Acute appendicitis is an inflammatory process that occurs in the vermiform appendage. This pathology, which often gives serious complications. That is why it is very important to diagnose acute appendicitis after the appearance of the first symptoms.
The main symptom of appendicitis
The main symptom of acute appendicitis is pain in the abdomen. For the initial stage of the disease are characterized by pain near the navel or in the epigastric region. Sometimes there is a feeling that the stomach is heavily swollen. A small relief comes immediately after defecation, but over time the pain syndrome increases. At the same time, sensations become aching and have a bursting or pressing character. If they completely subsided, then most likely the death of nerve endings has occurred due to gangrenous processes. When perforating the appendix, the pains are reinforced and spread rapidly throughout the abdomen in accordance with the spreading of purulent contents from the erupted process.
During palpation with acute appendicitis, there is a symptom, called the Rovsing syndrome. These are pains in the right iliac region, which appear with jerky palpatory movements and compression of the sigmoid colon. This is due to the fact that intra-bureaucratic pressure is redistributed and the interoceptors of the inflamed vermiform appendix are redistributed and irritated. When diagnosing acute appendicitis, the symptom of Voskresensky can also appear. These are the pains that appear after the patient breathes in, while the doctor pulls on the patient's shirt and makes the sliding movement towards the right ileal region from the top down with his fingertips.
For acute appendicitis, the symptom of Murphy is not characteristic, when soreness occurs when palpation of the right hypochondrium during the time a person inhales.
Other symptoms of acute appendicitis
Other specific symptoms of acute appendicitis are:
- recurring nausea;
- dry mouth ;
- single vomiting;
- loss of appetite;
- fever.
In some cases, the patient's blood pressure rises or falls sharply, heart rate and breathing rate increase. Practically all of them have problems with appendicitis with defecation. Stool retention is caused by inflammation spreading through the peritoneum, which disrupts the motor function of the gastrointestinal tract.