Appendicitis is a condition that occurs when the appendix becomes inflamed. The appendix is a small, 3 1/2-inch, finger-shaped tube that is attached to the beginning of the colon, the cecum. A small amount of mucus is made in the lining of the colon that drains from the center core of the appendix into the cecum. The appendix also contains lymphatic tissue in the walls of the appendix. Appendicitis is a medical emergency that requires surgery in order to remove the appendix. If left untreated, the appendix may rupture and cause further problems.
CausesAppendicitis is caused by a blockage in the opening of the appendix, where it meets with the cecum. The blockage can occur because of thick mucus that builds up from the appendix, from stool,
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The body responds by attacking the bacteria, causing inflammation to occur.
SymptomsThe most prominent symptom of appendicitis is abdominal pain. The pain is typically more generalized in the abdominal area when inflammation first begins. The pain then shifts from the navel area to the lower right side of the abdomen. The pain may worsen when walking, coughing or making sudden movements. Loss of appetite, nausea and vomiting are other early symptoms of appendicitis that begin soon after inflammation occurs. Abdominal bloating, low-grade fever, inability to pass gas, painful urination, constipation or diarrhea also may occur.
TreatmentThe treatment for appendicitis is surgery to remove the appendix, called an appendectomy. Patients are given antibiotics prior to the appendectomy to fight any bacteria that may have spread in the abdomen. The surgery is done while the patient is under general anesthesia either through a four-inch incision in the abdomen or by laparoscopy. With laparoscopy, a thin laparoscope is inserted into the abdomen via a small incision in the abdomen. Healing time is faster with laparoscopy. Normal activity can resume within two to three weeks of having an
Appendectomy is the surgical removal of the appendix, which is a long narrow tube that attaches to the first part of the colon. It’s located in the lower right side of the abdomen. The appendix is a vestigial organ, and it has no known relevant function.
Abdomen: The lipases appeared unremarkable. The liver, spleen, gallbladder adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seemed consistent with acute appendicitis. All the structures of the abdomen appeared unremarkable. No free air was seen.
Diverticulitis is an aliment of the colon that affects the inner lining. Approximately 50% of all Americans will experience diverticulitis by the time they reach age 60. Pouches or bulging sacs in the lining become inflamed or infected. The most common site of diverticulitis is the large intestine. A low fiber diet is believed to be responsible for most cases of diverticulitis. Small pieces of feces can become trapped in the pouches and bulging sacs, which then cause the inflammation and/or infection.
The Disease have always been cured through the hospital system, medication, however, recently it has begun a movement stated we should depend less on our medication. Base on statics publish for the center for disease as of 2012, about half of all adults—117 million people—had one or more chronic health conditions. One of four adults had two or more chronic health conditions. Among those disease diversities is one the disease. Diverticulitis is a disease when pouches form in the wall of the colon. If these pouches get inflamed or infected, it is called diverticulitis. Therefore, diverticula have always been a serious disease in the United States; thus there has been several of a reason for causing the disease. Research has dictated
Patient might experience mild or sever pain, crampy, and aching that is similar to appendicitis. Passing of gas or stool elimination may reduce the adverse effect of pain. According to spivak & deSouza (2008), patient that are of high risk are those with the history of low-fiber diet, constipation, high intake of red meat, severe dehydration, and aging. The diagnostic tests are barium enema which determines number of diverticula, CBC indicates present of anemia, colonoscopy exposes present of diverticula, CT scan reveals changes in the colon wall, GI bleeding scan that identifies active bleeding, and CBC with differential reveals leukocytosis.
Children ages 10-19 years are most commonly diagnosed with appendicitis. Appendicitis is often more difficult to diagnose in children than adults, because of this about 10-20 percent of kids with appendicitis will suffer from a perforated appendix before being treated. When the appendix is blocked, it becomes inflamed and bacteria can overgrow in it. Blockage can be due to stool, inflammation of lymph nodes in the intestines, or infections like parasites. A perforated appendix is one of the complications of acute appendicitis. If appendicitis is left untreated, ischemic necrosis of a portion of appendixes wall may occur, leading to perforation. This then allows the contents in the appendix to leak out into the rest of the abdomen, potentially causing other infections, such as septicemia. This can be a life threatening
In this study, out of 112 patients operated for acute non perforated appendicitis, 72 patients were male and 40 patients were female, a ratio of 1.8:1. The patients' age ranged from 18 to 55 years with a mean age of 26 years, the majority of cases lie in a range between 20-32 years. As shown in Table 1, there is no significant difference regarding patients' age, sex, medical comorbidities (diabetes, liver disease, renal disease, hyperlipidemia, heart disease), fever, leukocytosis, radiologic findings (appendiceal diameter, presence of free fluid) or operative time between the two groups.
