What pain in appendicitis, in what area?
Everyone should know everything about the pain of appendicitis, what is its nature and how it arises, in order to recognize the disease in time if necessary. In medicine, the inflammation of the appendix of the caecum is not placed in line with serious diseases such as myocardial infarction, stroke or cancer. But only at first glance, this pathological condition does not pose a real threat to life. If you do not take appropriate measures in time, the disease can be fatal.
If you suspect inflammation of the appendix, it is important to pay attention to pain. What symptoms of appendicitis distinguish it from other abdominal pathologies? You will learn about this in detail from this article.
Why can appendicitis be life threatening?
In most cases, an inflammatory appendix requires an urgent operation, so the discomfort and pain in the abdomen should be alerted and disturbed.At the beginning of the manifestation of the disease, the symptoms are blurred, and the pain spreads throughout the abdomen. In this case, most often with appendicitis, it binds the upper peritoneum. Due to the fuzzy localization of symptoms, many patients lose valuable time, as they are unable to recognize pain and signs of appendicitis on their own. What actions should be taken in case of inflammation of the appendix? The answer is unequivocal: to call the ambulance brigade.
What pain occurs when an inflammation of the appendix?
Pain syndrome, which is characterized by intensity and lasts at least 6 hours in a row, suggests that the patient may need surgery. Unfortunately, often the patient cannot clearly determine which side of the pain. When appendicitis discomfort can occur even in the epigastric (epigastric) region. Later, unpleasant sensations arise on the right side and become more pronounced.
To understand what kind of pain there is in acute form appendicitis, imagine sharp girdling, sometimes cramping attacks. Unlike signs of other diseases of the abdominal cavity, the symptoms of this pathology do not subside, they are constant.Increasing discomfort may indicate perforation - a dangerous phenomenon in which the rupture of the appendix occurs. Acute inflammation is often accompanied by a purulent process - this means that you need to act immediately.
By the way, the decision about the urgency of surgery also depends on the pain of appendicitis in a patient. It can aggravate with movement and at rest. But even if the pain has subsided, you can not rejoice. Such a symptom may indicate the development of gangrene of the appendix, i.e., to start the process of dying off the nerve endings of the appendix.
Other signs of the disease
Often, patients can not independently determine where it hurts and what kind of pain. When appendicitis discomfort is accompanied by other symptoms. Often, patients lose their appetite, they develop nausea. Constipation is another common occurrence in the pathology of the appendix. Dyspeptic disorders are usually confusing and patients mistakenly believe that they have problems with the gastrointestinal tract.
In almost all cases, the inflammation of the appendix is accompanied by subfebrile fever.The disease always proceeds against the background of stable hyperthermia, which allows us to differentiate appendicitis from other pathologies in the abdominal cavity. For example, with renal colic, body temperature remains within the normal range.
Yet only a doctor is able to determine the real symptoms of appendicitis. What pains, the place of their localization, duration, intensity - all this is of great importance for the preparation of anamnesis.
Symptoms of appendicitis arising from palpation
The main sign of inflammation of the appendix is discomfort in the iliac region on the right side. Given this, an experienced doctor will quickly establish the diagnosis by palpation. The following symptoms are decisive for the inflammation of the appendix:
- Symptom Rovzinga. The specialist gently presses the iliac region to the left. If the patient has uncomfortable sensations on the right, there is less and less doubt - this is appendicitis.
- Symptom Sitkovsky. This method is based on a simple principle: what pain and where. When appendicitis discomfort stiffens the right side. If the patient lies on his left side, the pain will intensify as the inflamed cecum shifts and the peritoneum tightens, creating discomfort.
- Symptom Bartome-Michelson.Similar to the previous method: the patient lies on his left side, and the doctor palpates the right side of the body. Increased pain in appendicitis. Whatever its intensity, it is likely that urgent hospitalization is necessary.
- Symptom Resurrection. This sign of appendicitis suggests that the pain in the abdomen is aggravated at the moments of movement with the right hand.
- Symptom Obraztsova. The pain increases at the moment when the patient, lying on his back, lifts his right leg. This is another one hundred percent sign of appendicitis.
But despite the fact that the symptoms of this disease are multifaceted, pain is the most stable and unchanging manifestation. She always accompanies inflammation of the appendix. During the differential diagnosis and determination of the location of pain, the doctor draws attention to its severity, duration.
How to determine appendicitis or not?
Thus, with uncomplicated inflammation of the appendix, the discomfort is aggravated when the patient tries to involve the abdomen in the prone position while pressing with fingers at points to the right of the navel and simultaneously at several points diagonally to the right iliac tubercle.Many patients are interested in specialists, how to recognize appendicitis at home and under what kind of pain it will become clear that you need to hurry to a health facility. Doctors advise to pay attention to the discomfort during a bowel movement, cough, with a deep breath and raising the right limbs (a symptom of the Resurrection, a symptom Obraztsova).
