1 Appendicitis and the risk of its rupture

Appendicitis refers to inflammation of the process of the cecum, appendix( Figure 1).This is the most frequent complication associated with acute pain of the abdominal organs. It occurs because of a blockage in the lumen of the appendix. It can be caused by calculous stones, swelling, parasites, etc. It is often said that appendicitis is from seeds. The husk is really capable of blocking the opening of the appendix, but the grain itself is well digested.

It is important to remember that inflammation in any case requires surgical intervention!

In the initial treatment, excision of appendicitis is a simple operation, but if the patient was not provided with medical care for 2-3 days( no symptoms, the person did not consult a doctor, an incorrect diagnosis was made), complications begin - peritonitis, bacteremia and tThe

The rupture of the appendix inevitably leads to the accumulation of pus collected in it and infection into the abdominal cavity, where the microbes enter the bloodstream, begin to infect and poison the body. This disease is already called peritonitis - an inflammation of the peritoneum. Suppuration can be limited to a certain part, then the microbes either self-destruct or break through again. If peritonitis is diffuse and touches the entire peritoneum, then it is worthwhile to be afraid of a lethal outcome.

The doctor must timely and correctly determine the exact diagnosis and begin treatment! The patient needs an immediate operation to remove pus. If appendectomy lasts no more than 1 hour, the operation with peritonitis can take several hours.

2 Symptoms of pathology

Acute appendicitis is cunning. His symptoms may vary depending on the constitution of the person, but common manifestations are known to almost everyone:

• pain throughout the abdomen, turning into the lower right;
• general weakness;
• nausea and vomiting;
• temperature.

Over time, the pain intensifies and grows, does not allow to straighten up, turns you into a knot. Pain can disappear - it's only imaginary well-being. Inflammatory process in the appendix grows and turns into a different state - peritonitis. It has several stages:

1. Rupture of appendicitis. Very sharp pain in the lower abdomen, swelling. In addition to this, nausea, vomiting, fever( sometimes at the time of perforation the patient feels a feeling that something warm is poured over his stomach).This is an extremely dangerous symptom. The organs of the abdominal cavity still work without disturbances.
2. Imaginary well-being. The pain subsides, as the nerve endings paralyzes. Vomiting and nausea stop. Sweat, tachycardia and rapid pulse can be observed. At this moment, there is an intestinal obstruction.
3. The Heat. Increase in symptoms. The patient's condition is rapidly deteriorating. Return signs of poisoning. Renews vomiting and nausea. The temperature reaches a critical level. There is a swelling. Intoxication continues.
4. Deterioration of the state until loss of consciousness in the absence of rest. Rezi in the abdomen, continuous vomiting. Violated heart work and respiratory system.

In the absence of proper care during the fourth stage, the patient's death is assumed. Remember that at the slightest suspicion it is better to be safe and refer to specialists.

3 Treatment of peritonitis

If the correct diagnosis was made at the first stages of the disease, then the treatment is appropriate, and it is likely that everything will be successful. Otherwise, it will not be possible to cope with peritonitis.

With the diffuse form of peritonitis, the patient needs immediate surgery to remove purulent contents from the peritoneum. For further treatment, the patient will need to take strong antibiotics and detoxification. The recovery process will be long, you will need to stay in a 24-hour hospital under the supervision of doctors.

If appendicitis bursts with the formation of a limited infiltrate( accumulation of cellular elements in the tissues of the body with an admixture of blood and lymph), the patient is treated with conservative methods. At the same time he is under constant observation. If the infiltrate breaks, then surgery is required.

4 Preventive measures

Again, inflammation of the appendix always requires surgical intervention! Therefore, the sooner you go to the hospital, the better.

If you notice any of the above symptoms of appendicitis, call the ambulance immediately. Sometimes it happens that doctors can not immediately put a correct diagnosis, so watch your health.

A variant of the development of events is also possible, when pronounced signs of the first stages of the disease will be absent, and then there will be a sharp pain, in which you will not be able to unwind. In that case, every minute counts. The sooner you go to the doctors, the easier the consequences.

Statistically, appendicitis is more common among people of young and middle age, especially among women. It is characteristic for those in whose diet is not enough fiber, which cleanses our body. Regular use of vegetables, fruits and bran fiber enriched( wheat and rye bran, flaxseed, raspberry, corn, etc.) will be an excellent prophylaxis of the inflammatory process of the process of the cecum.

Provided that acute appendicitis is detected within 2, maximum 3 days and is removed, a rupture will not occur. There will be no complications. Observation and treatment of the patient will be reduced to 7 days. Remember that it is better not to delay with the reference to the doctor, to reduce surgical intervention to a minimum and to keep your health and life.