Appendicitis history and symptoms: Difference between revisions

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Revision as of 20:16, 16 November 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Patients with appendicitis commonly present with pain near the navel that eventually localizes to the right iliac fossa, loss of appetite, fever, nausea, and vomiting.

History

Asking specific questions about symptoms and health history will help rule out other conditions. The onset, location, severity of pain and knowing when other symptoms appeared relative to the pain is helpful. Questions about other medical conditions, previous illnesses and surgeries, and use of medications, alcohol, or illegal drugs are also included.

Symptoms

Common symptoms resulting from appendicitis include:^[1]

Abdominal/stomach pain that usually starts in the nave and moves to the lower right side of the abdomen.
- It starts centrally (in the periumbilical region) before localizing to the right iliac fossa (the lower right side of the abdomen). This is due to the poor localizing (spatial) property of visceral nerves from the mid-gut, followed by the involvement of somatic nerves (parietal peritoneum) as the inflammation progresses.
Loss of appetite
- Gets worse when moving around, taking deep breaths, coughing, or sneezing
Low fever
Nausea and vomiting
Constipation or diarrhea
Inability to pass gas

References

↑ "www.facs.org". Retrieved November 16, 2015.

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[urlwww.facs.org-1] "www.facs.org". Retrieved November 16, 2015.

[1]

@@ Line 10: / Line 10: @@
 ==Symptoms==
-===Common Symptoms===
+Common symptoms resulting from appendicitis include:<ref name="urlwww.facs.org">{{cite web |url=https://www.facs.org/~/media/files/education/patient%20ed/app.ashx |title=www.facs.org |format= |work= |accessdate=November 16, 2015}}</ref>
-Symptoms of acute appendicitis can be classified into two types: typical and atypical (Hobler, K., 1998).
+* Abdominal/stomach pain that usually starts in the [[nave]] and moves to the lower right side of the [[abdomen]].
+** It starts centrally (in the periumbilical region) before localizing to the [[right iliac fossa]] (the lower right side of the abdomen). This is due to the poor localizing (spatial) property of visceral nerves from the mid-gut, followed by the involvement of somatic nerves (parietal [[peritoneum]]) as the [[inflammation]] progresses.
-====Typical Symptoms====
-Typical symptoms may include:
-* Abdominal [[pain]] which:
-** Starts centrally (in the periumbilical region) before localizing to the [[right iliac fossa]] (the lower right side of the abdomen). This is due to the poor localizing (spatial) property of visceral nerves from the mid-gut, followed by the involvement of somatic nerves (parietal [[peritoneum]]) as the [[inflammation]] progresses.
-** Occurs suddenly, often causing a person to wake up at night
-** Occurs before other symptoms
-** Begins near the belly button and then moves lower and to the right
-** Is new and unlike any pain felt before
-** Gets worse in a matter of hours
-** Gets worse when moving around, taking deep breaths, [[coughing]], or [[sneezing]]
 * Loss of appetite
-* [[Fever]] may occur
+**Gets worse when moving around, taking deep breaths, [[coughing]], or [[sneezing]]
-* [[Nausea]] may occur
+*Low [[fever]]
-* [[Vomiting]] may occur
+*[[Nausea]] and [[vomiting]]
-* [[Constipation]] or [[diarrhea]]
+*[[Constipation]] or [[diarrhea]]
-* Inability to pass gas
+*Inability to pass gas
-* The feeling that passing stool will relieve discomfort
-With the typical presentation of appendicitis the diagnosis of the disease is easier to make, surgery occurs earlier and findings are often less severe (Hobler, K., 1998).
-===Less Common Symptoms===
-Appendicitis presenting with atypical symptoms is more difficult to diagnose than with typical symptoms. [[CT]] scans and [[ultrasound]] is more useful in the diagnosis of the disease when these atypical symptoms present. Surgical findings ([[suppuration]], [[abscess]], [[perforation]], etc.) are more apt to be severe in cases presenting with these symptoms (Hobler,K., 1998).
-====Atypical Symptoms====
-Atypical symptoms may include:
-* Pain beginning and staying in the [[right iliac fossa]]
-* [[Diarrhea]]
-* A more prolonged, smoldering course.
-* Increased frequency of [[urination]]
-* This occurs when the inflamed [[appendix]] lies in contact with the [[bladder]].
-* With a post-ileal [[appendix]], marked [[retching]] may occur
-* During the third trimester of pregnancy where the location of the appendix migrates a few centimeters cephalad with the enlarging uterus, the pain may localize to the mid or even the upper right side of the abdomen<ref name="Pates-2009">{{Cite journal  | last1 = Pates | first1 = JA. | last2 = Avendanio | first2 = TC. | last3 = Avendiano | first3 = TC. | last4 = Zaretsky | first4 = MV. | last5 = McIntire | first5 = DD. | last6 = Twickler | first6 = DM. | title = The appendix in pregnancy: confirming historical observations with a contemporary modality. | journal = Obstet Gynecol | volume = 114 | issue = 4 | pages = 805-8 | month = Oct | year = 2009 | doi = 10.1097/AOG.0b013e3181b6f6cc | PMID = 19888038 }}</ref>.
 ==References==