Features of the course of chronic appendicitis

Chronic appendicitis is a consequence of an earlier acute appendicitis attack.

After the sharp pains subsided, the walls of the vermicular organ remain inflamed, and the pathology acquires a chronic form.

Some researchers also admit the possibility that chronic inflammation of the epididymis can develop immediately in a primary chronic form, without suffering acute attacks of the disease.

Symptoms of a chronic appendix in men

Symptoms of chronic appendicitis in men have slight differences from female symptoms, in which suspicion of inflammation of the appendix is ​​often confused with female diseases.

In men, the first symptom of an exacerbation of the inflammation of the appendix is ​​a feeling of dull, pressing pain in the side.

In this case, the place of localization of spasms can be different, which is explained by the peculiarities of the structure of the organism of adults. By the way, pain can occur during walking or exercise.

If the men have a classic arrangement of the appendage( lower right on the abdomen), a painful spasm affects the right iliac zone.

If the appendage of the caecum is slightly higher, then it will hurt on the right under the ribs.

In some cases, the process is located behind the caecum, and its inflammation can cause men a pain in the right side and lower back.

It happens that the appendix has a pelvic location, where it begins to hurt inside the suprapubic zone.

At the first symptoms of the disease, it is difficult for a person to determine in which part of the abdomen he definitely hurts.

Only after the expiration of seven hours after exacerbation of the inflammation of the chronic appendix, the patient will be able to understand where the discomfort is felt.

Usually with chronic inflammation of the appendage, the right iliac region is caught in the spasms in men.

As a rule, the painful sensations in men increase with hiccough and cough - this discomfort lasts until full recovery.

It happens that spasms make themselves felt at first under the spoon, after which they gradually fall down the abdomen, to the right. If a person in such a situation crouches on his right side, then the pain passes.

But this does not mean at all that the health has recovered. On the contrary, one should be alerted, because such symptoms can speak of perforating the walls of the appendage of the cecum.

Therefore, even with exacerbation of the chronic form of appendicitis, the subsiding pain becomes an occasion for a visit to the doctor.

Common symptoms accompanying chronic appendicitis are a violation of the digestive system, nausea and vomiting.

To determine the condition of the appendage and prescribe the treatment, the patient needs to take a blood test, undergo ultrasound examination and radiography.

If a person's exacerbation of the pathology is repeated very often, then her treatment is carried out at the hospital, since in practice such situations often required a surgical procedure.

Symptoms of Chronic Disease in Women

Chronic appendicitis is considered a rare disease, but according to medical statistics, it is more common in women than in adult men and children.

In women, the internal organs of the urinary system are located near the digestive organs, as a result of which, often with exacerbation of chronic appendicitis, suspicion falls on the inflammation of the bladder or other nearby organ.
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Chronic inflammation of the appendix in women shows up in a special way, which is due to the structure of their body:

• feeling of heaviness on the right side of the abdomen, aching pain in the iliac part of the body to the right. Unpleasant sensations in women increase after eating unhealthy foods, overeating and physical exertion;
• painful spasms in the area of ​​the urethra, lumbar and ureter. And if in men the chronic appendicitis displays its symptoms with discomfort in the rectum, then in women unpleasant pulling sensations appear in the ovaries and vagina;
• failure in the digestive organs - this is the reason why chronic appendicitis is accompanied by a lack of appetite, nausea and vomiting, as well as diarrhea and bloating;
• a constant urination desire, which is accompanied by pain.

Almost all women with chronic appendicitis have discomfort during sex, as well as during menstruation.

Doctors can diagnose chronic appendicitis in pregnant women - in this case, the daily increasing uterus presses on closely located organs, which leads to a disruption in the blood supply of the appendage of the cecum.

For this reason, a violation in the work of the kidneys, liver and bile ducts occurs in pregnant women.

Symptoms of chronic appendicitis in women are often confused with inflammation of the internal genital organs, for example, the appendages of the uterus and ovaries.

By all indications, the pathology under consideration is similar to an exacerbation of peptic ulcer, pancreatitis or cholecystitis.

