Colitis appendicitis what to do. Methods for self-determination of appendicitis

Women are more likely to experience appendicitis than men. signs gynecological diseases similar to the symptoms of appendicitis in women, it is important for everyone to know how to determine the source of pain at home. Diagnosis can be difficult due to the proximity of the reproductive organs to the appendix.

The incidence of appendicitis in women

Appendicitis is an inflammation of the appendix. The appendix is a small, worm-shaped appendix of the caecum. The disease is cured by surgical intervention.

In women, appendicitis often develops between the ages of 20 and 40. One of the triggers is pregnancy. As a result of the growth of the fetus, the organs are displaced. It causes inflammation appendix.

Causes of the disease

Appendicitis can occur at absolutely any age. But more often it is faced by young women. The causes of the disease are as follows:

violation of the blood flow of the process or its displacement;
inflammatory process in adjacent organs;
intestinal infection;
an excess of serotonin;
blockage of an organ small items(seeds, seeds, etc.);
clogging of the lumen with feces.

In women, appendicitis often occurs with gynecological diseases. One of the most common causes of the disease is the inflammatory process in the pelvic organs. No less influence on the condition of the appendix has a diet, lifestyle and the presence of stress. The development of the disease occurs in stages:

The initial stage of inflammation is called catarrhal.
The next stage is characterized by the formation of purulent ulcers.
The phlegmonous stage is characterized by an increase in the appendix and its filling with pus.
On last stage rupture of the appendix.

How to identify signs

The main symptom of appendicitis is abdominal pain. It intensifies during laughter or movement. In some cases, discomfort is given to the right leg. At the initial stages, it is difficult to understand the symptoms of appendicitis in women, how to determine their manifestation at home, you need to learn in advance. Inflammation develops rapidly, so it is important to consult a doctor in time. Exist individual features to which you should pay attention. On initial stage the pain is aching. It is able to radiate to any area of the peritoneum. It can easily be mistaken for signs of cholecystitis, gastritis or gynecological diseases. A little bit later clinical picture becomes more pronounced.

External

TO outward signs appendicitis include subfebrile temperature. It is characterized by fluctuations in body temperature in the range from 37.1 to 38 degrees. Deterioration of well-being is accompanied by vomiting, which does not bring significant relief. In pregnant women, there is a petrification of the abdomen and shortness of breath. Skin become pale, the tongue is covered with a yellowish coating.

Internal

With the inflammatory process of the appendix, appetite may disappear. Difficulties with urination and stool disturbance are possible. The most common is diarrhea. Clinical symptoms depend on the location of the branch. When he is behind the caecum, the pain is muffled. Localization of the appendix in the pelvis leads to atypical pain.

Internal signs of appendicitis are determined by palpation. Examine the right iliac region and umbilical ring. At light palpation the tone of the anterior wall of the peritoneum increases. At deep breath there is an increase in pain.

Pain localization

When alarms it is necessary to pay attention to the local location of painful sensations. The appendix is located on the right side, so the greatest concentration of sensations is noted there. Pain is noted in the area from the navel to the lower abdomen, where the ovaries are located in women.

A few hours after the onset of the first symptoms, unpleasant sensations capture other organs. There is discomfort in epigastric region, develops It's a dull pain in the lower back, increased discomfort when walking.

Features of the flow

The danger of appendicitis lies in the possibility fatality. With absence timely assistance peritonitis develops. The inflammatory process can be sluggish. In this case, the pain is not very pronounced, but the following symptoms periodically appear:

vomit;
pain during bowel movements;
discomfort during sexual intercourse;
decrease in working capacity;
discomfort in the abdomen after eating, during laughter or hiccups.

Diagnosis at home

The final diagnosis is made by specialists. You don't need to take any action on your own. If appendicitis is suspected, do not drink water and exercise active movements. This will prevent premature rupture of the appendix. wait ambulance preferably by taking horizontal position. At temperatures below 38 degrees, the use of antipyretic drugs is not required.

