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The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.
Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.
Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
- Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
- Fever, nausea, and vomiting
- Abdominal fullness or bloating
- Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.
Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:
If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.
Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.
My child is 4 year and 10 month old. I take proper oral care of him, still he has bad odour in his mouth, especially after he wakes up in the morn and in the afternoon. Can I use listerine mouth wash? please suggest.
What are the symptom of asthma. My 5 years old daughter facing this problem. Pls tell me the solutions.
Hello sir/ mam. My three year old son dont want to take milk. He want to eat only roti all the time, i' m so worried about him please suggest me what I do?
My daughter started her play school at the age of 2 after few days she started having mild fever after 3 to 4 days of medication she gets fine again after a week she gets mild fever without any cough and cold our doctor suggest some blood test like tlc and dlc and crp test Her CRP comes positive with 6.4 value Doctor start some antibiotics and said that she has some blood infection and will be fine in a week or so after a week of medication she is fine now should we test her CRP values again? Please guide me.
Hi My baby is 18 days old. She's unable to poop calmly she always cries tightening her face and body while pooping and farting. Pls give me some solution to overcome this.
My child (2.5 yrs) has suffering with phlegm (sputum) and doctor prescribed ambrodil syrup ,but still it has not controlled .shall we go for asthalin, benadry/any nebulizer treatment?
My son is two month old due to cough n cold we took him to doc today. He had recommended steam for him n given us Some Ipratropium nebulizer solution Bp .can we use such solution for steaming via nebulizer .I hope it doesn't have any side effects as he is having little bit cough n cold only. Pls given us second advice.
I am a new born baby mother 22 days of my baby son n I have done post cizor recently but I unable to breast feeding to my baby becoz I can not properly sit I can not feed him now wht 2 do.
I am not eating food 3 times a day I only take food for 1 time that is in afternoon so will it creates any problem.
Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn’t it be a good idea to get to know a little more so as to separate the myths from the facts?
- Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.
- Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.
- Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad! If you wish to discuss about any specific problem, you can consult an endocrinologist.