When you’re young, the most common injuries are: a broken arm, a sprained ankle, or a skinned knee and elbow. Not a ruptured appendix. In fact, the chance of developing appendicitis is about seven to fourteen percent. Although it is most prevalent in children and young adults, and one of the most common operations today, it was unfamiliar to my parents.
A 54-year-old man presents acutely with anterior NSTEMI and is treated with PCI (Drug eluting stent) to the LAD and placed on DAPT (aspirin 300mg and ticagrelor 75 mg bd). He subsequently develops abdominal pain, which is confirmed as acute appendicitis on CT scan and is referred by the surgical unit for laparoscopic appendicectomy.
When the surgeon came out to update my parents he said, “Well, in the doctor's world, we say, We hit the Jackpot with your daughter.” He went on to explain my appendix was healthy, but I had Meckel's Diverticulitis. My surgeon was thrilled with the diagnosis because according to him this is a condition he has always studied in a book, but never had the opportunity to treat a case for himself. Meckel’s Diverticulitis is an extra piece of tissue attached to the small intestine that once it becomes inflamed must be removed. Unfortunately for me, I was the guinea pig the surgeon’s had the opportunity to study a condition only 2 to 3% of people are born
Primary imaging of abdominal emergencies in childhood is a radiograph of the abdomen, followed by ultrasound. Further imaging depends on the results of these studies (17). The normal appendix may be visible with graded-compression sonography and needs to be distinguished from the pathologic appendix (21,23,24,25). Graded compression technique in ultrasound is commonly used to diagnosis appendicitis (Fig1), The patient should be placed in the supine position for the ultrasound examination, and a high-frequency linear array transducer should be applied to the anterior abdominal wall over the area of maximal tenderness. All studies should be performed in both the transverse and longitudinal planes with a technique referred to as "graded compression,"
The intestines consist of a long, flexible tube that is coiled around, so it appears to be smaller than it actually is. In a healthy person, it is smooth inside and out, so waste can move through it easily since the large intestines are the last stop before waste passes on its way out of the body. But as a person ages, there are pouches that begin to form in the large intestines. This condition is called diverticulosis. The bulges make passing waste more difficult, so sometimes, it gets caught in them or irritates them. When the pouches become inflamed and infected, it is referred to as diverticulitis. This condition can be very painful. It causes constipation, abdominal pain, a low grade fever, and nausea. The symptoms can last for just a few days or for several weeks. And once someone gets the condition, it is often something that they struggle with on and off for years if they don't treat it properly.
Any condition that puts pressure on the abdominal region, such as being overweight, straining to have a bowel movement, or a powerful or lifelong cough such as in smokers or individuals with asthma.
Ulcerative colitis affects the inner lining or mucosa of the colon and rectum. It is characterized by dispersed inflammation and much ulceration which results in bleeding and bloody bowel movements. The mucosa becomes swollen with an excessive buildup of fluid or edema and abscesses or swollen areas of pus filled tissue form. Ulcerative colitis usually begins in the rectum and spreads to involve the whole colon (Hinkle, J. L., Cheever, K. H., 2013) .
Acute diverticulitis is the third most common cause of gastrointestinal-related hospitalizations in the United States with an estimated annual healthcare cost that exceeds two billion dollar (Stollman et al., 2015). Acute diverticulitis is the inflammation or infection of diverticulosis, which is a condition wherein a sac-like pocket develops in the colonic wall. The probability of developing acute diverticulitis from diverticulosis is four percent and 15% to 30% of patients will experience recurrence (Strate, Peery, & Neurmann, 2015).