Right stomach pain Risk of appendicitis

Right stomach pain Risk of appendicitis

Right stomach pain Acute may be risky Appendicitis A disease that can occur at any age. Symptoms may be similar to those of a normal abdominal pain and in most cases the diagnosis takes a long time. Resulting in complications

The appendix is ​​a part of the digestive system that is separated from the large intestine. Lower abdominal area on the right side It is a tube approximately 3-4 inches long. Its function is to create immunity for the intestinal area.

What causes appendicitis?

For this symptom, doctors are still unable to find a clear cause of the disease. But it may be caused by a blockage in the appendix hole. This is because the appendix is ​​similar to the intestines and has a small hole when there is a lump of foreign material. Small pieces of stool that have hardened and become blocked. It causes a buildup of venous blood that cannot flow back and arterial blood cannot enter, causing ischemia and inflammation. If not treated, it can cause the appendix wall to rot and rupture. There is also a belief that if you eat fruit that has a lot of seeds, such as guava, The seeds can cause appendicitis.

Warning signs of appendicitis

– Abdominal pain around the navel and moving to the right side of the lower abdomen.

-Bloating

– Started to have more abdominal pain.

-Nausea, vomiting

-Press the area that hurts and it hurts.

– Constipation or diarrhea

– Fever associated with abdominal pain

Stages of appendicitis

Phase 1 When the appendix begins to become blocked It will result in the patient having acute abdominal pain around the navel, abdominal distension, and loss of appetite.

Phase 2 The appendix will begin to swell. This causes the patient to experience abdominal pain in the right ribcage. In some patients, diarrhea may also occur.

Phase 3 The period with the greatest risk of danger This is because there is a chance that the appendix will rupture causing bacteria to spread in the abdominal cavity. If surgery is not performed, germs can enter the bloodstream and cause the patient’s death.

Complications of appendicitis

When a patient has symptoms of appendicitis and does not receive timely treatment. May result in a ruptured appendix. This causes germs around the wound to spread and may cause complications as follows.

– Peritonitis When a patient’s appendix ruptures, germs may spread to the tissues, causing inflammation in the abdominal cavity. The patient will have a high fever. Increased shortness of breath Have severe abdominal pain

-Abscess in the abdomen In some patients with a ruptured appendix, an abscess forms in the abdominal cavity. Abscesses in the abdomen are caused by the body trying to fight off germs. When the doctor has treated with surgery The tube will proceed to drain the pus and abscess that is in the body.

How to treat

When a patient has appendicitis, doctors usually treat it with surgery. Although there is currently little research on the ability to treat inflammatory appendicitis by giving antibiotics alone. But only certain patients must be selected and there is a chance that the treatment will not be successful and there is a chance that the inflammation will recur. Appendix surgery can be divided into 2 types as follows:

Endoscopic surgery It is a treatment that is popular today. Because the wound is small Patients take little time to recuperate. Endoscopic treatment methods will allow the doctor to see abnormalities more clearly through the camera, making the surgery safer and reducing complications that may occur from surgery.

Open surgery It is treated by opening an incision in the lower abdomen on the right side at the location of the appendix.

Currently, there is research that it is possible to treat appendicitis with mild inflammation by giving antibiotics alone. But only certain patients must be selected and there is a chance that the treatment will not be successful and there is a chance that the inflammation will recur. Appendicitis is a symptom of pain in the right side of the abdomen. Acute disease that cannot be cured by itself If the patient knows the initial symptoms that indicate Appendicitis You should immediately see a doctor for diagnosis and prompt treatment to avoid life-threatening complications.

Asst.Prof.Dr.Phongsit Singhatat

Department of Accident Surgery and Surgical Critical Care Medicine Department of Surgery

Faculty of Medicine, Ramathibodi Hospital, Mahidol University