Appendicitis is an inflammation of the appendix, most frequently caused by some type of hard material getting lodged at its tip.
The appendix is a small pouch located at the juncture of the small and large intestines. Although it may have had a function at some point in evolutionary development, the appendix serves no purpose now.
Causes
Despite its uselessness, the appendix can cause problems when it becomes inflamed. Inflammation occurs when the hollow, tubular structure becomes clogged with masses of waste matter, intestinal worms, or other material that can prevent normal drainage. The blockage provides a fertile environment for bacteria to grow and multiply, causing infection and inflammation.
Symptoms
In the beginning, appendicitis may produce a dull or sharp pain in the navel area of the abdomen. Any movement, such as coughing or sneezing, can intensify the pain. In early stages, patients may also feel nauseated and may be unable to eat. Constipation can accompany appendicitis; however, about 10 percent of patients have diarrhea instead. Adults may run a mild fever (up to 101 degrees Fahrenheit), but children generally experience higher fevers. Occasionally, the pulse rate accelerates to about 100 beats per minute.
Within hours, the pain moves to the lower right side of the abdomen over the appendix and becomes continuous. Because the location of the appendix may vary from one individual to another, pain may emanate from the back, side, or pelvis -- or even from the opposite side of the abdomen. Soon the entire area around the appendix becomes extremely tender as the abdominal muscles begin to tighten.
As the fever rises and the pain grows more intense, chances of rupture also become greater. Rupture results when the appendix becomes so swollen and filled with pus that it bursts, spreading infection to surrounding organs. One serious complication that may result from rupture is peritonitis (inflammation of the lining of the abdominal cavity).
Any fever with nausea and abdominal pain should be reported to a physician. More severe pain is an immediate medical emergency that must be evaluated and treated to prevent potential complications. Appendicitis can affect anyone, but the disease is more prevalent among people between 10 and 30 years of age.
Diagnosis
When confirming appendicitis, the doctor checks for tenderness over the appendix. A blood test determines whether there is an elevated white blood cell count (in response to infection, the body produces extra white blood cells to help fight the disease). The doctor may perform additional tests to rule out disorders sometimes mistaken for appendicitis, such as inflammation of the gallbladder, kidney stones, or a kidney infection.
In women, a twisted ovarian cyst (the formation on an ovary of a sac filled with fluid or semisolid material) or a ruptured ectopic pregnancy (a pregnancy that develops outside the uterus) may produce symptoms that are similar in appearance to those of appendicitis.
Treatment
Although appendicitis cannot be prevented, prompt diagnosis can lead to effective treatment. Patients who suspect appendicitis should not eat, drink, or take drugs to relieve pain until a doctor has been consulted. Eating or drinking any substance, especially taking a laxative, will stimulate activity in the intestine, which may cause the appendix to rupture.
The most common treatment for acute appendicitis is surgery to remove the inflamed organ. To ensure against further infection, antibiotics may also be prescribed after surgery.
This information is solely for informational purposes. IT IS NOT INTENDED TO PROVIDE MEDICAL ADVICE. Neither the Editors of Consumer Guide (R), Publications International, Ltd., the author nor publisher take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading or following the information contained in this information. The publication of this information does not constitute the practice of medicine, and this information does not replace the advice of your physician or other health care provider. Before undertaking any course of treatment, the reader must seek the advice of their physician or other health care provider.