You can distinguish appendicitis from other diseases at home. The main thing is to do all the manipulations carefully. Initially, the symptoms of appendicitis in women are evaluated, how to determine the focus of pain at home is no less important. You need to press your fingers into a place on two fingers to the right of the navel and sharply release them. The pain at this point will be more intense.

In the hospital

After admission to the hospital, a diagnostic study is carried out. It includes the following steps:

examination by a surgeon;
visit to the gynecologist;
blood donation;
Ultrasound monitoring.

The gynecologist conducts an examination for the presence of gynecological diseases. If they are not there, the woman is referred to a surgeon. He will palpate the abdomen and ask questions about the stool and the last meal. Donating blood helps to determine the level of leukocytes and ESR. An increase in indicators indicates an inflammatory process. An ultrasound examination is prescribed if doctors have doubts about the diagnosis.

Who prescribes the operation?

Decision to conduct surgical operation to eliminate appendicitis is taken by the surgeon. He analyzes the condition of the woman, studies the tests and the conclusion of the gynecologist. Based on these data, the type of surgical intervention is selected.

Appendectomy

The operation to remove appendicitis is performed by classical appendectomy or by laparoscopy. Appendectomy is a classic abdominal operation. Laparoscopy is an operation that does not require abdominal incisions on the skin. It is less traumatic, but has a number of significant contraindications. Classical appendectomy is performed much more frequently.

Before the operation is general anesthesia. Then access to the affected organ is provided. In the case of laparoscopy, small punctures are made on the skin. The process is completely removed, after which drainage is performed abdominal cavity. The final step involves suturing the puncture or incision sites.

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Postoperative period

After the operation, the doctor prescribes antibiotic therapy. Medicines and the scheme of their reception are selected individually. If there is a predisposition to thromboembolism, anticoagulants are prescribed.

Acute inflammation of the appendix, or appendicitis, is dangerous disease requiring surgical intervention. But before that, a diagnosis is required. Let's figure out how appendicitis is determined in the hospital, what tests are given, methods of palpation of the abdomen, and which ones are used precise methods instrumental diagnosis.

Standard history taking

Proper history taking important role in the diagnosis of appendicitis. Characteristic complaints, symptoms and individual characteristics help a lot in making the correct diagnosis.

A standard history is collected in several stages, during which certain features, characteristic symptoms or diseases that provoke inflammation of the appendix are identified.

Stage 1. Complaints of the patient. The doctor listens to the patient, is interested in his feelings. He asks when the pains in the abdomen came on, their movement and intensity. Clarifies concomitant manifestations of deterioration in well-being (nausea, vomiting or weakness).
Stage 2. Symptoms. Identification of symptoms, especially pathognomonic (characteristic of the disease), plays an important role in the diagnosis. Characteristic symptoms at appendicitis it is checked by a set of signs. To make a diagnosis, it is enough to check 3-4 symptoms.
Stage 3. Anamnesis of the patient's life. The doctor is interested in the patient's lifestyle (is there any bad habits whether a healthy lifestyle) comorbidities, which could provoke inflammation ( helminthic infestations, frequent constipation, blood clotting disorders, prolonged dysbacteriosis, noncommunicable diseases urinary system).

Patient's complaints

With appendicitis, the patient complains of pain in the abdomen. characteristic symptom is moving the pain out umbilical region to the right iliac region. Such migration of pain sensations is associated with the peculiarity of intestinal innervation.

The patient complains of nausea, weakness, diarrhea or constipation. Some note increased pain when walking, sneezing, or coughing (Cheremsky-Kushnirenko symptom, or cough symptom). As a rule, in adult patients, complaints are intelligible and allow one to come to a logical conclusion. But in patients with special needs (infants and children younger age, old people with dementia, people with an atypical location of the appendix, pregnant women) complaints do not reflect the whole picture or do not display it to the full extent. Doctors treat such patients with special vigilance and attentiveness so as not to miss the development of complications.

