Enterocolitis or Appendicitis – What are the Symptoms - Nepal Medicos Times

Enterocolitis or Appendicitis – What are the Symptoms

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We must have heard of someone around to cut the intestine, or who has Appendicitis, but where is it, or is it an appendix? In fact, Cecum and Appendix are two different parts. Most of the appendix are inflamed, and there are few cases of intestinal inflammation, so the correct statement should be appendicitis. However, appendicitis was also mistakenly referred to as Cecitis because of the proximity of the site. In addition, appendicitis is divided into acute and slow inflammation. Most of the cases are acute.

Appendicitis occurs mostly in young people

A person’s chance of getting appendicitis in a lifetime is about 5~7%, and most of them occur in young people. Children and elderly people are less likely to have appendicitis, if they are infants under 1 year old and older people over 80 years old. Although rare, it is often neglected by doctors because symptoms are not obvious, leading to complications such as Peritonitis, which may lead to severe death.

4 main causes of appendicitis

Intestinal obstruction

the main cause of obstruction caused by a distortion of the intestine, foreign body or stool block, followed by enlarged lymphatic glands around the appendix.

Infection

Parasitic infection can also cause appendicitis.

Age

Appendicitis patients are more than 2 years old, most commonly among young people aged 20 to 30 years old, mainly because the appendix cavity is narrow and prone to obstruction.

Diet and lifestyles

overeating, low fibre foods, and people with irregular and overworked life may develop appendicitis.

4 main symptoms of appendicitis

Symptoms of appendicitis vary, with the following 4 typical symptoms:

Abdominal pain

Usually unexpected abdominal pain, most of them start from the upper abdomen (above the navel) or around the navel, then transfer to the right lower abdominal pain, as is the case in about 2/3 of patients with appendicitis.
Nausea, vomiting, poor appetite
About 50% of patients experience vomiting symptoms, often after eating. There are also many patients who do not vomit and feel nausea or no appetite. If they are accompanied by abdominal pain, they need to be suspected of appendicitis.

Mild fever and worsens with course

Appendicitis usually does not have fever at the beginning, but often starts fever within 24 hours. If appendicitis is suspected, the anal temperature should be measured every 2 to 3 hours. gradually rising, most likely acute appendicitis. If there is a fever or chills at the beginning of abdominal pain, it may not be appendicitis.

Constipation or occasional diarrhea

About 10 to 20% of patients may have constipation or diarrhea, more common, less common, or not appendicitis in case of obvious diarrhea.
Treatment of appendicitis
The treatment of acute appendicitis is mainly based on surgical resection, as it is believed to be a degenerative organ (such as wisdom teeth) and does not have a negative effect on the body after removal (although studies indicate that the appendix can catalyse immune cells reaction, but also is the place of good intestinal bacteria reproduction). However, if acute appendicitis is diagnosed, it is often necessary to cut immediately, as delays can lead to perforation and even acute peritonitis. It usually takes 1 to 2 days after surgery. If the intestinal rupture occurs, the recovery period will be extended from 1 to 2 weeks.