Signs of appendicitis in men

Signs of appendicitis in men, as in children and in women, should be included in the necessary volume of medical knowledge of every person living in developed countries.

Acute appendicitis ranks second after inflammation of the gallbladder (acute cholecystitis), and the number hospitalized when it occurs can be up to 80% of the total number of urgently delivered to hospital patients.

Approximately 75% of those who have undergone an acute inflammatory process in the appendix are young people under the age of 33.

More than 3/5 of all emergency abdominal operations in North America and Europe are carried out in connection with the need for urgent appendectomy for life-threatening indicators.

Appendicitis in men is less common than in women, and is limited to a certain age range, but the more dangerous it is occurrence, and the better you need to study how appendicitis hurts in the male half in order to avoid dangerous consequences.

What is appendicitis: the causes of the pathology

Appendicitis is an inflammation of the appendix, the appendix that extends from the cecum. The cecum is a segment of the rectum that is blindly closed in the form of a dome.

This structure is anatomically determined by the peculiarities of the human intestine, in which nature has provided for the presence of the small, large, colon and ileum.

They perform the functions of digesting food and removing its debris, but they are interconnected.

Until recently, it was believed that the appendix is ​​a rudiment that does not matter, but then it turned out that after its removal, a person's immunity sharply decreases.

The signs of appendicitis depend on the form that the disease has acquired. Symptoms of chronic appendicitis, manifested in men over 50, and sometimes acquiring an acute stage, are somewhat different from the symptoms of acute appendicitis.

Inflammation, requiring urgent surgical intervention, manifests itself at an earlier age and proceeds with more pronounced negative signs.

Features of the disease may depend on the anatomical location of the appendix, and on its size.

These two distinctive features can alter the symptoms of appendicitis beyond recognition, leading to suspicion of other diseases.

And the appendix can be located:

• in the small pelvis, near the bladder and rectum;
• near the liver and gallbladder;
• in front of the stomach with certain developmental features;
• and, on the other hand, from the expected, if the organs are arranged in a mirror image (in reverse order, which also happens).

Considering the possible variations in size (in some people it can reach 30 cm in length, with a norm of 5-10, but separation to the smaller side is also not excluded and the process of the cecum can be from 1 to 5 cm.

Such a variety of sizes and locations, giving uncharacteristic localization of symptoms, often leads to the fact that initially appendicitis is dealt with by proctology (diagnostics are carried out to identify intestinal pathologies), or the condition is determined as pathological constipation.

Then other branches of medicine related to the condition of "acute abdomen" are engaged in his treatment. Of no small importance is the type of appendicitis on which the appeal took place.

The first signs are usually blurred, and it is difficult to establish a diagnosis based on them without appropriate analyzes and studies, therefore, there are a number of symptoms described by clinicians that emergency doctors use for primary diagnostics.

Acute symptoms

Appendicitis in men is a kind of disease with multiple symptoms. A description of the manifestations of surgical pathology was done by every self-respecting surgeon with a world reputation, who certainly studied the signs of appendicitis.

In men, the symptoms have been described many times, and if we add those characteristic of women, then over the past hundred years, about 120 of them have been described.

Moreover, no signs of appendicitis in men, symptoms that seem characteristic or maximally reliable, do not help to accurately establish a diagnosis without appropriate laboratory and hardware research.

Sometimes, even in the hospital, the dynamics of the development of appendicitis is so uncharacteristic that the patient left without surgery, under supervision, and operated on when more typical symptoms appear appendicitis.

It happens that only ultrasound diagnostics makes it possible to determine the need for an operation, because even laboratory tests show only that there is an inflammatory process in the abdomen.

The situation is somewhat facilitated by the fact that the acute form can extremely rarely occur in men of 40 years of age or more (they are characterized by forms of chronic appendicitis).

But the first signs of appendicitis in men under 33 are painful sensations that acquire an acute, cramping character, sensations take on both acute, moderate intensity, and aching and dull.

The present inflammation makes the signs of appendicitis in men, the symptoms of intestinal pathologies and poisoning very similar.