Palpation and percussion

Palpation (palpation) and percussion (tapping) examination can reveal the full picture of the disease. With the help of palpation and percussion, the doctor detects symptoms that allow you to determine appendicitis:

Symptom of Obraztsov. When lifting right foot in a straightened form, the pain intensifies.
Symptom of Sitkovsky. The patient is asked to lie on the left side. In this case, the pain in the right side increases.
Rovsing's sign. Jerky probing lower divisions bowel causes pain.
Symptom Razdolsky. When tapping the edge of the palm on the wall of the abdomen, the pain intensifies.
Resurrection symptom, or "shirt symptom". When pulling the outer clothing of the patient from top to bottom, fingers are carried out towards the right iliac region. If appendicitis is suspected, the pain intensifies.

There is also a symptom of Shchetkin-Blumberg. With pressure on the right iliac region, the pain subsides, and with a sharp withdrawal of the hand after a few seconds, it increases significantly. This symptom occurs when the peritoneal walls are involved in the inflammatory process. The Shchetkin-Blumberg symptom indicates the onset of peritonitis (inflammation of the peritoneum).

Blood tests for appendicitis

Blood tests can reveal various pathologies. Therefore, with inflammation of the appendix, a general blood test is performed. The definition of inflammation occurs according to the following indicators:

The level of leukocytes. An increase in the level of leukocytes in the blood indicates the presence of inflammation.
ESR. An increase in the erythrocyte sedimentation rate indicates inflammation.

The general blood test is helper method diagnostics. It is carried out in any clinic and allows you to identify the inflammatory process in the body.

How to determine appendicitis with a urine test?

Urine analysis for appendicitis reveals inflammation in the body. With the pelvic location of the appendix, the nature of urination and the composition of urine may change. In this case, there is an increase in the level of leukocytes, erythrocytes, protein and bacteria in the urine.

Determination of urine parameters helps with differential diagnostic tests. With its help, experts exclude urolithiasis and other pathologies of the genitourinary system.

Instrumental diagnostic methods

Diagnosis of acute appendicitis is impossible without instrumental methods. Appendicitis is detected using the following studies:

ultrasound ( ultrasonography);
CT (computed tomography);
MRI ( magnetic resonance imaging);
laparoscopy.

The most common and simple method for diagnosing appendicitis

Ultrasound is the simplest and accessible method diagnostics. With it, you can determine the disease in most cases. Disadvantage: the definition of appendicitis on initial stage impossible. The process is visible only when it occurs severe inflammation and increase in size.

CT allows you to make layered images of all organs of the abdominal cavity and identify the inflammatory process on early stage. Sometimes for more exact definition processes the test can be carried out with contrast agent. Cons: not available in all public clinics, and private diagnostics is worth big money. But for vital important indications diagnostics are carried out within the framework of the OMS. It is worth noting that during CT, the patient is exposed to more radiation than during x-rays. chest. Doing a CT scan is often not recommended.

Laparoscopy is performed only in a hospital setting. With its help, the disease is diagnosed most accurately. Using a special trocar tool, 2 or 3 punctures are made in the abdominal cavity. With a special device (video laparoscope) through the umbilical puncture, the surgeon examines the process, determines the likelihood of its rupture and the chance of damage to neighboring organs. After laparoscopy, an appendectomy (removal of the appendix) may be performed. Disadvantage: it is a surgical intervention (anesthesia is required), not everyone can do it.

MRI (Magnetic Resonance Imaging) is the most safe method among the most accurate. magnetic waves allow you to get a layered image of the affected tissues. Tomography is indicated for patients with health problems and pregnant women in the case when it is not possible to conduct another study. Disadvantage: takes longer (sometimes several hours).

Appendicitis is the most difficult common surgical disease. Initial signs appendicitis are similar to many other ailments, it is difficult to recognize it at the very beginning. Therefore, it is important to know exactly how and what hurts. The appendix is a process of the caecum, one side of which is open for internal contents to enter. Its average length is about 10 cm. The appendix can be located at the entrance to the small pelvis, among the intestinal loops, at the anterior abdominal wall, Near gallbladder or in the retroperitoneum. Inflammation of the appendix often mimics various diseases neighboring organs, hence the difficulty of diagnosis. The signs of appendicitis are so varied that a definitive diagnosis sometimes requires constant surveillance in a surgical setting.

by the most common sign inflammation of the appendix are considered discomfort in the right side. This is true if all the internal organs of a person are located in the usual way. In the case of a mirror arrangement, the pain will be in the left side.

