Baby care

treatment appendicitis to kids today

a serious medical condition in which the appendix becomes inflamed and painful.

treatment appendicitis to kids today

Many children have their appendix removed even before turning the age of fourteen. And the risk starts to peak as they age.



 

Majority of children who get an abdominal surgery is because of appendicitis. Appendicitis is actually appendix inflammation and as a result, a fingerlike tube grows on the lower right part of large intestine.

Appendix is located at the closed end of the larger intestine, known as the cecum, and measures up to many inches.

Although, doctors say that the appendix isn’t of much help to the body, but appendix’s inner wall releases antibodies, which are produced by the lymphatic tissues.

Appendicitis can be detected by the onset of pain in the middle portion of the abdomen, the portion above the belly button. After a few hours the area will swell and there will be intense pain when touching the abdomen’s right side.



 

The patient will begin to vomit and will have nausea. There will low fever and there will be problems will gas and stool passage.

Some people, after the onset of these symptoms, will take laxatives or enemas mistaking appendicitis for constipation.

But this is extremely dangerous, as these medicines will in turn increase the risk of the appendix bursting. So it is recommended to consult the doctor before going for any kind of medication, even any pain relievers.

Besides increasing the risk, they even mask the symptoms and makes diagnosis even more hard. If the child’s symptoms are very much similar to that of the appendicitis’ symptoms, he should be immediately taken to the doctor for further diagnosis. The doctor will first study the child’s digestive illnesses’ history.

He should also be divulged information about the symptoms, timing, bowel movements and its frequency. The stool should also be checked for mucus or blood. Children, who can communicate, can be asked to point out the location of pain in the abdomen.

Toddlers who haven’t started talking or who hesitate to do talk will raise their knees close to the chest, hips will be flexed and the abdomen becomes tender.

Although, the actual cause of this abnormal growth of the appendix is not known, but it can result because of some kind of obstruction or infection in the intestines.

The obstruction can be created due to thick mucus build-up inside the appendix. Some part of the stool can also enter inside. There will be mucus formation and the stool will harden within resulting in the swelling up of the appendix.

If it is an infection, it should be treated immediately, as it can burst and there is a danger of the infection spreading to other parts of the body via bloodstream.

That is the reason why even blood test is done, so as to determine whether the infection has spread or not. The urine test is done to check for problems in the urinary tract.



 

The problem is then confirmed with the help of computed tomography or an ultrasound. Sometimes children with pneumonia have the similar symptoms, so to make matters clear even X-ray of the chest is done.

Medical attention must be sought within forty eight hours of the start of the abdominal pain. Sometimes, abdomen develops mild inflammation, many weeks before the diagnosis is done.

After the diagnosis is done and appendicitis is determined, appendectomy is performed on the patient. The doctor will immediately order the intake of antibiotics before the surgery is performed.

In case of confined appendicitis, it can be treated solely by antibiotics and no surgery is required. This is because the inflammation is very mild and the body itself fights with the infection.

But, still as a precautionary measure, such kinds of patients must be kept in observation until their condition becomes stabilized. If the appendix ruptured then appendicle perforation is done.

In this procedure, a drain is inserted inside the skin, through the abscess with the help of CT scan or ultrasound which gives the exact location. Some people develop complications later such as wound infection and accumulation of puss inside the appendix.


Common Forms of Treatment for Appendicitis

Appendicitis is considered to be a surgical illness. Due to its severe character, the treatment for appendicitis often involves surgical intervention.

treatment Appendicitis to Kids today
treatment Appendicitis to Kids today

Judging by the speed of development and the gravity of the illness, appendicitis can be either acute or chronic.

Acute appendicitis evolves very fast and can lead to complications. Chronic appendicitis is less serious and slower to develop. Although there are other options, the safest treatment for appendicitis is considered to be surgery.

Appendicitis occurs due to bacterial infection and obstruction of the vermiform appendix, a tube-shaped extension of the large intestine (the colon). The appendix is usually blocked by calculus or feces, causing it to swell.

However, in some cases, the enlargement of the lymph nodes is responsible for the inappropriate activity of the appendix.

Due to bacterial infection (also very common in appendicitis), the lymph nodes begin to swell and press against the walls of the appendix, causing it to block. The local blood circulation is also perturbed, causing the death of the appendix.

The swelling of the appendix and bacterial infections can lead to serious complications, such as gangrene, sepsis and perforation of the appendix.

The best option available in the treatment for appendicitis when confronted with a seriously damaged appendix is to surgically remove it from the body. The appendix doesn’t have a vital role inside the organism and its absence doesn’t affect the normal activity of the body.

The surgical treatment for appendicitis consists of a procedure called appendectomy. In uncomplicated forms of appendicitis, appendectomy is a simple surgical intervention.



 

Most patients respond well to the surgical treatment for appendicitis and they fully recover within a few weeks after the operation. However, if the treatment for appendicitis is delayed, the chances of recovery are considerably diminished.