The pain during the exacerbation of appendicitis goes through two stages. The first attack occurs due to the direct inflammation of the appendix. It may take several hours or several days. The second wave occurs with the development of peritonitis, which is typical for neglected cases. However, it should be understood that the aching pain, no matter how long it lasts, does not apply to signs of appendicitis.
What does a blood test tell?
A dangerous symptom of appendicitis is severe pain when superficial pressure with the fingers in the navel. To confirm the disease, the patient must undergo a laboratory blood test, which, when inflamed, will demonstrate elevated white blood cell count. If white blood cells exceed 14 thousand units,You can make an assumption of peritonitis - inflammation of the peritoneum. An ultrasound examination of the abdominal cavity will help to dot the diagnosis.
Just do not drink painkillers!
Can I take painkillers for inflammation of the appendix? This question is primarily of concern to patients, but in case of appendicitis in no case can you take anesthetics! There are several reasons for this:
- First, attempts to dull the pain of appendicitis in adults, no matter how strong it is, are unlikely to succeed.
- Secondly, the patient needs to follow the changes in the nature of the painful sensations, their growth, duration. This will help the doctor to get an idea of the patient’s condition.
- Thirdly, if the pain seems to be lubricated and not acute enough, it will not be able to induce the patient to urgently seek medical help. While appendicitis is precious every minute.
Improving well-being as a symptom of peritonitis
If during the first two days you do not go to the doctor and try to endure the inflammation, the likelihood of necrosis, rupture of the appendix wall and discharge of purulent contents from the vermiformscion. If this happens, the patient will feel an imaginary relief, will think that recovery has come. But soon, a few hours later, the pain returns with a new force, which already speaks of the inflammation of the peritoneum. Peritonitis develops rapidly, without treatment, the patient will die after a few days.
Inflammation of the appendix in representatives of different gender
Trying to determine what kind of pain in case of appendicitis in women and men, one cannot exclude the subjective sensations of patients, who are more dependent not only on the inflammatory process itself, but on individual characteristics and personal pain threshold. But even a high intensity of pain is wrongly perceived as an absolute confirmation of appendicitis. The presence of other symptoms and the conclusion of diagnostic studies play an important role in the diagnosis.
Symptoms of appendicitis in the representatives of the stronger sex do not have cardinal differences. Basically, an inflammation of the appendix occurs in young men up to twenty years. Patients of the age group of 30-45 years are more likely to diagnose ruptures and necrosis of the appendix.
It is hardly possible to say something new about the pain of appendicitis in women. Symptoms are fully consistent with those described above. The only thing that distinguishes the scheme of diagnosis of appendicitis in women is the mandatory registration of gynecological status. For example, between the ages of 12 and 16, acute pain may indicate menstruation, active puberty. When examining women over the age of 20, first of all a doctor should rule out inflammation of the ovaries, appendages, ectopic or missed abortion, renal pathologies.
How to help yourself with this disease?
Self-treatment for appendicitis is harm to oneself and, no matter how frightening it may sound, the doom is lethal. No drugs, folk remedies and other therapies will help here. Without medical and, in particular, surgical care for this disease is indispensable. The first suspicious symptoms and acute sharp pain should be a signal for an urgent visit to the doctor. The specialist will make an accurate diagnosis and find the cause of the pain.
It is not easy to determine in yourself appendicitis, and in any case it is best to immediately call an ambulance.But if you suffer from chronic pancreatitis or gastric ulcer, renal colic or gynecological diseases, and therefore doubt whether it is really appendicitis, conduct a simple self-test:
- Lightly tap with your index finger from the right side in the region of the Ilium. With an inflammation of the appendix, you will feel severe pain. Doing the same on the left, you will not feel any discomfort.
- Cough - pain will appear in the same area (on the right, near the ilium).
- Apply to the hearth of pain palm for a few seconds. It became easier? Now take your hand away. Is the pain back? Most likely, this is an acute form of appendicitis.
- Lie on your right side and pull your knees to your stomach. With an inflammation of the appendix, this position of the body should bring relief. It will get stronger as soon as you turn to the left side.
Attention! In no case do not feel your stomach, as you risk getting an appendix rupture and, as a result, peritonitis.
Surgery and possible complications
If the doctors confirmed the diagnosis, the patient will soon have to undergo surgery. Thanks to today's medical technology, after such an intervention, there is usually no large scar on the body.To avoid complications after surgical treatment, strictly follow medical prescriptions. Often in the postoperative period there is a suppuration of the wound due to improper care of it. If rehabilitation takes place without complications and difficulties, the patient can leave the walls of the hospital in 7-10 days. A little later, patients are prescribed, with a history of hypertension, myocardial infarction, and diabetes mellitus.