It must be remembered that discomfort in the right side of the abdomen can be a sign of such diseases:

Acute pancreatitis.
Acute cholecystitis.
Diverticulitis.
Ectopic pregnancy.
Urolithiasis disease.
Thrombosis of intestinal vessels and other acute conditions.

Signs of inflammation

Symptoms are somewhat different from the manifestations of other ailments. The pains are characterized by the fact that they begin near the navel and gradually - usually during the day - concentrate in the right iliac region. At the very beginning, the sensations are diffuse, that is, it is not clear what hurts. Then the zone narrows and the side begins to hurt constantly at the bottom right.

But all the deceit acute appendix that the clinical picture is very rarely classical. Sometimes the pain doesn't bother you at all. It is especially difficult to recognize appendicitis in a child or woman who is in the 3rd trimester of pregnancy. They may not have any pain, but others concomitant symptoms also be smeared.

1. Classic signs of acute appendicitis.

Gastrointestinal discomfort in the form of nausea, sometimes vomiting, constipation or diarrhea, decreased or lack of appetite.
Bloating.
Positive symptoms of peritoneal irritation.
Pain in the right iliac region.
Increase in body temperature.
General weakness.
Changes in the blood picture - an increase in ESR and lymphocytosis.

The presence of such a “classic” is often found in textbooks; in practice, only an experienced surgeon can recognize appendicitis.

2. Acute false appendicitis.

More correct name- appendicular colic. The appendix has the same structure as the entire intestine. It has a dense muscle layer, which involuntarily contracts - like any other muscle. At the same time, a person feels pain, spasm, nausea - almost all the symptoms of appendicitis. This condition often occurs after physical activity on full stomach when muscle efforts are in the midst of the digestion process.

Pain in acute appendicitis gradually increases, and with colic, it subsides. It is difficult to recognize appendicular colic, usually such a diagnosis is made after several days of stay and examination in a hospital.

3. Chronic appendicitis.

It occurs quite rarely, occurs in cases where the disease from the very beginning has a primary chronic course. The prevalence of this condition is affected by prolonged and uncontrolled use of antibiotics, which contributes to the formation of a focus of chronic inflammation in the body. In this case, the symptoms are blurred, and final diagnosis is established after an in-depth examination - MRI, for example.

The chronic type is manifested by pains in the right side or throughout the abdomen, which constantly subside, then resume. Sometimes there are long vague weak sensations. To recognize it, you have to exclude all other diseases of the abdominal cavity and small pelvis.

4. How does the appendix hurt in women?

Women are more patient, so it is much more difficult to recognize their appendicitis. In pregnant women, vague sensations in the lower back from stretching the pubic joint also join. Women may have chronic inflammation ovaries or uterine mucosa, which also gives an unclear picture.

In pregnant women, diagnosis is aided by symptoms such as increased pain when lying on the right side. In this case, the enlarged uterus presses on the appendix. Discomfort also increases with pressure on the XII rib, if the patient lies on her back.

Any pain in a pregnant woman cannot be ignored, an additional examination is required.

5. Inflammation of the ovaries and appendicitis.

It is quite difficult even for a doctor to separate these diseases from each other, and at home it is generally impossible. Both conditions are manifested by abdominal pain, vomiting, signs of general intoxication, and fever. Helps in the diagnosis of examination by a gynecologist, the presence of pathological discharge from the genital tract, violation menstrual cycle. Find out the truth only by localization discomfort will not work, instrumental methods of examination are required. It may help that appendicitis pains are always on one side of the abdomen, and with inflammation of the ovaries - sometimes on both. Although it is difficult to distinguish pain with damage to the right ovary.