Appendicitis affects about 6-7 percent of the population in the United States and Europe. However, statistics indicate that in the last years the number of people diagnosed with appendicitis has considerably decreased.

The development of appendicitis is facilitated by inappropriate diet. A healthy lifestyle and a diet rich in fibers can be useful in the prevention of appendicitis

Appendicitis can be developed by anyone, at any age. However, acute forms of the illness mostly occur in children and teenagers (ages 3-15) and also in older patients (ages over 50).

Despite the medical advance and the abundance of medications available nowadays, the recommended treatment for appendicitis remains appendectomy.

Although in uncomplicated cases of the illness the doctors might prescribe antibiotics, the safest treatment for appendicitis is still considered to be surgery.

The fact is that antibiotics and other medications can’t unblock the appendix without causing any internal damage and for this reason the most reasonable form of treatment for appendicitis is surgical intervention.

If the presence of the illness is discovered in time, appendectomy is the safest option available today in the treatment for appendicitis.


Common Facts about Appendicitis

Appendicitis is considered to be a surgical illness. Due to its severe character, the treatment for appendicitis often involves surgical intervention.

treatment Appendicitis to Kids today
treatment Appendicitis to Kids today

Judging by the speed of development and the gravity of the illness, appendicitis can be either acute or chronic. Acute appendicitis evolves very fast and can lead to complications.

Chronic appendicitis is less serious and slower to develop. Although there are other options, the safest treatment for appendicitis is considered to be surgery.

Appendicitis occurs due to bacterial infection and obstruction of the vermiform appendix, a tube-shaped extension of the large intestine (the colon). The appendix is usually blocked by calculus or feces, causing it to swell.

However, in some cases, the enlargement of the lymph nodes is responsible for the inappropriate activity of the appendix. Due to bacterial infection (also very common in appendicitis), the lymph nodes begin to swell and press against the walls of the appendix, causing it to block.

The local blood circulation is also perturbed, causing the death of the appendix. The swelling of the appendix and bacterial infections can lead to serious complications, such as gangrene, sepsis and perforation of the appendix.

The best option available in the treatment for appendicitis when confronted with a seriously damaged appendix is to surgically remove it from the body. The appendix doesn’t have a vital role inside the organism and its absence doesn’t affect the normal activity of the body.



 

The surgical treatment for appendicitis consists of a procedure called appendectomy. In uncomplicated forms of appendicitis, appendectomy is a simple surgical intervention.

Most patients respond well to the surgical treatment for appendicitis and they fully recover within a few weeks after the operation. However, if the treatment for appendicitis is delayed, the chances of recovery are considerably diminished.

Appendicitis affects about 6-7 percent of the population in the United States and Europe. However, statistics indicate that in the last years the number of people diagnosed with appendicitis has considerably decreased.

The development of appendicitis is facilitated by inappropriate diet. A healthy lifestyle and a diet rich in fibers can be useful in the prevention of appendicitis.

 Appendicitis can be developed by anyone, at any age. However, acute forms of the illness mostly occur in children and teenagers (ages 3-15) and also in older patients (ages over 50).

Despite the medical advance and the abundance of medications available nowadays, the recommended treatment for appendicitis remains appendectomy.

Although in uncomplicated cases of the illness the doctors might prescribe antibiotics, the safest treatment for appendicitis is still considered to be surgery.

The fact is that antibiotics and other medications can’t unblock the appendix without causing any internal damage and for this reason the most reasonable form of treatment for appendicitis is surgical intervention.

If the presence of the illness is discovered in time, appendectomy is the safest option available today in the treatment for appendicitis.


Uninsured Children Exposed To Appendicitis Complications

Statistics show that in case of the 70 000 uninsured children in the U.S. affected by appendicitis every year the situation can aggravate because of the delay of diagnosis and surgery; appendix rupture can be the consequence of that.

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Dr. Kurt D. Newman, a paediatrician and surgeon at Children’s National Medical Center in Washington, D.C.

thinks that a new look should be taken in children evaluation regarding conditions generally and abdominal pain in particular. He considers absolutely necessary to take these children into the system and insure them proper care.

These opinions were published in the Oct. 27 issue of the Journal of the American Medical Association together with his and his team research results.

The tubular structure attached to the colon which has no particular role can inflame, what makes appendectomy necessary in most of the cases.

The infection produced by its rupture extents inside the abdomen, and the toxic substance spreads, unless it is discovered and dealt with in time.

This situation can even be lethal, and, in the easiest cases, as Dr. Newman says “Then you’re dealing with five to 10 days of hospital care, with lots of expense and complications down the line”.

One of the main purposes of the doctor and his team was research in the national centers of pediatry in order to determine whether all children with appendicitis were properly cured and attended.

24400 surgical interventions performed on kids at schooler age from 1997 to 2002 in 36 important U.S. children hospitals were studied.