The same are present:

• fever, nausea and vomiting;
• coated tongue and obvious dry mouth;
• urge to have bowel movements and loose stools or (much less often) constipation;
• dizziness, headaches, and lack of appetite;
• mild fever, chills, or fever.

With such symptoms, treatment can be carried out for anything, from an exacerbation of gastritis to acute food poisoning.

And even pain on the right, which is considered a characteristic sign of acute appendicitis, can be localized in other places, if the appendix has an individual location of the appendix or atypical sizes.

Grounds for suspicion of acute appendicitis

Symptoms with eponymous names after their discoverers are available (Kocher, Shchetkin-Blumberg and Sitkovsky) are available only to a specialist doctor, so the patient himself can focus only on pain Feel.

Sometimes a distinctive feature of the condition becomes a spontaneous pulling up of the right testicle upon palpation of the disturbing area, but most often the doctor focuses on three main signs:

• pain is strongly manifested in the position on the left side and decreases on the right;
• it hurts very much if the doctor pressed on the appendix area and suddenly released his hand;
• the negative symptom is aggravated by coughing or jumping.

A person who is out of hospital conditions (where he will be immediately assisted) should in no case be put diagnoses such as an intestinal infection or to look in the medical literature for the possibility of other addresses (gastroenterology, proctology).

The first sign of appendicitis is acute abdominal pain, and it doesn't matter which side: acute appendicitis multifaceted, and in an untreated acute form of appendicitis, the end can be the most regrettable, even fatal outcome.

Therefore, you cannot take painkillers so that the clinical picture is not distorted, and you must immediately go to the hospital.

Chronic form of the disease

In adult men who have reached the age of 40, chronic appendicitis is more often manifested. Symptoms in men in this rather rare form (develops in 1% of cases), appear sluggish, and depend on the form in which it develops.

Therefore, when chronic appendicitis occurs, the symptoms in men give rise to suspicions of pathology. gastrointestinal tract inflammation or rupture of an artery in the abdomen, poisoning or disease kidneys.

Diagnosis of chronic appendicitis is often carried out only after excluding all possible options, and carrying out differential diagnostics in order to identify the presence of chronic appendicitis.

With a sluggish state of the disease, it is difficult to detect chronic appendicitis: symptoms in men appear smoothed and blurred.

The presence of a sluggish form of chronic appendicitis is characterized by:

• lack of temperature;
• normal health, without increased fatigue;
• painful sensations of an unexpressed nature are manifested in the umbilical or iliac region:
• moderate pain that manifests itself when coughing, sneezing or laughing violently - (this is the only sign chronic inflammatory process that is present in the body, but it does not specifically indicate this pathology).

Chronic appendicitis is a dangerous and deceptive disease that proceeds with symptoms similar to the manifestation of other intestinal pathologies.

By the place it occupies in terms of frequency of occurrence, appendicitis in a chronic form may well be present against the background of gastrointestinal diseases.

It is not detected, because its manifestations are also accompanied by bloating and flatulence, pain in the rectum and rectal symptoms, which are dealt with by a gastroenterologist or proctologist.

It can often be found in a certain form of development, but even then the symptomatology is not sufficiently pronounced, and the diagnosis is carried out by the method of exclusion.

Forms of chronic appendicitis

The manifestation of symptoms of chronic appendicitis is not very informative. Its course gives rise only to suspicion, but there are no special symptoms when it occurs.

In modern medicine, there are three forms of permanent inflammation in the appendix:

• recurrent, in which there are permanent bouts of inflammation and a state of exacerbation occurs;
• residual residual form of chronic appendicitis (often develops as a consequence of the acute stage, which was not operated on, and the final recovery did not come);
• primary chronic appendicitis initially occurs as a sluggish process with periodic exacerbations, against the background of a wide variety of provocateurs blocking the entrance to the appendix.

Basically, symptoms in men can only appear during the exacerbation stage.

Then alarming features such as high temperature, frequent alternation of diarrhea and constipation, raids on language of pain during urination, negative sensations during intercourse, sharp pain in the abdomen, nausea and the urge to vomiting.

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