6. Appendix in children.

In children infancy This ailment is almost non-existent because digestive system they are immature. After 2 years, the likelihood increases significantly. A sick child is naughty, refuses to eat, takes a forced position of the body - draws right leg and does not allow touching the stomach. It hurts for children to squat down, while crying. They almost always refuse to eat, but they want to drink.

In a child, you can try to feel the tummy. In the right side there is a seal, painful when pressed. In children, all diseases develop very quickly, and the appendix will be found within a few hours from the onset of inflammation of the appendix.

7. Pelvic pain.

Sometimes there are cases when the left side of the lower abdomen constantly hurts. These are the so-called pelvic pain, symptoms of many ailments. The cause may be urological, gynecological or intestinal disorders. Sometimes pelvic pain is a sign of damage hip joints. It is important to pay attention to which side the stomach hurts. With all the discomfort at the bottom right, you should first think about the appendix.

When to sound the alarm?

The belly is a container internal organs, and any pain here requires the intervention of a specialist. The exception is chronic pain when a person is fully examined and knows exactly the cause. A long-term patient "knows" his pain, understands its origin, most often it is caused by errors in the diet. To improve the condition, it is enough to follow a diet for several days at home and take the usual medications.

Diagnosing appendicitis in chronic patients is more difficult, but medical supervision puts everything in its place.

What to do at home if your stomach hurts?

Absolutely nothing: no heating pads, compresses and painkillers. All drugs blur the picture of the disease, and it is almost impossible to establish the truth after that. Eating is undesirable, but you can drink water or unsweetened tea. You need to listen to yourself. If the pain and weakness increases, then it does not make sense to delay contacting a doctor.

The pain will not go away by itself, it will not work to sit at home, and the lost time will aggravate the person’s condition. Only a doctor or paramedic can recognize the disease. Self-activity in this case is harmful. You also don't need to use any folk methods. The main thing is to get to the surgeon in time so that the inflamed appendix does not burst and does not lead to complications.

Appendix, lat. appendix vermiformis - appendix, 5-7 cm long (sometimes 20 cm), 1 cm in diameter, blindly ending, tubular shape.

Exacerbation of appendicitis can occur at any age. Risk groups are children over 5 years old, adults 20-30 years old, pregnant women. Pathology is equally characteristic of the female and male. Very rarely, appendicitis occurs in young children, due to age. anatomical feature appendix, which has the shape of a funnel and is easily emptied, and a weak development of the lymphoid apparatus of the process.

Among all diseases of the abdominal organs that require urgent surgical intervention, appendicitis is the most common. If there is an attack of acute appendicitis, you need to as soon as possible call an ambulance. If appendicitis is left untreated, peritonitis can develop, a complication that is fatal.

How Appendicitis Manifests, Symptoms and Signs of It emergency every person should know. Main symptom appendicitis in adults and children - pain. It occurs in the upper abdomen or near the navel, sometimes it is not possible to pinpoint the exact location of the pain (“the whole stomach hurts”). Then the pain moves to right side belly. This migration of pain is considered a very specific sign of the disease.

Causes of appendicitis

Allocate the following reasons inflammation of the appendix:

The appendix is a small outgrowth of the caecum. In most people, it is located on the right side of the abdomen, below the navel. On which side of a person's appendicitis, the condition of the intestine can affect. If developed appendicular peritonitis then the symptoms are pronounced brightly and sharply, the localization of appendicitis pains is usually on the right side, this is typical for the development of an acute inflammatory process in the patient's body, which requires urgent medical care and surgery to remove the appendix.

Appendicitis can be located differently in the peritoneal region, which gives an ambiguous picture in the localization of symptoms, pain can be given as in right side and in the lumbar region, or in the pelvic region, the patient's genitals. The nature of pain has a different intensity, intensifying or subsiding, cramping, can last for a long time or for a short time.

Signs of appendicitis

There are many various signs manifestations of appendicitis in adults and children. The signal for the onset of the disease is strong pain. At the very beginning, it does not have a relatively clear location. It may seem to a person that he just has a stomach ache. However, after 4-5 hours, the pain is concentrated closer to the right iliac region.

