Appendicitis is inflammation of the appendix (small tubular structure in right lower abdomen adjacent to cecum). It may be acute or chronic. It is the most common medical emergency all over the world performed as routine surgery almost every day in bigger hospitals.
Appendicitis happens most often between the ages of 10 and 30. It is more common in men than in women. Untreated appendicitis can be fatal.
Symptoms of appendicitis
Typical appendicitis: right lower abdominal pain, sharp, continuous pain. Quite frequently started in upper abdomen, appears as food poisoning, abdominal discomfort which moves to right lower abdomen. Patient feels something goes wrong, has nausea, episodes of vomiting. Mild fever up to 37,5. Patient cannot extend the body and usually hold their hand on right lower abdominal region.
On examination direct tenderness over right lower abdomen, when patient makes cough feels pain on same area. Bad smell of mouth with white coated tongue.
In advanced cases after two three days we can find generalized tenderness if peritonitis (infection of internal organs) developed.
Making diagnosis of appendicitis
This is related to your surgeon who considers all of additional images like blood tests, ultrasound scan report further to physical examination findings.
Three options can be possible in case of making diagnose.
1-99% negative, no features of appendicitis
2-99% positive almost all features of appendicitis.
3- borderline symptoms-observation for 12 hours, or overnight and reevaluation.
Treatment of appendicitis.
Gold standard of treatment is surgery called appendectomy (removal of appendix)
Now days we do all of appendectomies as keyhole specially in children which gives very good visual diagnosis immediately and as minimal invasive clean blood less surgery we can perform appendectomy also.
In case of right lower abdominal pain visit your surgeon for health checkup.