Correct diagnosis of the disease allows a thorough medical examination, as well as the delivery of blood tests.

For example, in medical practice, there are often situations where a woman feels frequent pain on the right under the ribs.

External examination allows diagnosing inflammation of the appendix, but not acute form, or characteristic for these symptoms of ectopic pregnancy.

In this case, differential diagnostics will help to exclude guesswork.

If during the examination it turns out that the reproductive system of a woman is in order, then the cause of pain can become a chronic inflammation of the appendix.

What are the symptoms of illness in children?

When children have abdominal pain, adults instead of suspecting appendicitis inflammation begin to think that the baby has poisoning or diarrhea.

One should be careful with such conclusions, since it is more difficult to diagnose appendicitis in children than in adults.

In addition, this pathology develops much faster - if the treatment is not applied in a timely manner, the appendage of the caecum will fester and may burst if the doctors do not perform all the necessary operations.

Acute appendicitis in children is really similar to poisoning, even more often the pathology is disguised as flatulence and other intestinal diseases.

At this point the child can not explain how his stomach hurts and where the pain is localized. As a result, many parents write off his words for everyday illnesses.

The standard signs of appendicitis in children who are similar to those of adults are observed after the age of seven.

And yet the difference between appendicitis and other diseases of internal organs is. When the appendix is ​​inflamed, the stomach hurts in children even at night, when the body is relaxed.

Parents should pay attention to the state of the feces of the child, as a rule, they have mucus in the pathology of the appendage.

In addition, with exacerbation, the disease is almost always accompanied by nausea and vomiting, as well as high fever( up to 400C).

Symptoms of chronic appendicitis in children are characterized by moderate pain in the stomach. Some children periodically aches on the right side of the abdominal region, while the feeling of discomfort is worse when coughing or hiccoughing.

Also, a child with a chronic form of the disease, the appendage of the caecum can feel pain colic when moving.

These signs coincide with the symptoms of some intestinal diseases, they can be taken for ulcer disease or gallbladder disease.

In young children, chronic appendicitis is accompanied by a loose stool, in the elderly this condition is manifested by constipation.

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Onset of an exacerbation in children, nausea and vomiting are observed.

But the temperature above 38 degrees should not be raised, otherwise it will speak of a developing complication, which may require an immediate operation.

Classification of chronic appendicitis helps to timely assign the patient the right treatment, which is very important, because inflammation in the appendage of the caecum can proceed in different ways, have different intensity and scale.

Classification and treatment of

Classification of chronic appendicitis occurs depending on the nature of the course and complexity of the disease.

In modern medicine, this classification allows us to divide the chronic pathology into species, as a result, the patient can be diagnosed with:

1. residual chronic appendix - the residual form of the chronic appendix is ​​a consequence of exacerbation of the inflamed process;
2. relapsing - the course of the disease is reflected in its name, relapse - repeated attacks, but in less severe form;
3. primary-chronic - the disease begins with inflammation of the process, proceeds in a chronic form.

Classification of appendicitis is taking into account its location in the abdomen, which allows you to quickly calculate, using modern diagnostic methods, inflammatory process and carry out the necessary operations to remove it.

Operations to remove the inflamed chronic process are performed only with persistent long pains.

Treatment of chronic appendicitis begins with physical therapy procedures and medications( anti-inflammatory and immunocorrective agents, vitamins, antibiotics, pro- and prebiotics).

In addition, treatment of a disease that has taken a chronic form does not go without a diet, with which the patient will have to maintain the health of his body for the rest of his life.

As mentioned above, surgery to remove chronic appendicitis is performed with ineffective conservative treatment, as well as with persistent pain.

Depending on the patient's condition and the clinic's capabilities, laparoscopy or traditional open appendectomy may be used.

In the first case, the appendix is ​​removed using a modern technique, through a small hole( 0.5 to 1.5 cm), in the second - a large incision is made on the skin in the lower abdomen( after this operation a well-marked scar remains).

After removal of the appendix, the patient can return to normal life after two months.