Children's health

Appendicitis in children


TREATMENT of PAINFUL SENSATIONS IN the ABDOMEN IN CHILDREN

When a child starts to get sick to your stomach, you should not write off the possibility of a burst Appendix. Try as much as possible to quickly get an appointment with your doctor to have it examined and confirmed or denied your concerns. Acute appendicitis most often occur in children.

Before doctors the problem of diagnosis for pain in the abdomen just complicated at times, if before them a young patient. The child often just can’t elaborate on the nature and focus of pain, hurts and all very much.

Inflammation of the Appendix occurs most often in children aged 9-13 years – 13 to 20%. Least frequently in preschool children, only 10-12 % of cases. Most often 70-75% is a teen aged 14 to 19. In infants inflammation of the Appendix is extremely rare. The reason for this is the immaturity of their digestive system.

Features of the course of appendicitis in children

After the child turns 7 years old, first signs symptoms of appendicitis will be the same as that of most adults. Despite this similarity, the correct diagnosis may be complicated by the fact that the child is scared, can act up and cry. A lot of children are just afraid of the operation, which is why I can say that they have stopped hurting belly and all is well, anything, just to stay home.

Usually inflammation of the Appendix occurs is unpredictable. This can occur both at the weekend at home and in the kindergarten, and on the walk, and even features. Children up to 3 years from the onset you notice deviations in behavior: they refuse to eat, fussy, have trouble sleeping and become much less active. The kids won’t be able to tell you exactly where it hurts. They will show on the entire abdomen, claiming that it hurts everywhere. The strongest reaction of the baby can be observed on the first night after the start of the inflammatory process, his sleep is very restless, occasionally waking up and cries. Accidental building up of the midsection at navel. The pain may be aggravated by clothing or tilt to the right, lying on his right side.

Please note that when inflammation of the Appendix the baby may feel sick and vomit, may also be present diarrhea, while in the feces often have some amount of mucus. Less common is just a delay of a chair. Severe abdominal pain will also be accompanied by painful urination. On the inflammatory process will talk and high temperature, which can rise up to 40°. Although in children, breast fed, the temperature often rises above 37.5° for a long time.

During the game the child can be very hard to cry when you squat on your heels, pull your right leg towards himself, trying to lessen the pain or to take the most comfortable position.

Referring to the anatomy of the bowel, appendicitis rarely occurs in children under 2 years of age.

If the child is older, he is more or less clearly able to tell mom, when he began to hurt the stomach. With its usual behavior will not notice any changes. Children older than 3 years can tolerate mild pain without telling her parents, in the hope that it’s just something you ate and after some time all will pass by itself. They are already in a more conscious age, so I can specify where it is localized pain. If the painful area is located near the navel, a little above it is only the beginning of a burst Appendix. It is more serious if it hurts the lower abdomen, closer to the right side. When moving, the pain may becomes much stronger, and also, if I lay on my right side. The child can tell what pain he is experiencing: severe acute or dull aching.

The very first signs of appendicitis in this case will be lethargy, vomiting and nausea. In children older than 3 years diarrhea unlikely, more likely just constipation but not constipated. The increased body temperature in the range of 38-39° also an indicator of the occurrence of the inflammatory process in the body. When the position of the body, the nature and strength of the pain may vary. For example, if the child is put on the left side – this will greatly reduce pain.

First signs of appendicitis in children

Appendicitis occurs when inflammation of the Appendix cecum, Appendix, the length of which make up approximately 6 cm This disease signs and symptoms in children may also be similar to many other diseases.First signs of appendicitis in children

    • the First signs of the inflammatory process will always be pain in the abdomen. Most often the initial location of the pain is the area of the navel, on a couple of fingers above it and not very painful, slaboumiya. Over time the pain can move closer to the lower abdomen and right side, however, she becomes much stronger.
    • the child’s Condition when inflammation of the Appendix will be noticeably worse: in addition to lethargy, weakness and high fever may begin nausea or vomiting. And this has been going on. Kids start freaking out and cranky, to abandon their favorite food.
    • When you touch the belly the kids can scream and begin to cry and try to wiggle that you leave them alone and not touched.
    • the temperature Increase in children is not always the case, so it is not the main symptom of appendicitis.

