Phlegmonous appendicitis is a pathology most often diagnosed when patients are admitted to a hospital with complaints of pain in the abdominal cavity. It is characterized by constant intense pain in the right side of the abdomen, which can take on a pulsating character and radiate to the back or chest. Appendicitis is an inflammation of the appendix (aka the appendix of the caecum), requiring immediate surgical intervention.
Diagnosis: phlegmonous appendicitis. Case history
When admitted to the hospital, they complain of constant or intermittent pain, the localization of which is the right iliac region. Severe nausea is observed, vomiting is a rare symptom, the tongue is lined. On palpation, there is a noticeable tension in the abdominal wall. The temperature may be elevated. Phlegmonous appendicitis is the next stage after purulent inflammation of the appendix, when its size increases, and it is all saturated with pus. A few hours after the onset of this stage, the appendix can rupture, which is fraught with a difficult rehabilitation period and even death.
Phlegmonous appendicitis: causes
Until now, medicine does not know the true cause of appendicitis. All that science can do is identify two factors necessary for the development of appendicitis: 1) the presence of an excess of bacteria in the intestine; 2) blockage of the appendix due to the penetration of a foreign body or due to spasm. Fecal masses, various bones, seeds, foreign bodies, such as small toys or parts, which often cause inflammation of the appendix in children, can clog the appendix.
First Aid
Phlegmonous appendicitis is a very serious disease that can lead to death in case of untimely assistance. For this reason, at the first symptoms, you should immediately call an ambulance. Remember that doctors will not be able to diagnose inflammation of the appendix outside the clinic, hospitalization is required if appendicitis is suspected. While the ambulance is on the way, you can ease the suffering of the patient. First, put him to bed and apply a cold compress to the sore spot: a bottle of water, an ice bag. No warm heating pads, this will hasten the rupture of the appendix.
The patient should avoid taking painkillers until the doctor arrives, and it is also better for him not to drink or eat. It happens that the pain can subside, and at the most inopportune moment when you will be examined by a doctor. Insist on hospitalization and a more thorough examination, since temporarily subsided pain only indicates that the inflammation occurs withcomplications. And no laxatives if you suspect phlegmonous appendicitis, because they will only provoke an early rupture and the development of peritonitis (inflammation of the abdominal cavity).
Treatment
Acute appendicitis is treated in only one way - removal. No other methods apply here. Today, this is a simple abdominal operation, after which, if there are no complications (for example, a rupture of the appendix in the process), a small thin scar remains in the right lower abdomen.
