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Appendicitis

Appendicitis occurs when bacteria grow in the appendix, a worm-shaped pouch.

1. What is appendicitis
Appendicitis is an inflammation of the appendix, a 3 1 2 inch long tube of tissue that extends from the large intestine. The appendix contains specialized tissue that can produce antibodies, but no one is absolutely certain what its function is. One thing we do know We can live without it, without apparent consequences.

Appendicitis is a medical emergency that requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity. This can lead to peritonitis, a serious inflammation of the abdominal cavitys lining the peritoneum that can be fatal unless it is treated quickly with strong antibiotics.Sometimes a pus filled abscess infection that is walled off from the rest of the body forms outside the inflamed appendix. Scar tissue then walls off the appendix from the rest of the abdomen, preventing infection from spreading. An abscessed appendix is a less urgent situation, but unfortunately, it cant be identified without surgery. For this reason, all cases of appendicitis are treated as emergencies requiring surgery.

In the U.S., 1 in 15 people will get appendicitis. Although it can strike at any age, appendicitis is rare under age 2 and most common between ages 15 and 30.


2. Causes Appendicitis
Appendicitis occurs when the appendix becomes blocked, often by stool, a foreign body, or cancer. Blockage may also occur from infection, since the appendix swells in response to any infection in the body.

3. Symptoms of Appendicitis
The classic symptoms of appendicitis includeDull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen. This is usually the first sign.

4. How Is Appendicitis Diagnosed
Diagnosing appendicitis can be tricky. Appendicitis symptoms are frequently vague or extremely similar to other ailments, including gallbladder problems, bladder or urinary tract infection, Crohns disease, gastritis, intestinal infection, and ovary problems.

5. Appendicitis Treated
Surgery to remove the appendix, which is called an appendectomy, is the standard treatment for appendicitis.
If appendicitis is even suspected, doctors tend to err on the side of safety and quickly remove the appendix to avoid its rupture. If the appendix has formed an abscess, you may have two procedures one to drain the abscess of pus and fluid, and a later one to remove the appendix.
Antibiotics are given before an appendectomy to fight possible peritonitis. General anesthesia is usually given, and the appendix is removed through a 4 inch incision or by laparoscopy. If you have peritonitis, the abdomen is also irrigated and drained of pus.
Within 12 hours of surgery you may get up and move around. You can usually return to normal activities in 2 to 3 weeks. If surgery is done with a laparoscope a thin telescope like instrument for viewing inside the abdomen, the incision is smaller and recovery is faster.

6. Appendectomy for Appendicitis
Appendectomy, a surgical procedure to remove the appendix, is the standard treatment for appendicitis. However, antibiotics are often used in conjunction with an appendectomy, and sometimes instead of the surgery.Doctors have been treating appendicitis with appendectomies for over 100 years.
If you undergo an appendectomy, you can expect a short hospital stay, a relatively quick recovery several weeks, and few postoperative complications. Before conducting an appendectomy, surgeons usually give their patients broad spectrum antibiotics, which work against a wide range of bacteria.

7. Conventional Medicine for Appendicitis
If your doctor suspects appendicitis, he or she will likely quickly remove the appendix to avoid its rupture. If the appendix has formed an abscess, you may have two procedures, one to do a CT guided drainage of the pus and fluid, and a second one to remove the appendix eight to 12 weeks later. This delayed surgery is called an interval appendectomy.

Antibiotics are given before an appendectomy to fight possible peritonitis, or infection of the abdominal cavitys lining. General anesthesia is given, and the appendix is removed through a short incision in the right lower quadrant of the abdomen. If you have peritonitis, the abdomen is also drained of pus. Within 12 hours of surgery, you may get up and move around. You can usually return to normal activities in two or three weeks. If surgery is done with a laparoscope a thin telescope like instrument for viewing inside the abdomen, three to four smaller incisions are made and recovery is faster.


8. At Home Care
After having your appendix removed, keep your incision clean to promote healing and avoid infection.

9. Can I Prevent
There is no way to prevent appendicitis. However, appendicitis is less common in people who eat foods high in fiber, such as fresh fruits and vegetables.

10. Antibiotics for Appendicitis
Since 1889, doctors have believed that surgical removal of the appendix is best, Lobo writes.They assumed that the appendix would burst. More recently, some experts have challenged this idea.Doctors are likely to use CT scans to evaluate whether the appendicitis is likely to progress.Some recent studies have found fewer problems with antibiotic treatment than surgery when the condition is not complicated.

So Lobos team evaluated four published studies comparing the approaches. The studies included 900 patients. Of those, 470 got antibiotics and 430 got surgery. Antibiotics were given intravenously and then by mouth.


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Appendicitis

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