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Appendicitis, Symptoms and causes

Appendicitis is inflammation in your appendix, a tiny organ attached to your large intestine. Acute abdominal pain is the primary symptom. Read the article to know more.
authorImageNivedita Dar2 Sept, 2024
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Appendicitis

Appendicitis: a common and potentially dangerous disease of young. A serious medical condition that occurs when the appendix, a small, finger-shaped pouch attached to the large intestine, becomes inflamed. This inflammation can lead to a range of symptoms and, if left untreated, can result in severe complications, including the rupture of the appendix.

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Appendix

The appendix is a small tube-like structure located in the lower right abdomen. While its exact function is not fully understood, it is generally considered a vestigial organ, meaning it no longer serves a significant purpose in the body. Some theories suggest that the appendix may play a role in the immune system, particularly in maintaining gut flora, but its removal does not seem to cause long-term health issues.

Debate appendix vestigial or not?

While the appendix is not essential for survival—people who have had an appendectomy (surgical removal of the appendix) live normal, healthy lives—the idea that it is completely vestigial is now considered outdated. It appears to have some functions, particularly related to the immune system and gut health, though these are not critical to the point that its removal causes significant harm.

What causes appendicitis?

Appendicitis occurs when the appendix becomes blocked, leading to inflammation. The blockage can be caused by:

Fecaliths : Hardened stool that obstructs the opening of the appendix.

Enlarged Lymphoid Follicles: These are clusters of immune cells that can swell and block the appendix.

Infections: Viral, bacterial, or parasitic infections in the digestive tract can cause the appendix to swell.

Trauma: Abdominal injury can sometimes trigger appendicitis.

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Symptoms and Complications

The symptoms of appendicitis can vary but typically include:

Abdominal Pain: Often starting around the navel and then moving to the lower right abdomen. The pain usually worsens over time and can become severe.

Nausea and Vomiting: These symptoms often accompany the abdominal pain.

Loss of Appetite: A sudden loss of appetite is common.

Fever: A low-grade fever may develop as the body fights the infection.

Swelling: The lower right abdomen may become tender and swollen.

Changes in Bowel Movements: Some people may experience diarrhea or constipation.

Read More - Pelvis and Perineum

Diagnosis

Appendicitis can be challenging to diagnose because its symptoms can mimic other conditions like gastrointestinal infections, urinary tract infections, or ovarian problems. To diagnose appendicitis, doctors typically use:

Physical Examination: Checking for tenderness in the lower right abdomen and signs of peritonitis.

Blood Tests: Looking for signs of infection, such as an elevated white blood cell count.

Imaging: Ultrasound or CT scans can help visualize the inflamed appendix and confirm the diagnosis.

Appendicitis FAQs

Is appendicitis really an elite disease?

No, appendicitis is not an elite disease. Although it was historically observed more in wealthier populations due to dietary and healthcare differences, it affects people across all socioeconomic groups.

What is the significance of McBurney’s point in appendicitis?

McBurney’s point is located in the lower right abdomen and is the typical site of pain in appendicitis. Tenderness at this point is a key clinical sign of appendicitis.

What is the “hygiene hypothesis”?

The “hygiene hypothesis” suggests that improved hygiene and reduced exposure to infections may lead to a more reactive immune system, potentially increasing the risk of inflammatory conditions like appendicitis.

What is the significance of inflammation markers in diagnosing appendicitis?

Inflammation markers, such as elevated white blood cell counts and C-reactive protein levels, help in diagnosing appendicitis by indicating the presence of an infection or inflammation in the body.
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