Questions about acute appendicitis

As long as the acute appendicitis is symptomatic, it can be completely hung in the bottle, of course, with traditional Chinese medicine conditioning can not**, I have **many acute appendicitis patients. At present, all surgeries are performed in the acute phase of surgery (I have been a surgeon for more than ten years), but the latest research proves that the appendix is an immune organ, and patients who have their appendix removed have a 4-fold increased chance of cancer!

Of course, compared with people who have not had appendicitis, the chance of developing chronic appendicitis is definitely much greater, and if the appendicitis is purulent and perforated, it must be operated on in time (it is precisely because of surgery that the fatality rate of appendicitis is as low as it is now).

In addition, you can eat a little lighter, but don't taboo too much, ensure that the nutrition can promote recovery, except for spicy and fishy.

Supplement: You can eat normally, but eat easily digestible food. Also use.

After three or four days of anti-inflammatory drugs, you should take Chinese medicine to eliminate the symptoms and improve your appetite. Whether appendicitis is diagnosed by a surgeon should be examined by a surgeon, not by feeling.

I don't know how your acute appendicitis is diagnosed, do you have fever, do you have tenderness in the right lower abdomen, do you have nausea and vomiting? Did the doctor diagnose appendicitis without pressing your stomach? So I don't know how big the hospital you are looking at, I don't know if the diagnosis is correct.

However, acute appendicitis is generally an acute abdomen, and it is routinely necessary to be surgically removed immediately, because there is a fear of perforation causing acute peritonitis, which can be fatal. If there is a heavy local formation, it is theoretically impossible to operate immediately, and adhesions will occur. Generally, after the abscess is formed, it is conservative**, this is required to be examined by ultrasound, not by hand.

If the appendicitis is reversed, it needs to be surgically removed. According to what you said, ** effective, has been discharged, can be observed for the time being, does not need surgery, there are no requirements for diet, it needs to be nutritious, but not greasy. You eat porridge every day, and dried radishes are not good.

Eat normally.

First of all, tell you not to worry, there is no need to have surgery; The anchoicitis must be operated on, otherwise it will be **, which is the personal behavior of some black-hearted surgeons. Do you have to cut off your head for a headache? Obstructive if anchoicitis.

Perforate. Concurrent diffuse peritonitis, or ineffective by internal medicine conservative **, should be treated with surgery promptly.

There are more men than women with appendicitis, and it is easier for young people to get it, but some middle-aged people will also have it, for appendicitis, the formation factors of appendicitis are inflammatory changes, mainly common surgical diseases, so, how to cause appendicitis? Let's learn about appendicitis together.

How does appendicitis occur?

1. Acute appendicitis:

1) Obstruction, that is, a slender tube of the appendix, which communicates with the cecum, once the obstruction has a problem, it will cause the onset of acute appendicitis, saying that obstruction can increase the pressure in the lumen and accumulate endocrine, which will compress the appendix wall and obstruct the distal blood circulation, and then in this case, the bacterial invasion infection will occur.

2) Infection: The appendix cavity is connected with the cecum, if the bacteria are generated, it will be infected with appendicitis, but the degree of cause is different, when the strains and numbers of E. coli and anaerobic bacteria increase, there will be inflammation, if the appendiceal mucosa is slightly damaged, it will also invade the tube wall and cause infection.

3) Others: In the case of appendiceal muscle and vascular spasm, there will be appendiceal lumen stenosis, mucosal damage, and blood supply disorders, at which time bacterial invasion will cause acute inflammation, in addition, the onset of acute appendicitis is also related to dietary habits, genetics, and constipation.

2. Chronic appendicitis: chronic appendicitis caused by the failure of the lesion to completely remove the residual infection during the attack of acute appendicitis, which is caused by prolonged appendicitis, if there is a clear history of acute appendicitis, it will often attack after this reversal, so acute appendicitis must be timely, if there is sometimes another point of tenderness, we must pay attention, which may be related to chronic obstruction.

How does appendicitis occur? Acute appendicitis, chronic appendicitis, introduced here, I believe everyone has seen it, said that appendicitis is divided into acute and chronic, no matter what kind of appendicitis is harmful to human health, we must actively go to **, do not think that appendicitis is a small disease, often the pain is very unbearable.

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**.

The typical symptom of appendicitis is metastatic right lower quadrant pain, and the typical sign of appendicitis is the appendix point, also called the McNell point, which connects the navel to the most prominent point on the right side of the pelvis (the right anterior superior iliac spine).

1 3 The junction is the appendix point tenderness, and sometimes the tender point can be slightly higher than this point, but it is in the right lower quadrant region. When the inflammation is severe, there may be local muscle stiffness (muscle tension) at the tender site, and the patient may also cry pain when the hand is raised from the tender point (medically called rebound tenderness).

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**.

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.

Acute appendicitis**:

1. Obstruction of the official cavity of the appendix is the most common. The appendix cavity is thin, the opening is narrow, and the mesangium is short and the appendix curls up, which are the reasons why the appendix cavity is easy to block. (1) The most common cause of appendix obstruction is obvious hyperplasia of lymphatic follicles, accounting for about 60%, which is more common in young people.

This is because the mucosa and submucosal layers of the appendix contain more abundant lymphoid tissue. (2) Fecal stone is also a common cause of obstruction, accounting for 35%.

Guidance: 2. Bacterial invasion On the basis of the obstruction of the lumen of the appendix, bacteria multiply. Most of the pathogenic bacteria are various gram-negative bacilli and anaerobic bacteria in the intestine.

1. First of all, we all know that the appendix is a small intestine tube behind the cecum without digestion and absorption function, which has no practical effect on digestion, but it is easy to cause inflammation.

2 Appendicitis is caused by the entry of some food debris into the appendix, combined with some bacteria in the intestine, which will lead to inflammation, so some intestinal infections may induce appendicitis.

3. If you have appendicitis and metastatic pain in the right lower abdomen, you should do it in time, otherwise it will involve the abdominal cavity after perforation, which will become very troublesome.

The appendix is just a small tube, either the feces are stuck in it, or the wall of the tube becomes thicker. There is also bacteria playing in the tube, which can also be caused. Communication is vulgar.