Noticing this behavior in your child, be sure to try to palpate his abdomen to determine the location of the pain. Try to do this very carefully so as not to harm the baby. If it hurts more on the right side, you should use multiple fingers slightly to put pressure on the stomach in that area, perhaps that is where you will find a small seal. When inflammation of the Appendix pain will increase, if you abruptly remove your fingers from the pressure. You can also ask the child to cough or laugh, if in such action the pain will get worse — this indicates the presence of acute appendicitis. Immediately call an ambulance to doctors had time to make the correct diagnosis and to provide the child the necessary help.

In any case, do not hesitate to seek help from doctors. The delay may help ensure that appendicitis go into peritonitis, which is a complication of the disease. An infected Appendix can burst, with all its contents, including pus, will be in the abdomen of the child. At what point of time this can happen to anticipate unable to even the most experienced physicians. Better to call the doctor and make sure that it’s just intestinal colic. In any case, you just pass the blood test and urine of the child, they will show the overall picture. According to their results immediately and you can judge reasonably your excitement or not.

Almost always appendicitis can be treated only surgically, removal of the Appendix from the cecum to the abdominal cavity. To restore after a 20 minute surgery less than a week, the child again to return to normal life. This is assuming that after surgery there were no complications.

Causes of appendicitis in children

Despite how developed is now medicine, no one still can not with 100% certainty what the exact reason was having appendicitis on a child. In one doctors believe precisely: to inflammation of the Appendix in the intestine must be present bacteria as well as the lumen of the Appendix of the cecum should be sealed. Only with the simultaneous presence of these two conditions occurs and appendicitis.

Blockage of the Appendix occurs due to excessive eating sunflower seeds, olive, or falling into the lumen of feces.

physicians Also identified a number of reasons why you may also experience inflammation of the Appendix:

  • low immunity. Children’s bodies cannot cope with the attack of viruses, the infection penetrates into the abdominal cavity, and then in the vermiform Appendix of the cecum, begins the inflammatory process;
  • frequent colds, sore throat, viral respiratory infections, otitis, laryngitis, sinusitis and other diseases can cause decreased immunity. As a result, the body is weakened, unable to cope with bacteria, which penetrate into it, so appendicitis occurs and sometimes severe course of the disease, with the different possible complications;
  • foreign objects or helminths (worms), trapped in the intestines. Often children swallow untreated seeds, unnoticed by the fish bones or bone together with the berries, resulting in and there is a blockage of the lumen of the Appendix (inflammation of the Appendix).

Complications of appendicitis in children

Acute appendicitis is a very specific disease, which most often occurs in adolescents and children older than 3 years. In adults it is also common, but at times less. However, in all cases of occurrence, inflammation of the Appendix treated surgically by removal of the Appendix of the cecum for laparoscopy. During this surgery, small incisions are made on the abdomen through which clogged and removed the body.

Many patients seek professional medical help almost at the last moment. So negligent attitude towards their health and is a frequent cause of various complications after surgery, and sometimes during it.

Any complications associated with postoperative period, divided into the following five categories:

  • poorly healing postoperative wound infection;
  • suppuration of joints;
  • the formation of hematomas and swelling in the joints;
  • various complications of the abdomen
  • subphrenic abscesses.

Swelling and bruising in the wound and stitches are formed quite often in the first few days after surgery. They gradually self-resolve and do not require any additional treatment.

Complications of appendicitis in childrenThe most common complication is wound infection. This form occurs mainly due to the fact that not all of the pus was fairly well removed from the abdominal cavity after rupture of the Appendix. As a result in the body remain the germs that cause such a complication. To treat such problems patients are prescribed broad-spectrum antibiotics, remove sutures and washed the wound. On its edges are placed special bandages impregnated with antibacterial solutions and medicines. The duration of such manipulation and the management of complications depends on the stage of suppuration and its form.

In children more often than adults occurs most dangerous complication – from the abdominal cavity. Sometimes due to late action of the attending physician such complication can be the cause of death of the child.

To this complication include peritonitis, various abscesses, internal bleeding resulting from damaged blood vessels and tissues. Damage is dealt with the contents of a ruptured Appendix. Such complications occur only 6-9 postoperative day. The first reason will be sharp undue temperature rise, a sharp pain in the right side, very similar to the one the patient has experienced prior to surgery.

The rare complication in children after surgery is a subphrenic abscess. The most common symptoms of complications pronounced and noticeable immediately: fever, intoxication, severe dyspnea, inspiratory severe chest pains.

The most difficult thing in this case is to correctly define the location of the formed abscess. This complication is very difficult to diagnose. In the formulation of such a diagnosis being treated only surgically. As the abscess should be opened and to remove all the accumulated pus, inserting a catheter for drainage.