The result proved Newman to be right: the chances for appendicitis to be discovered and treated in time were a lot higher in case of white or privately insured children than in minorities or those who don’t have medical insurance.

Asian and black American kids were 66%, respectively 18% more exposed to appendix rupture than white children.

In absence of clear reasons for racial discrimination, the doctor invokes the differences of language and culture together with differences in health care coverage.

It is 36% more probable for uninsured children to suffer appendix bursts, and 48% in case of these insured by Medicaid, compared to children with private medical insurance.

Doctor Newman also supposes that families that don’t have private insurance often bring their children with appendicitis too late to the hospital, having a tendency to take appendicitis symptoms for routine stomach aches.



 

Some unsophisticated clinics are, in Newman’s opinion, in no condition to perform accurate tests and analysis, so that a proper diagnosis is impossible to give.

Even ignoring the motivation for this kind of situation, the doctor gives some criteria for the population to suspect appendicitis,

and not to take a simple stomach problem for it: “If it’s a tummy-ache that seems out of proportion to the usual, if it’s persisting, if it’s localized to the lower right side of the abdomen, or is associated with nausea and vomiting — those are all real warning signs that the child should be evaluated”.

He also suggests that both doctors and the category of people predisposed (or which have predisposed children) to appendicitis need to receive more information and education regarding this problem.

He even gives the possible solution of visits paid by specialists at the predisposed people’s homes, to describe them the disease and its complications.

Health-care coverage remains another part of the solution, however.

For many children, lack of insurance may be “impacting their ability to get either diagnosed, or to get the care they need,” Newman said, and Child Welfare League of America, represented by their spokeswoman, Joyce Johnson, shared his point of view.

She underlines the necessity for all children, not only for the insured one, to receive proper medical care whenever they need it.

The parents, according to her, should be aware of the fact that there are programs that can give them access to highly professional medical assistance.

Same as Doctor Newman, she thinks education and a good information policy of the states to be decisive factors in the achievement of a solution. The programs exist, they can provide support, and the population must be aware of it.


The Challenge in Diagnosing Chronic Appendicitis

Chronic appendicitis usually refers to a milder form of the illness. Chronic appendicitis is very rare and its symptoms are less pronounced, in some cases even undetectable.

treatment Appendicitis to Kids today
treatment Appendicitis to Kids today

Judging by its gravity and rate of development, appendicitis can be either chronic or acute. Acute appendicitis is very common and it is characterized through intense symptoms and fast rate of progression.

Chronic appendicitis has a very low incidence in people and it is characterized through milder, almost unperceivable symptoms and a slow rate of progression. The general symptoms of appendicitis have an unspecific character.

While acute appendicitis is considered to be difficult to detect, chronic appendicitis is almost impossible to detect relying only on the patients’ reports of symptoms.

For instance, while patients with acute appendicitis experience abdominal pain, high fever and nausea, people with chronic appendicitis may only experience a generalized state of fatigue and illness.

The only effective means of diagnosing chronic appendicitis are blood analysis, endoscopy and abdominal computerized tomography.

Appendicitis in general refers to obstruction of the vermiform appendix and internal bacterial infection. The appendix is a tubular extension of the large intestine and its function is thought to be related with the process of digestion.

When the appendix is blocked by calculus and feces or it is squeezed by the lymph nodes (due to bacterial infection, the lymph nodes usually become swollen and press against the appendix),

it swells and usually doesn’t receive enough blood. Bacteria grow inside the appendix, eventually causing its death.

Acute appendicitis involves complete obstruction and fast deterioration of the appendix. Chronic appendicitis, however, involves a partial blockage of the appendix and a less serious form of bacterial infection.

The symptoms of chronic appendicitis are milder and have a recidivating character. Chronic appendicitis evolves slowly and it may take months until the illness is finally discovered.

Although it takes a long time to progress, chronic appendicitis is considered to be a serious form of appendicitis.

Due to fact that it can be detected after long periods of time, the bacterial infection may slowly spread to the internal organs. Considering the fact that chronic appendicitis is not manifested through pain, nausea or fever, the infection might progress undetected.

Therefore, both acute and chronic appendicitis can lead to serious complications. Patients suspected of having either acute or chronic appendicitis need to go through detailed physical examinations and laboratory tests in order to find out their actual diagnose.



 

If left untreated, both forms of appendicitis are considered to be life-threatening and in many cases special measures are required in revealing the presence of the illness.

Considering the fact that chronic appendicitis has no specific symptoms, its presence is very difficult to detect. However, its treatment doesn’t necessarily involve surgery, as in the case of acute appendicitis.

If it is discovered in time, chronic appendicitis can be overcome with antibiotics. However, chronic appendicitis has a recidivating character and therefore ongoing treatment is required.


 

Physical examination for appendicitis,Appendix,Complication of appendicitis,Acute appendicitis,Health education for appendicitis,Medication of appendicitis,

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