What are the symptoms of chronic appendicitis
□ correspondent Liu Yongsheng
for the elderly, they often suffer from multiple chronic diseases, it is very easy to cover up the symptoms for some common early symptoms of another serious disease, so patients and loss of their loved ones alert. From the clues found in the disease, the elderly can pull through. Such as appendicitis.
Ms. Zhu, a 75-year-old woman with abdominal pain, low back pain than half a month. First visit to the community health centers, doctors can not make a diagnosis, recommended her to the gynecological examination. Ms. Zhu to do B-inspection found no abnormalities. As Ms. Zhu had previously suffered from urinary tract stones, so from that pain may be caused by stones. Waited three days to a hospital emergency department, doctors found a significant right lower quadrant tenderness, and finally diagnosed as chronic appendicitis.
acute appendicitis, chronic distinction. General impression of acute appendicitis, the disease onset, pain often can not help. While the elderly may be kind of faint pain, patients are often overlooked, if not detailed examination of the doctors, but also often misdiagnosed. Clinical statistics, the elderly suffering from acute appendicitis, the emergence of a diagnosis of metastatic right lower abdominal pain and only 30%, some of which cause the elderly treatment and failed to turn into a chronic appendicitis.
why the old pain of appendicitis response so slow?
diagnosis of appendicitis have an important criteria is that the right lower quadrant tenderness fixed point, which has important reference value for the diagnosis, but older people more often than right lower quadrant tenderness of young people in light, rebound tenderness detection rate is low. Relaxation of the abdominal muscles atrophy and because the elderly, fat thickness and other reasons, muscle tension often not obvious, even when diffuse peritonitis signs of muscle tension does not appear.
most acute appendicitis chronic appendicitis is left after regression of lesions. If the inflammation of acute appendicitis attack less, the symptoms may disappear soon, but a few weeks after inflammation of the appendix can become chronic. Performance is often a history of typical acute appendicitis, right lower quadrant and often pain, severe or diet can trigger acute attacks. There's performance like peptic ulcer, gastrointestinal disorders or change in bowel habits and other symptoms, some patients have repeated episodes. Antibiotic treatment of chronic appendicitis is difficult to achieve effective drug in the local concentration, so the anti-inflammatory treatment often is not obvious. Therefore, abdominal discomfort for the elderly, if the long-lost cure, should consider whether these characteristics had appendicitis, and timely medical treatment.
diagnosed elderly patients with acute appendicitis and chronic appendicitis, if the patient can tolerate surgery, surgical treatment should be first choice.
