much spicy food, eat on time, and don't spoil your stomach. Also exercise more to avoid intestinal adhesions.

In the later stage of the appendix, it is an inflammation of the appendix that must be operated on, which is severe and may lead to intestinal infarction, which is rarely cured.

The elderly should still go to the hospital and follow the doctor's advice, and the specific situation will only be known after a thorough examination, which can lead to better symptoms.

For chronic diseases like appendicitis, young people can take medicine through injections**, but this is only a palliative treatment.

The situation of the elderly is different, their physical function has dropped to a very low level, once a disease is not timely, it is easy to lead to a decline in physical function, serious illness. Therefore, it is recommended to take the elderly to the hospital for examination as soon as possible and follow the doctor's advice.

If you are not at ease with the doctor, you may wish to change to a few different hospitals and synthesize the doctor's statement.

In addition, appendicitis surgery is very simple now, and most of them are minimally invasive, so there is almost no danger at all.

Go to the hospital, depending on the situation, you can decide how to treat it. Be careful, though, as the elderly generally don't feel sensitive. If you don't feel pain, it may be very serious.

Surgery is recommended**, the conservative effect is poor, it is easy to aggravate, and the risk of surgery is not large.

The elderly should go to the hospital** to compare insurance.

Appendicitis in the elderly is characterized by rapid development and easy perforation, so once diagnosed, unless it is mild, surgery is generally required as soon as possible.

Modern appendectomy surgery is relatively safe, and even older people with high blood pressure, arteriosclerosis, or certain heart and lung diseases are generally safe to tolerate with close supervision. If you are afraid of surgery, it will be dangerous to develop perforated peritonitis of the appendix, and then be forced to operate if your general condition deteriorates.

If some patients are using non-surgery**, they should still be closely observed, and if the condition deteriorates, the treatment plan must be changed at any time, and the surgery must be performed**.

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.

Most symptoms of chronic appendicitis are lesions left over after the acute appendicitis has resolved. If the inflammation is mild at the time of acute appendicitis, symptoms may disappear quickly, but inflammation of the appendix can turn into chronic appendicitis symptoms after a few weeks. Symptoms of chronic appendicitis often include a typical history of acute appendicitis attacks, frequent pain in the right lower quadrant, and strenuous activity or poor diet.

There are also chronic appendicitis symptoms that are very similar to peptic ulcers, with gastrointestinal disorders or changes in bowel habits, and some patients with appendicitis will have a reaction. Therefore, the elderly with abdominal discomfort, if they have not been ** for a long time, should consider whether they have chronic appendicitis symptoms according to the above characteristics, and seek medical attention in time.

For more information, please visit our topic on appendicitis.

Symptoms of appendicitis.

Acute appendicitis in the elderly:

1. Fever: Fever is the body's response to resist the invasion of pathogenic microorganisms after appendiceal inflammation, and the elderly due to the reduction of the response ability of the whole body, even if they have fever after the onset of the disease, they are mostly low-grade fever, or even no fever, and the total number of white blood cells can not be increased in blood routine examination, which is a common symptom of acute appendicitis in the elderly.

2. Abdominal pain: The early symptoms of acute appendicitis are mainly right lower abdominal pain, while only some elderly patients have this feature, and most people present with abdominal discomfort, abdominal distention, abdominal pain, constipation, etc., which are easy to be ignored in the early stage.

3. Peritonitis: Peritonitis is caused by the spread of pathogens in the abdominal cavity after appendix perforation. The elderly have weakened immune function and poor ability to eliminate inflammation, so it is easy to complicate diffuse peritonitis after appendix perforation, and the condition is very critical at this time, and the mortality rate is very high if it is not treated in time.