How to determine the child’s appendicitis?

Symptoms of appendicitis in a child. Complications of inflammation of appendix. Removal operation. Complications after surgery. Diet after the removal of appendix. How to determine the child appendicitis

Very often parents confused Signs of appendicitis in children with such phenomena as overeating, gases, poisoning and similar problems with the gastrointestinal tract. For some reason, many think that the appendicitis of the baby is impossible.

But you can see the back picture when any belly pain Parents are perceived as a symptom of inflammation of the appendix – a black-shaped process of the rectum.

Inflammation of this organ called appendicitis. It is worth noting that the doctors have not yet definitely installed for what it is intended. But one knows exactly – without proper treatment, the inflamed appendix can burst. Such complications lead to long-term hospitalization, unpleasant consequences, including intestinal obstruction and infections in the abdominal cavity.

Symptoms of appendicitis in children

Even an experienced doctor may not determine the first time that the problem is in Appendix. At an early stage of the disease, symptoms are difficult to diagnose, especially in infants who cannot tell about their feelings. Kids do not always point to the stomach and say that it is from there.

Other symptoms, such as nausea and vomiting, loss of appetite, diarrhea, fever are observed in many other diseases. In addition to the class, not all of them are manifested during inflammation.

How to determine appendicitis that has arisen in a child

Appendix is ​​also called a rudimentary process and do not pay attention to it, as it does not have certain functions. But as soon as he causes anxiety, it is worth contacting the doctor. Inflammation begins at a time when the intestine does not get a digestible piece of food and clogs the process.

Bacteria that are available throughout the intestines are inside the location and in the end the process is inflamed. The main function of the intestine is pushing food through the digestive tract, but the pathology prevents its normal operation. That is why there is vomiting, nausea and diarrhea.

Initially, pain in appendicitis arising from children, felt all over the abdomen, and not localized in a separate area, but after 12-24 hours, there is an obstruction of the right side from the bottom. Painful sensations over time increase, which will allow the doctor to recognize the disease faster.

Appendicitis in children can be complicated by the breakdown of the wall of Appendix due to late appeal to the doctor. Through the gap in sterile until this point, the abdominal cavity hits the feces, mucus, bacteria.

There these substances and organisms provoke the development of infection. The gap can occur a few hours after obstruction, but it can happen in a few days or even not happen at all.

The highest method of diagnosing pathology is an ultrasound study.

Approximately 7-10% of kids who enter the medical unit with abdominal pain really detected appendicitis. So not everyone is sent to ultrasound. First, the doctor conducts an inspection, assigns blood and urine tests to confirm or disprove inflammation.

Acute appendicitis in children is treated through surgical intervention – the removal of the inflamed appendix. This procedure is quite simple, and the postoperative period is not particularly difficult. If the wall breaking did not happen, then the little patient will be in the medical institution to 8 days.

But when it happened peritonitis (gap), the operation becomes an order of magnitude harder, because it is necessary to clean the entire abdominal cavity from the substances in it. The postoperative period in such a situation lasts longer, because you need to take antibiotics.

Possible complications

In medicine, the removal of the process is carried out in two ways. Both are held under general anesthesia and last from 30 to 60 minutes.

Traditional open surgery implies a cut in the lower right of the abdomen. Laparoscopy method allows you to remove appendix through a tiny incision.

After the operation in rare cases, complications are observed. Approximately 5% of patients occur intestinal obstruction. In 15-20% of children who have arrived with peritonitis develop an abscess, an infectious disease occurring in the accumulation of pus in the peritoneous. Treatment implies pumping in pus using special tubes and taking antibiotics.

Diet after the surgery of appendicitis in children

After the operation is not allowed to eat food. During the first 12 hours, it is allowed only to make lips with water, then drink along the throat until the intestine will resume its work. If the doctor allows, in the first day there can be transparent liquids, for example, rice decoction, fruit sweets, tea, chicken broth.

Diet implies fractional food. Kinder feed you need a small portion 5-6 times a day. At the same time, products contributing to gas formation and inflammation of the seams area are excluded from the diet: milk, legumes, products with large quantity, spices, sour, sharp, too salted and fried. Food must be a puree, in the form of mashed potatoes or jelly, necessarily warm.

The most preferred dishes for the child are: chicken non-large broth, natural yogurt, cheese puree chicken, rice on water, potato, zucchini or pumpkin puree.

Sometimes doctors allow you to use some fiber-rich foods, such as baked apples, boiled carrots and similar.

To normalize a chair after 3 days after surgery, you can expand a limited menu by adding porridge on water, boiled to a pair of fruits and berries, dried fruits, soups – puree and vegetables, some butter, low-fat dairy products and the same meat and fish. Adult man must carefully chew food, but since the baby can not, then it is better to cook everything in the form of a puree or pasta.

Don’t forget about water. You can drink half an hour before meals and 1 after it.

Diet must be respected over three weeks after surgery. Then you can translate the child to the familiar diet if the watching doctor does not advise other options.

After discharge behind the kid, there are still at least a week. Monitor not to fever and the temperature did not rise. In case of such symptoms, you need to immediately contact the hospital.

How to determine the disease?

Acute appendicitis may be accompanied by the following signs:

• Pain in the lower right corner of the abdomen lasts more than 24 hours;
• Loss of appetite;
• Vomit;
• Diarrhea;
• The inability to jump, go in the car, cough;
• Difficulties during walking;
• You need to put a crumb on my back, bend his legs in the knees, then pushing your fingers in the lower right corner of the abdomen and drop sharply. Pain during vacation during appendicitis is much stronger than when pressing.

The causes of appendicitis arising from children

Crop the inflammation can be formed or those who fell into the clearance of coprolites (felling stones), parasites, foreign bodies. The reason for the hyperplasia of lymphoid follicles (in infants), inflammation of stricture, as well as congenital anomalies, for example, twisted or bend.

Doctors note that there is a connection between the emergence of appendicitis and cortem, otitis, ORVI, sinusitis and follicular angina.

There are a number of infectious diseases that independently provoke the inflammation of the appendix, so the reasons can be hidden in such pathologies as, for example, yersiniosis, Amebiaz, abdominal typhoid tuberculosis.

Provoking and predisposing factors are: overeating, constipation, dysbacteriosis, helminthiasis, gastroenteritis.