It should be noted that the appendix different people can be located in different ways, it all depends on the structure of the body. If the process has a normal position, then pain will be observed in the right iliac region. If the process is located slightly higher, then the pain will be on the right under the ribs. Well, if the process is lowered down, it will hurt in the pelvic area. Among other things, the patient may be disturbed by vomiting, and in some cases diarrhea.

Among other popular signs of appendicitis, the following can be noted: dry tongue, dark urine, fever, which can reach 40 degrees, pregnant women may experience increased pain while turning from left to right.

Symptoms of appendicitis

In the case of acute appendicitis, the symptoms are pronounced. There is an attack of pain in the right iliac region, expressed locally and general reaction organism. As a rule, pain in acute appendicitis begins suddenly.

At the beginning of an attack, they are often localized in the epigastric region, in the navel or throughout the abdomen, and after a few hours (sometimes after 1-2 days) - in the right iliac region. More often, the pains are permanent, do not radiate anywhere, but are aggravated by coughing. does not allow the patient to fall asleep, but its intensity is usually small; characterized by a decrease in pain in the position on the right side.

In the first hours of the disease, nausea and vomiting may occur. The chair and gases are often late. Liquid stools are much less common (mainly with severe intoxication). Body temperature rises to 37.5-38 °, less often remains normal. The pulse on the first day from the onset of the disease increases to 90-100 beats per minute, blood pressure does not change, and only with severe intoxication decreases slightly. The tongue is at first slightly coated and moist, but soon becomes dry.

There are other symptoms of appendicitis as well. For example, when examining the abdomen, the lag in breathing of the lower sections of the abdominal wall is often determined. Palpation of the abdomen should be carried out carefully, starting from its left half. In this case, in the right iliac region, as a rule, there is a sharp pain, combined with a protective tension of the muscles of the abdominal wall in a limited area. Most sick lung tapping fingers in different areas the abdominal wall helps to quickly establish the place of greatest pain.

However, the symptoms and course of acute appendicitis are not always so characteristic. The clinical picture of the disease in children, the elderly and old age, as well as with an atypical location of the appendix. In any case, if you experience symptoms similar to appendicitis, you need to call an ambulance.

Leaks with aching dull pains in the right iliac region, which can periodically increase, especially with physical exertion.

Signs of appendicitis in women

Slopes to inflammation of appendicitis more woman than men, whose symptoms appear more often at the age of twenty, forty years. It is due to physiological structure female body, pelvis, so it can flow differently. They are especially different during pregnancy. In view of the fact that the appendix is located close to the right uterine appendages, signs of inflammation are twice as common as in the male population.

On palpation, women experience pain which indicates inflammation of the abdominal cavity.
If you press a point below the navel in a woman, then pain may occur, which intensifies when standing up, which indicates the involvement of the reproductive organs in the inflammatory process.
When examining the vagina in a woman, pain is found, especially when examining the cervix, with appendicitis it indicates inflammation of the appendages.

When diagnosing and making a diagnosis, a woman checks not only the condition of the appendix, but the condition of the genital organs as a whole.

Diagnostics

The diagnosis is based on the characteristic symptoms of appendicitis. Confirm the diagnosis of "inflammatory signals" general analysis blood. The most reliable method is laparoscopy.

Clarification morphological form appendicitis (catarrhal, gangrenous, phlegmonous) is possible during surgery: histological examination remote appendix. Of the instrumental methods, ultrasound, abdominal radiography, irrigoscopy, and computed tomography are used.

Treatment

The generally accepted strategy for acute appendicitis is to surgical removal inflamed appendix. After 36 hours from the onset of the first symptoms, the probability of perforation (rupture) of the appendix is 16-36% and increases by 5% every subsequent 12 hours. Therefore, after confirming the diagnosis, the operation should be performed without undue delay.

