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The appendix is a wormlike expansion of the large bowel (cecum)
measuring one to three inches in length. It is located in the lower right
portion of the abdomen at the beginning of the large intestine. Normally
it is about as thick as a lead pencil and is pinkish gray in color. It
serves no function in humans that we know of and is thought to be a
residuum of our primitive past. Appendicitis:
Appendicitis
is an inflammation of the lining of the appendix spreading to its other
portions. When an acute inflammation is involved, severe pain will be felt
in the lower right part of the abdomen. By this time the appendix has
usually become filled with pus. If not treated right away the infection
can spread through the wall of the appendix and can turn into gangrene and
rupture. Because of this, appendicitis is considered an emergency
situation. Causes:
Appendicitis
may be caused either by bacterial inflammation or by a viral infection
occurring in the digestive tract. A bacterial infection can happen by a
rigid particle of stool blocking its passageway causing pressure upon the
blood vessels in the area. The inflammation can cause infection, a blood
clot, or rupture of the appendix. Before
the age of antibiotics came along, appendicitis was known as a common
abdominal surgery but it occurs less frequently today. Most often it is
seen in young adults in their twenties through forties, but can occur in
infants and older people. Many years ago people died from appendicitis
including small infants. Rarely does it occur in children under three
years of age anymore. And for some unknown reason the condition occurs
less often today than it did twenty years ago. Test:
A
physical exam based upon the symptoms. A
urine test to rule out a urinary tract infection (UTI). ·
Ultrasound can show an inflamed appendix. ·
A blood count is taken to see if the white blood cell count is elevated,
as is usually the case in acute appendicitis. If the doctor does suspect
appendicitis, surgery will need to be performed within the next few hours.
If not, the appendix can rupture and go into a condition known as
peritonitis. Pus from the infected appendix spreads into the abdominal
cavity, causing blood poisoning. Symptoms:
·
Generalized abdominal cramps. Pain usually begins near the navel and moves
down to the lower right. The pain becomes worse when the person moves or
touches the area. · Nausea or vomiting Elevated temperature. · Increased
pulse rate. · Loss of appetite. · Constipation. · Abdominal swelling. In
appendicitis these symptoms tend to become more severe as time passes. Not
everyone with appendicitis has all the symptoms. Never should a laxative
or enema be taken if you suspect appendicitis. These medications can cause
the appendix to rupture. Treatment:
Surgery
to remove the inflamed appendix is known as an appendectomy. Many
appendectomies now are performed through laparoscopic surgery in which the
appendix is removed. This procedure involves several tiny cuts made into
the abdomen and a miniature camera is inserted with instruments preventing
the large unsightly scar.
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