The main symptom of appendicitis is usually a pain in the abdomen. Pain is first noted throughout the abdomen, especially at the top of it, the patient clearly can not point a finger where it hurts.
In the language of medicine, this pain is called fuzzy localized, because it does not focus at one point of the .(Pain with fuzzy localization is a common occurrence every time the problems are in the colon or small intestine, including the appendix.)
Specify exactly where it hurts so hard that if the patient is asked to point a finger at the place in which it hurts, many people show the localization of pains with circular movements of the hand near the middle of the abdomen.
- When the inflammatory process of the appendix grows, it spreads through the walls of the appendix to its outer shell.
- Then on the lining of the abdomen, a thin film, which is called the peritoneum.
- When the peritoneum is inflamed, the pain changes and can be clearly identified in a certain small area.
- In case of rupture of the appendix, the infection along the abdominal cavity is spreading, the pain again becomes common, as the inner lining in the abdomen becomes inflamed.
- Also with appendicitis, there may be vomiting and nausea, which can be caused by intestinal obstruction.
The main complications of appendicitis
It is usually believed that appendicitis begins when the hole between the cecum and the appendix is clogged.
Occlusion can occur due to the layering of thick mucus in the middle of the appendix or because of fecal matter falling from the cecum directly into the vermicular process .
Mucus or feces begin to harden, become dense, like a stone, and clog the hole. These stones are called coprolites( literally, "stoned stones").
The most common complication of appendicitis is perforation of .The perforation of the appendix often leads to a peri-pendicular abscess( accumulation of infected pus) or develops a spilled peritonitis( infection in the entire fully abdominal cavity).
The main reason for perforation of the appendix is delay in treatment and diagnosis.
A more rare complication is the intestinal obstruction .Obstruction occurs when the inflammation near the appendix stops working the muscles of the intestines, which prevents food from passing normally through the intestines.
The doctors consider sepsis to be a dangerous complication of appendicitis( or infection in the blood) - this is a condition during which bacteria enter the blood and are transferred to the rest of the body.
