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Symptoms of disease - pain during appendicitis

Appendicitis is an inflammation of the appendix process. It accounts for up to 70 % of cases of acute abdomen. On average each year out of every 250 people one falls ill with acute appendicitis. Mortality from acute appendicitis is 0.1% if non-perforated twig and up to 3% with its perforation, and mortality among hospitalized in the 1-st day of 5 to 10 times lower than among patients admitted to the hospital at a later time. These data emphasize the need for early diagnosis of the disease: in the majority of cases of death of patients could have been prevented under condition of timely diagnostics and immediately undertaken by the operation.

Which diseases there is pain during appendicitis

Pain when appendicitis:

The main symptom of appendicitis is the pain in the abdomen. At first the pain is celebrated all over my stomach, especially in its upper part, the patient may not clearly specify the finger where it hurts. In medical language such pain is called fuzzy localized, it is not concentrated in one point. (Clearly localized pain is a usual thing every time, when the problem is in thin or colon, including, and in vermiform flank.)

The main reason, motivating the patient acute appendicitis seek medical help, is the sudden lasting pain in the abdomen, continuing 4-6 hours. She has spilled character. Specify the exact location of the pain is so hard, that when the patient is asked to point the finger at the place where it hurts, most people show localization of pain circular motion of his hand around the middle of the abdomen. But in the first hours of the patients especially often place it in epigastralna area (the stomach) (the so-called epigastric phase). In the following hours, independent of pain begin to localize in the right iliac region (a symptom of movement of pain Kocher-Volkovych). Usually they are of a permanent nature and, as a rule, are moderately expressed. Pain when appendicitis may be the stronger, the weak, sometimes the patient sick call it insignificant, but it doesn't stop even for a minute. A sudden and dramatic increase of pain, as a rule, is an extremely alarming sign, and testifies to the perforation appendix process. Sharp pain, accompanied by anxiety patients are found in the forms of acute appendicitis, characterized by the formation of the appenix offshoot of a closed purulent cavities (the so-called empyema appendix). As with any, even the local, peritonitis, pain in acute appendicitis are enhanced by walking, movements, and also in the position on the left side. Patients tread carefully, usually holding the hands of the right iliac region. The characteristic spare stomach immediately attracts attention. Subsided pain in acute appendicitis is not always testifies about the well-being. The silence may be due to the progressive gangrene of the process and numbness of sensitive nerve endings serous cover shoot and his mesenteric. Pain syndrome in acute appendicitis has its own peculiarities in the second half of pregnancy: it is less pronounced and is localized higher than usual (due to the appendix up and posteriorly by the enlarged uterus).

Is characterized by loss of appetite, approximately in half of cases it is nausea and single vomiting in the first hours of the disease. Repeated vomiting stomach contents or bile in acute appendicitis testifies to the progressing of peritonitis. It is often said the delay of the chair. Constipation is the result of paresis of the intestines, is typical for all of peritonitis. The delay of the chair, tuned sometimes the cause of the disease, misleading patient, his relatives, and often health care workers, which entails the use of unnecessary and harmful measures aimed at removing the contents of the bowel (enemas and laxatives).

In the study of the abdomen revealed a picture of the local peritonitis in the right iliac region. It consists of muscle resistance and the local tenderness on palpation in the right iliac region (these symptoms are not available only when the location of an appendix behind the intestines or in the small pelvis). Expressed and symptoms of local irritation of the peritoneum (the symptom of Schetkina-Bloomberg and percussion tenderness area of the abdominal wall in the iliac region on the right). Effleurage, even cautious, patients report pain in the right iliac region due to a shock inflammation of the peritoneum (the symptom of Razdolskyi). Any pathognomonic, i.e., characteristic only for acute appendicitis, the objective of symptoms does not exist. In most cases, symptoms of local express peritonitis in the right iliac region are the manifestation of acute appendicitis.

Degree of muscle resistance of the front abdominal wall with acute appendicitis may vary considerably. dosug-tomsk.ru It can be very weakly expressed in the elderly with flabby muscles, as well as in women who have recently given birth, but a careful examination is almost always possible to identify one or the other, the degree of local muscle protection.

Additional signs of acute appendicitis:

- Rozving’s symptom- tenderness in the right iliac region in jerky victims of fingers in the left iliac region (due to movement of gas in the large intestine);
- Sitcovskyi’s symptom - strengthening of pain in the position on the left side (due to the displacement of the intestines and wales and tension inflammation of peritoneum);
- a symptom of Bartomie-Michelson - increase of morbidity at a palpation in the position on the left side;
- a symptom of Voskresensk - tenderness in the right iliac region when moving a hand from the epigastric region to the right iliac region through the stretched shirt;
- a symptom of the Obraztsov - strengthening of pain when lifting straightened right foot in a position lying on a back.

Which doctor should I contact if there is a pain during appendicitis

• Surgeon

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Do you feel appendicitis hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.