Appendicitis in children

Appendicitis in children.  Photo from www.sciencephoto.com

Appendicitis — an inflammation of the cecal appendix (appendectomy). With this disease face many, often — in childhood. Most appendicitis occurs in humans10-30 years.

Causes

The exact cause of appendicitis is not known. Disease can provoke inflammation in the intestines, decreased immunity, overeating.

What's going on?

There are several theories to explain the development of appendicitis. According to the most popular — the mechanical theory — the main cause of acute appendicitis is the activation of the intestinal flora of the appendix on the background of a mechanical obstruction of its lumen. Obturation (blockage) clearance process causing fecal stones (35% of cases), an increase of lymphoid follicles, rarely are clogging the foreign body, tumor or parasite. This leads to the accumulation of mucus in the lumen of the appendix and excessive development of micro-organisms that cause inflammation of the mucous membrane and underlying layers, thrombosis (blood clots and blockage) of blood vessels, necrosis (gangrene) of the wall of the appendix.

Some infectious diseases, such as typhoid, yersinioz, tuberculosis, parasitic infections, amoebiasis own cause appendicitis.

What are the symptoms?

Baby complains that his stomach hurts. If the pain is not very strong, continuing for several days, parents often do not pay attention to them. The child goes to school, playing in the street, but then his health deteriorating, he becomes a "sour", sedentary, refuses to eat, more than trying to lie, that is alarming parents.

It happens: in the morning stomach sharply ill, nausea, fever, pain during walking gives the right leg and the right side of the abdomen. Baby does not touch his hand to his stomach, with a sharp he cries out in pain. There is every reason to suspect acute appendicitis — inflammation of the cecal appendix (appendectomy). But the final diagnosis can only be a doctor using a blood test data.

Appendicitis — a rather sly and insidious disease. It can masquerade as many other ailments that often makes it difficult to diagnose. This is due to the fact that appendix often is not classically — in the lower right corner of the abdomen, and in other places, that is atypical. Yes, and the disease can occur differently. In children, only 30 percent of cases of appendicitis occur typically, the remaining 70 percent — quite unusual.

With atypical location of the appendix appendicitis may manifest back pain in the rectum. When the location of the pelvic appendix may be frequent urination, which is accompanied by increased abdominal pain. When subhepatic location of the appendix pain can occur in the stomach, then "go down" in the right part of the abdomen.

Children under the age of three pain is usually not concentrated insome one spot. On the disease can be judged only by changing the child's behavior — he becomes a whiny, refuses food, there may be vomiting, diarrhea, rapid temperature increases to39-39,5 degrees. The child's condition worsens, he does not touch the stomach, knocking her hand. The mucous membranes of the mouth and tongue dry, quickly comes dehydration.

For children aged from three to seven years, the picture is different: they complain of pain in the navel, which is then moved to the right iliac region. It is constant, not strong, the child can pull out once. Low if increased, it is not above 37.5 degrees may be normal.

With the development of purulent processes in the appendix child's condition can deteriorate rapidly: there is thirst, the skin turns gray, dry lips and oral mucosa. In combination with diseases such as measles, viral hepatitis, dysentery, salmonellosis, appendicitis can cause the temperature to rise38-39 degrees, nausea, vomiting, diarrhea.

Treatment

If the child began to complain of stomach, refuse to eat or his condition worsened, not self-medicate. Do not give your child any shpy, dipyrone, and immediately contact the surgeon in the clinic. In no case can not be put onstomach baby warmer. This can cause a ruptured appendix and the occurrence of peritonitis.

Often mothers to learn that their child has a suspicion ofappendicitis, panic: ask whether you can do without surgery. If surgeons confirmed diagnosis of "appendicitis" operation — appendectomy (appendectomy) — is absolutely necessary, and to hold it as quickly as possible.

Postoperatively

With a favorable outcome for the child dischargedseventh-tenths day. After discharge, it is necessary to observe a surgeon at the clinic, at least for a week. At this time, it is better to stay at home. Sometimes visits to the district surgeon tightened — if the wound heals poorly or incurred any complications.

After discharge from the hospital, the child was freed from physical education. He can not lift weights, ride a bike, sled, jump from a height during the month. But this does not mean that the house he should not lift anything "heavier than a tablespoon." The best prevention of adhesions and adhesive disease of the intestine — the transition to active life. So the house for children to do all possible work.

With regard to power, there any restrictions should not be entered. It is advisable to give your baby vegetable soups for the normalization of intestinal motility and regulation of the chair.

Unfortunately, appendicitis is not always without complications. After purulent processes in the abdominal cavity adhesions often remain and may develop adhesive disease. These children were followed up until recovery.

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