Acute appendicitis refers to the most common surgical diseases at a young age. Approximately 75% of all operations performed to remove it occur in children. The risk of developing appendicitis in infants is very small, but after three years the threat of the disease increases dramatically. Most often, surgical intervention is needed at the age of 8-10 years and in the adolescence 15-18 years.
Features of acute appendicitis
Among the factors that determine the symptoms of the disease in children, we can distinguish the following:
- the form of the appendix;
- the state of the immune system;
- features of the structure of the appendix;
- immaturity of the central nervous system.
The development of the disease is also affected by the form of the inflammatory process: phlegmonous, simple, complicated perforated and gangrenous appendicitis.
Appendicitis is one of the ten diseases that are most often diagnosed wrongly. The thing is that it is very problematic to identify his symptoms at a
Symptoms of appendicitis in children under 5 years old
To recognize acute appendicitis in time, parents of children under 5 should pay special attention to the following symptoms:
- vomiting and nausea;
- abdominal pain in the navel;
- fever and severe chills;
- dry mouth and thirst;
- drowsiness and weakness;
- loose stool;
- constant vagaries, anxiety.
In case when the body temperature of the baby exceeds 38 ° С, complications of the disease course are possible. With catarrhal appendicitis, the patient's tongue is moist, coated with a white bloom at the root. With the phlegmonous form, the entire surface of the tongue is covered with plaque, and with massive peritonitis massive incursions are observed.
If there are any of these symptoms, you should immediately consult a doctor and never give a child painkillers.
Signs of appendicitis in children 6-12 years of age
Typically, in school-age children, the symptoms of the disease are the same as those of an adult:
- nausea, vomiting;
- dry, coated tongue;
- very high temperature;
- acute pain, giving to the right side of the abdomen.
If you have one or more of the above signs, you should call a doctor. Prior to his arrival, you can alleviate the child's suffering a little. To do this, attach a cold towel to the place where he feels severe pain.
Symptoms of abnormal appendicitis location
It should be noted that only in 30% of cases the above symptoms indicate the development of acute appendicitis. In 70% of the signs of its occurrence are very atypical, for example, the appendix can be in another area of the abdominal cavity, then the pain will manifest itself in the lower abdomen, in the rectum or in the back.
If the process is behind the cecum( retro-intestinal location), muscle tension and pain are somewhat weaker than in a typical form. The abdomen can be soft with a retroperitoneal arrangement, and the pains are mild. As a rule, there are no symptoms of irritation of the peritoneum. Both cases are characterized by pain and tension on the right side of the lower back.
Acute pain in the area in the lower abdomen, above the pubis, testify to the pelvic position of the appendage. Muscle tension is either very weak or completely absent. Among other symptoms, there is a loose stool with mucus and a micturition disorder. With a subhepatic arrangement, the pain and tension of the muscles appear in the region of the right hypochondrium.
Gangrenous appendicitis are considered the most dangerous. Symptoms are not pronounced: the abdomen is mild, the pain is mild. Diagnosis of this form of the disease allows laboratory tests.
What should not you do in case of an attack?
A few recommendations that parents need to follow for any signs of developing appendicitis:
- Do not apply the hot-water bottle to the baby's belly, because heat promotes the acceleration of the inflammatory process.
- It is forbidden to give painkillers, as they will only complicate the diagnosis.
- Do not put an enema, it will lead to increased pressure on the inflamed organ.
- You can not feed a child, only sweetened water is allowed.
Complications after operation
Only an operation to remove appendicitis takes 30-60 minutes. Unfortunately, sometimes there are complications. In 20% of children after removal of the burst appendix develops an abscess - an infectious disease that occurs when accumulating in the abdominal cavity of pus. About 5% of patients after surgery suffer from intestinal obstruction.
The development of the disease in children is very rapid, often atypical. To reduce the risk of complications, do not ignore the child's reports of tormenting his pain. In the case of timely detection of inflammation and surgical intervention, the prognosis with appendicitis is very favorable.