At the stage prehospital care on suspicion of acute appendicitis shown bed rest, exclusion of liquid and food intake, application of cold to the right iliac region. It is strictly forbidden to take laxatives, use a heating pad, and administer analgesics until the final diagnosis is made.

Currently, with a simple form of appendicitis, laparoscopic operations are preferred that do not require an incision in the abdominal wall. In this case, an endoscopic instrument is inserted into the abdominal cavity through a small puncture in the tissues. Removal of appendicitis in this way avoids surgical trauma, and reduces recovery period factor of. Development risk postoperative complications when removing appendicitis laparoscopic method minimal.

When chronic appendicitis appendectomy is indicated if persistent pain syndrome depriving the patient of normal activity. With relatively mild symptoms conservative tactics can be applied, including the elimination of constipation, taking antispasmodic drugs, physiotherapy.

Modern medicine allows you to recognize appendicitis in time and start treatment. In adults, it is easier to identify inflammation of the appendix than in children, since the child cannot always objectively tell about his feelings. In order to independently determine the pathology, developed whole complex diagnostic methods.

The main symptoms of the disease

Inflammation of the appendix is already on early stage development is accompanied by a number of symptoms:

Pain syndrome - with appendicitis at an early stage, pain is felt in the navel. Then pain extend into the right iliac region Bottom part abdomen). As a rule, an attack of pain appears suddenly, the patient cannot always clearly indicate the localization of unpleasant sensations. The pain is aching, dull, aggravated by deep breath. In addition, it becomes stronger at the moment of coughing or laughing - it is often this symptom that helps to understand the origin of unpleasant sensations.
forced posture - with inflammation of the appendix, the patient experiences pain in the abdomen when changing the position of the body. Often a person takes a forced position in which discomfort is minimal - usually this is a side position with legs pulled up to the stomach.
Seizures nausea and vomiting Appendicitis is almost always accompanied by severe nausea and exhausting vomiting, which does not bring relief to the patient. In some cases, the attack of vomiting is single, but most often it is repeated many times.
Increased body temperature - as a rule, at the time of an attack of pain, the body temperature rises to 38 ºС in adults, in children the figures may be higher. An increase in body temperature indicates that inflammation is progressing.
Dry mouth .
stool disorder - with an abnormal location of the appendix, diarrhea may occur.

Step-by-step instructions for determining at home

Diagnosis of appendicitis at home is possible with the help of several diagnostic techniques:

The patient is asked to stand up and take a few steps so that the legs bent at the knees rise high enough. If the appendix becomes inflamed, such movements bring pain.
The patient lies on his back, on a flat surface. The muscles are as relaxed as possible - this is necessary in order to provide the opportunity to freely palpate the abdomen. You can check appendicitis with a simple click - in favor of the disease indicates strong tension muscles.
Symptom of Shchetkin-Blumberg - in the supine position, pressing the palm below the navel, followed by a sharp release, provokes a sharp pain.

In young children, in addition to general symptoms bloating, refusal to eat and vomiting joins. A characteristic symptom is the lethargy of the child. Older children may be restless and point to the abdomen; when palpation is attempted, the child usually resists examination and cries. Attacks of pain can be sudden, causing the baby to wake up in the middle of the night with loud crying.

How to distinguish appendicitis from other diseases with similar symptoms?

It is difficult to distinguish appendicitis from other pathologies of the abdominal organs on your own at home. Nausea, vomiting and abdominal pain accompany many diseases, so several additional studies are necessary to make a diagnosis:

General analysis of blood and urine - a study of urine is carried out in order to exclude kidney disease (in case of appendicitis, the indicators are normal). The blood test shows sharp rise the level of leukocytes, which indicates the presence of inflammation in the body.
Ultrasound examination of the abdominal organs is a quick and reliable way to diagnose appendicitis.
Computed tomography - if appendicitis is suspected, it is rarely performed. It is prescribed when there is doubt about the correctness of the diagnosis.

Modern research methods and knowledge simple rules diagnostics help to avoid such serious complications like peritonitis, sepsis, internal bleeding and many others. Treatment of the disease is usually surgical.