Note: Beware of chronic appendicitis, right lower quadrant pain

Beware of chronic appendicitis, right lower quadrant pain

Chronic appendicitis is acute inflammation of the appendix appendix left after subsiding and chronic inflammatory diseases, such as the wall of fibrous connective tissue hyperplasia, stenosis or obstruction, appendix distortion, and other surrounding tissue adhesion.

Abdominal pain is a very common symptom, some minor dull pain, after a period of time may relieve itself, and patients will be easily ignored, but this state of affairs is a long-term recurring, then there may be chronic inflammation, such as the right low abdominal pain again to indicate the possibility of chronic appendicitis.

Right lower abdominal pain - may be hidden to the symptoms of chronic appendicitis

Clinically, chronic appendicitis, there are two different types, and right lower abdominal pain is a common characteristic of its performance.

Primary chronic appendicitis: the characteristics of the onset hidden, showing chronic right lower abdominal pain, mild pain, often dull pain, symptoms develop slowly, last for a long duration, months to years. No acute episode of early disease, course of disease nor repeated acute phenomenon.

Secondary chronic appendicitis: Acute appendicitis is characterized for the first time after onset, by the more conservative treatment or on its own mitigation, then left with clinical symptoms and permanently, course can be repeated again, or acute right lower abdominal pain was more severe .

Right lower quadrant pain, chronic appendicitis is not necessarily

Can cause right lower quadrant pain and tenderness of the cause of many, some patients based on their long history of right lower abdominal pain, the self-diagnosed as chronic appendicitis, which is unscientific, but also easy to miss the diagnosis of other diseases such as chronic colitis, colon cancer , appendicitis, cecal tuberculosis, cancer and so blind.

Obscure or irregular dull pain right lower quadrant is the main clinical manifestations of chronic appendicitis, occasionally other gastrointestinal symptoms such as frequent bowel movements or constipation, abdominal fullness feeling, nausea, vomiting, fever. Right lower quadrant tenderness is the main signs. History of typical acute appendicitis, there are recurrent right lower quadrant pain and tenderness, combined with barium enema examination may rule out other diseases, before a diagnosis.

Surgery patients who are not suspected of self-care

After diagnosis of chronic appendicitis, in principle, should be surgical treatment, removal of pathological appendix, especially patients with a history of acute onset, should prompt surgery. The diagnosis of suspected patients or patients with severe mixed elderly patient should be temporary non-surgical treatment, during follow up observation, elective surgery after the diagnosis.

Daily life should note the following:

First, to maintain smooth stool eating foods rich in fiber, so that the stool to keep them open, develop good bowel habits. Because constipation can lead to fecal impaction, appendicitis cavity obstruction induces appendicitis; or fecal stimulate the appendix mucosa, causing inflammation Ershi appendicitis.

Second, avoid greasy food light in patients with chronic appendicitis, normal diet should be light and less greasy. In general, the nature of the meat for hot food such as beef, mutton, dog should be restrained, and green onion, ginger, garlic, pepper, also should not eat; with heat, detoxification, dampness role of food, such as mung bean, bean sprouts, bitter melon can be eaten in moderation.

Third, after a meal should not "take a walk" take a walk after dinner is one of the traditional health methods, but patients with chronic appendicitis immediately after a meal should not exercise, usually not suitable for rapid movement, in order to avoid incarceration caused by fecal disease.

Fourth, pay attention to rest against fatigue usually pay attention to rest, work and rest to avoid fatigue. Because fatigue makes immunity, immunity declines are likely to cause appendicitis.

5, Chinese medicine treatment of Chinese medicine treatment can ease the sub-acute and chronic appendicitis symptoms, such as Kam-red film, Daihuangmudan soup preparation or decoction, can play a role in easing the symptoms of appendicitis.