Appendicitis is an inflammation of the appendix, a finger shaped pouch that projects from colon (large intestine) on the lower right side of abdomen. The appendix does not have any specific purpose in our body. Appendicitis is the most common cause of abdominal pain resulting in surgery. More common in males and age group between 10 to 30 years.
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• Sudden pain on the right side of the lower abdomen.
• Pain that begins around navel and often shifts to lower right abdomen.
• Pain worsens by cough, walk or other jarring movements.
• Loss of appetite.
• Low grade fever.
• Constipation or diarrhea.
• Abdominal bloating
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A blockage in the lumen of appendix that results in infection leading to appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated, the appendix can become gangrenous and rupture.
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• A ruptured appendix
Infection spreads throughout the abdomen requiring urgent surgery
• A pocket of pus
If localized burst of appendix occurs leading to development of pocket of infection (Appendicular abscess)
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Blood test- High blood cell count
Urine test- To rule out urinary tract infection or kidney stone
Pregnancy test- To rule out ectopic pregnancy in female
Imaging test- Abdominal X-Ray, Ultrasound, CT scan
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Mainstay of treatment of acute appendicitis is early surgery (within 24 to 48 hours).
Appendectomy is surgical removal of appendix.
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The surgery is done through few small incisions through which special surgical tools and a video camera are inserted into the abdomen to remove appendix.
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Early healing with less pain and scarring.
Faster recovery
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• Avoid strenuous activity for 3-5 days
• Support your abdomen when you cough
• Children may return to school after a week
• Waiting period of 2-4 weeks to resume strenuous activity such as gym or sports
• There may be a temporary constipation. Staying hydrated and eating fiber rich food helps regulate bowel movement.
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• Fresh fruits and vegetables
• Kidney bean or other salads
• Swapping white rice for brown rice
• Using whole wheat flour
• Breakfast- cereals, yogurt and salads.
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