Why is phlegmonous appendicitis so dangerous?

Phlegmonous appendicitis requires urgent surgical intervention.

Everyone knows that with appendicitis the patient feels pain in the right side of the peritoneum, the general condition of the body worsens, signs of poisoning appear.

Not everyone knows that the disease manifests itself in several forms. Acute phlegmonous appendicitis requires urgent doctor intervention, otherwise the patient may experience complications.

Why does the disease develop?

Content:

Why does the disease develop?
Symptoms of the disease
How to provide first aid for an acute illness?
How is the disease treated?

Phlegmonous appendicitis can develop as a result of thrombosis of the appendix vessels. Inflammation extends to the entire appendix, foci with pus appear.

There are many reasons that can trigger the onset of appendicitis. Perhaps, a diet is not observed or an incorrect diet is chosen.

Appearance of abscesses on the mucous appendix can be caused by violations of the normal movement of the contents of the intestines as a result of eating a large number of animal proteins.

Small patients have an effect on the development of appendicitis the presence in the intestine of foreign bodies or worms.

The phlegmonous stage of appendicitis in children and adults can cause such reasons:

lymphoid part is overgrown;
in the intestine the patient has stool stones;
foreign bodies clog the lumen in the appendix;
in a patient with a tumor in the intestinal tract;
intestinal walls are affected by ulcers.

Experts do not agree on why the disease develops.

Some believe that the acute form of appendicitis occurs as a result of the bend of the process or after blockage of the appendix lumen. There are specialists who consider the development of the acute stage the result of infectious diseases.

The real cause of appendicitis can be clarified only after the operation. The excised macro preparation is sent to the laboratory, where the specialist determines the content of the process and the etiology of the disease.

Symptoms of the disease

Most often, the phlegmonous stage of appendicitis does not come immediately. At the first stage there is a superficial inflammatory process.

Then there are pustules, which speaks of a phlegmonous stage. The appendage tissues begin to die already in the third stage of appendicitis. This sequence of stages of development of the disease is not mandatory.

Symptoms of phlegmonous appendicitis appear quite clearly in the patient:

the pain is very acute, the patient can accurately show the place of its localization. With any movement, the pain feels stronger. If the pain is dulled or stopped altogether, then it is worthwhile to be alert, perhaps the gangrenous phase of the disease has occurred, in which the tissues along with the nerve processes die off;
the patient has constant nausea, even if a diet is observed, often vomiting occurs;
on the root of the tongue is a touch of white or grayish color;
may slightly increase body temperature, there is a headache;
the patient has no appetite;
the patient becomes irritable, very sluggish;
marked the intoxication of the body.

The onset of appendicitis is characterized by diffuse pain, but after a few hours it is determined in a certain area.

Only after the patient accepts a certain posture, the pain sensations can be slightly reduced. If the patient has symptoms of acute manifestation of the disease, then it is urgent to take him to the hospital.

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In some cases, the patient may experience peritonitis. In this case, urgent surgical intervention is necessary. Macro-preparation after the operation is sent for examination in order to determine the causes of the disease.

How to provide first aid for an acute illness?

If the patient has signs of an acute form of appendicitis, then it is urgent to call an ambulance.

Sometimes the gap between the catarrhal stage and gangrenous appendicitis is extremely small, so it is important not to miss the moment when the operation will be most favorable.

Before the doctor's arrival, one should follow such recommendations:

to the area of pain should be applied something cold. If there is no special hot water bottle, then you can take a piece of frozen product from the freezer, after wrapping it in a clean napkin. To warm up the stomach is forbidden, since such an action can provoke the rupture of the wall of the appendix;
patient should be placed in a horizontal position;
should not be given to the patient medications that alleviate pain;
patient should not take food, drink liquid;
in case of constipation, it is impossible to give laxatives to a patient, to make an enema.

If the pain is dulled or completely subsided, you can not get up. There is a danger of complications of appendicitis. Only after examination by a doctor the patient will be able to perform any actions.

The diagnosis is based on several methods of examining the patient. The doctor receives the first data directly from the patient upon examination.

After giving blood, a specialist will analyze the level of white blood cells. To clarify the diagnosis, a patient may be assigned an ultrasound examination of the digestive tract.

Often the procedure is carried out through the rectum. In this case, the patient feels pain in the zone of the appendix.

Phlegmonous appendicitis are important to diagnose. After all, the manifestations of this disease can resemble other diseases, for example, ectopic pregnancy, pancreatitis, renal colic, ulcerative colitis and others.

How is the disease treated?

Treat acute phlegmonous appendicitis only with the help of surgical intervention. It is important to conduct it as soon as possible in order to avoid complications.

The recovery period after the operation will also pass quickly.

There are several ways to stop the inflamed appendix:

the doctor makes a cut on the peritoneum, after which the macro preparation is removed;
laparoscopy is performed only at the initial stage of the disease, when the doctor is sure that the walls of the process are intact and its contents do not spill into the peritoneum;
a modern kind of surgical operation - transluminal. It is carried through the patient's stomach or vagina with the help of special flexible tools.

For patients who are not obese, surgery is performed using local anesthesia. Obese patients receive general anesthesia before removal of the appendix.

The entire procedure takes approximately 40 - 45 minutes, but only if there are no complications.

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After the operation, the patient must comply with all the prescriptions of the doctor, otherwise it may cause inflammation of the wound, getting inside the infection.

The patient must adhere to the following rules:

is mandatory for bed rest for the time specified by the doctor;
it is important to control the frequency of bowel evacuation, not to allow stagnation of the contents;
diet is a prerequisite for successful recovery;
perform physical exercises recommended by the doctor.

The diet is very important in the postoperative period. The patient should not include in the menu fatty, smoked, pickled. Meals should be served in small portions up to 5-6 times a day.

It is necessary to exclude products that will cause bloating, flatulence. Drink with gas you can not drink. It is recommended to include in the diet more wiped fruits and vegetables.

If the diet is not followed, the bowel surface will be irritated.

As a result, digestion of food will occur with significant difficulties, the patient will have nausea, there will be pain in the seam area.

Phlegmonous appendicitis is not a disease in which the patient is able to cope on his own. At the first signs of an illness, it is important to urgently call a doctor.