How to determine chronic appendicitis, diagnosis and treatment of chronic appendicitis

Appendicitis Overview of the disease Appendicitis is a common clinical disorder. It can generally be divided into acute appendicitis and chronic appendicitis. Conventional wisdom suggests that acute appendicitis is caused by poor drainage due to appendix obstruction and bacterial infection.

TCM-related conditions See Intestinal carbuncles. Key points of diagnosis The earliest symptom of acute appendicitis is abdominal pain, and most patients typically begin with pain in the mid or upper abdomen or around the umbilicus, and then move to the right lower quadrant a few hours later. Pain and discomfort in the right lower quadrant may be intermittent or mitten, and may be a dull pain that often occurs or worsens with strenuous activity or poor diet.

It can be accompanied by various manifestations of gastrointestinal dysfunction, such as dyspepsia, bloating, nausea, acid reflux, epigastric discomfort, increased frequency of bowel movements, or constipation, among which the most diagnostic is significant metastatic abdominal pain to the right lower quadrant with localized signs of fixed tenderness. Chronic appendicitis is less likely if the right lower quadrant is more extensive, not fixed in position, or similar tenderness elsewhere in the abdomen. **Suggestion Acute appendicitis is a common acute abdomen in surgery, and it is necessary to send it to the hospital in time**.

The most common method is surgical excision. For chronic appendicitis, it is necessary to be under the guidance of a doctor**:1 From the dialectical point of traditional Chinese medicine, those who are hot poisoners, with symptoms such as thirst, constipation, yellow urine, yellow moss, etc., use appendicitis tablets, forsythia poison pills, dandelion tablets, etc.

For those with negative syndrome, the symptoms include unreal stool, light mouth and no thirst, and clear and long urine, so Ding Guisan and others should be taken together with appendicitis tablets or combined with dandelion tablets. 2 Antibiotics can be used, such as erythromycin, medisomycin, synergistic bisulfonate, etc. Precautions 1 Patients with chronic appendicitis should pay attention to avoid excessive fatigue, ensure adequate sleep and mental well-being, because this can avoid the recurrence of lesions due to the reduction of body resistance.

2 Pay attention to keep the stool smooth, patients with constipation tendency should be adjusted from the diet and other aspects, can self-massage the abdomen, the condition is not easy to change can try to take laxative drugs, such as pockmarked pills, laxative, fruit, senna, etc., or use Kaiser dew. However, this is only a temporary measure and cannot be relied on for a long time. 3 Patients with chronic appendicitis should keep a light diet and eat more fibre-rich foods to keep their stools smooth.

Generally speaking, warm animal meat such as sheep, beef, and dog meat should be spared, and onions, ginger, garlic, and chili peppers should not be eaten more. For those foods that have the effect of clearing heat, detoxifying and dampness, such as mung beans, bean sprouts, bitter gourd, etc., you can choose to eat. Health is the greatest happiness in life.

Chronic appendicitis is considered only if there is a history of acute appendicitis attacks.

Diagnosis: The diagnosis of chronic appendicitis is sometimes quite difficult, and the number of people who do not see relief after surgery for chronic appendicitis is as high as 35 vertical postures, and the main reason is diagnostic errors. The diagnosis of each chronic appendicitis should be taken with great care, and the "elimination method" should be used to rule out the associated diseases that are easily confused with it one by one.

Among them, ileocecal tuberculosis, chronic colitis, chronic adnexitis, gastrointestinal neurosis and colonic malignancy are mainly included.

Surgery** is an effective approach, but should be done with particular caution when deciding to undergo appendectomy.

1) After the diagnosis of chronic appendicitis, in principle, surgery should be performed to remove the pathological appendix, especially for patients with a history of emergency examination and large collection seizures, and surgery should be performed in time. For patients with suspicious diagnoses or elderly patients with serious comorbidities, temporary non-manual age and surgery** should be performed and followed up in the outpatient clinic.

2) If the appearance of the appendix is found to be basically normal during the operation, and the abdomen cannot be easily removed only after the appendix, the tissues and organs near the appendix should be carefully examined, such as the ileocecal region, the terminal ileum of one meter, the mesentery and its lymph nodes. Female patients should also carefully explore the pelvis and appendages to prevent misdiagnosis and missed diagnosis.

3) Each patient should be followed up for a period of time after surgery to understand the actual effect after the removal of the appendix. The final diagnosis of chronic appendicitis is not pathology, but the complete relief of symptoms after surgery. Patients who still have symptoms after surgery should be examined to find out the real **, and the symptoms of postoperative intestinal adhesions cannot be easily followed.

If it is not an acute attack and cannot be detected by any instrument, the diagnosis can be made empirically based on symptoms.

I did a color ultrasound and there was no appendicitis, but there was still some pain there.