Appendicitishappens when your appendix becomes inflamed, likely due to a blockage. It can be acute or chronic.
在美国，阑尾炎是
The appendix is a small pouch attached to the intestine. It’s located in your lower-right abdomen. When your appendix becomes blocked, bacteria can multiply inside it. This can lead to the formation ofpus和肿胀,从而引起痛苦的压力your abdomen. Appendicitis can also block blood flow.
Left untreated, appendicitis can cause your appendix to burst. This can cause bacteria to spill into your abdominal cavity, which can be serious and sometimes fatal.
急性阑尾炎
急性阑尾炎是阑尾炎的严重和突然的情况。它在年龄之间的儿童和年轻人中最常见
It requires immediate medical treatment. If left untreated, it can cause your appendix to rupture. This can be a serious and even fatal complication.
急性阑尾炎比慢性阑尾炎更常见，发生在约7 to 9 percentof all Americans in their lifetime.了解有关这些条件之间的相似性和差异的更多信息。
Chronic appendicitis
Chronic appendicitis is less common than acute appendicitis. It occurs in only about1.5 percentof all people who have already had a case of chronic appendicitis.
In chronic cases of appendicitis, the symptoms may be relatively mild and are thought tousually occurfollowing a case of acute appendicitis. Symptoms may disappear before reappearing again over a period of weeks, months, or even years.
This type of appendicitis can be challenging to diagnose. Sometimes it’s not diagnosed until it develops into acute appendicitis.
Chronic appendicitis can be dangerous.Get the information you need to recognize and treat this condition.
阑尾炎疼痛经常在上腹部或腹部狭窄的温和痉挛开始，然后移动到腹部右下象限。这种痛苦经常：
- begins suddenly
- gets worse when you move or cough
- 是如此强烈，它从睡梦中醒来
- is severe and different from other abdominal pain you’ve experienced
- worsens within a few hours
Other symptoms of appendicitis may include:
不太常见，您可能会遇到肠道问题，包括：
- diarrhea
- constipation
- the desire to make bowel movements
- inability to pass gas
如果你是便秘的，你怀疑你可能有阑尾炎，请避免服用laxativesor using anenema。These treatments may cause yourappendix to burst。
Contact your doctor if you have tenderness in the right side of your abdomen along with any of other symptoms of appendicitis. Appendicitis can quickly become a medical emergency.Get the information you need to recognize this serious condition.
If your child develops symptoms of appendicitis, contact their doctor right away.Learn why it’s so important to get treatment.
在许多情况下，阑尾炎的确切原因是未知的。专家认为，当附录的一部分受阻或阻塞时，它会发展。
Many things can potentially block your appendix, including:
- a buildup of hardened stool
- enlarged lymphoid follicles
- 肠蠕虫
- traumatic injury
- tumors
许多其他条件会导致腹痛。Click here to read about other potential causes of pain in your lower right abdomen.
Appendicitis can affect anyone. But some people may be more likely to develop this condition than others. Risk factors for appendicitis include:
- Age.Appendicitis most often affects
teens and people in their 20s ,但它可以发生在任何年龄。 - Sex.Appendicitis is more common in males than females.
- 家史。People who have afamily history阑尾炎处于提高开发它的风险。
如果你的话，阑尾炎会引起严重的并发症appendix ruptures，这可能导致粪便物质和细菌泄漏到您的腹腔中。破裂的附录可能导致痛苦和潜在的危及生命感染，包括：
为了预防或管理并发症，您的医生可以规定抗生素，手术或其他治疗。在某些情况下，您可能会产生治疗的副作用或并发症。
However, the risks associated with antibiotics and surgery are far less common and usually less serious than the potential complications of untreated appendicitis.
Peritonitis
当附录爆发和细菌泄漏到您的腹腔中时，腹腔或腹膜的衬里可以被感染和发炎。这被称为腹膜炎。它可以be very serious and even fatal.
Symptoms of peritonitis may include:
- fast heartbeat
- high fever
- shortness of breath or rapid breathing
- 严重和连续的腹痛
Treatment includes antibiotics and surgery to remove the appendix.
Abscesses
一个abscessis a painful pocket of pus that forms around a burst appendix. These white blood cells are your body’s way of attempting to fight the infection. The infection must be treated with antibiotics, and the abscess will need to be drained.
Drainage may occur during surgery. Otherwise, the abscess will be drained before surgery using a needle. You’ll be given anesthetics, and your doctor will use an ultrasound or CT scan imaging to guide the procedure.
Sepsis
In rare cases, bacteria from a ruptured abscess may travel through your bloodstream to other parts of your body. This extremely serious condition is known assepsis。Symptoms of sepsis include:
- high or low temperature
- confusion
- severe sleepiness
- shortness of breath
Sepsis is a medical emergency that causes death in1 in 3人们，根据败血症联盟。如果您怀疑您有SEPSIS，请立即拨打911。
如果您的医生怀疑您可能有阑尾炎，他们将与您讨论您的症状和病史。然后，他们将进行体检以检查腹部右侧和肿胀或刚性的右侧部分的温柔。他们也可能做一个digital rectal exam.
根据您的体检结果，您的医生可能会订购一个或多个测试以检查阑尾炎的迹象或排除症状的其他潜在原因。
There’s no single test available to diagnose appendicitis. If your doctor can’t identify any other causes of your symptoms, they may diagnose the cause as appendicitis.
Blood tests
To check for signs of infection, your doctor may order acomplete blood count (CBC)。To conduct this test, they will collect a sample of your blood and send it to a lab for analysis.
Appendicitis is often accompanied by bacterial infection. An infection in your urinary tract or other abdominal organs may also cause symptoms similar to those of appendicitis.
Your doctor may also order aC-reactive protein testto check if there are other causes for abdominal inflammation, such as an autoimmune disorder or other chronic condition.
Urine tests
To rule out aurinary tract infectionorkidney stonesas a potential cause of your symptoms, your doctor may useurinalysis。This is also known as a urine test.
Your doctor will collect a sample of your urine that will be examined in a lab.
Pregnancy test
Ectopic pregnancycan be mistaken for appendicitis. It happens when a fertilized egg implants itself in a fallopian tube, rather than the uterus. This can be a medical emergency.
If your doctor suspects you might have an ectopic pregnancy, they may perform apregnancy test。To conduct this test, they will collect a sample of your urine or blood. They may also use aTransvaginal超声波to learn where the fertilized egg has implanted.
骨盆考试
If you were assigned female at birth, your symptoms might be caused bypelvic inflammatory disease, anovarian cyst, or another condition affecting your reproductive organs.
To examine your reproductive organs, your doctor may perform apelvic exam。
During this exam, they will visually inspect your vagina, vulva, and cervix. They will also manually inspect your uterus and ovaries. They may collect a sample of tissue for testing.
Abdominal imaging tests
To check for inflammation of your appendix, your doctor might order imaging tests of your abdomen. This can help check for signs of inflammation, an abscess, or other problems with your appendix.
它可以also help doctors identify other potential causes of your symptoms, such as:
- abdominal abscess
- fecal impaction
- inflammatory bowel disease
Your doctor may order one or more of the following imaging tests:
In some cases, you might need to stop eating food for a period of time before your test. Your doctor can help you learn how to prepare for it.
Chest imaging tests
肺炎in the lower right lobe of your lungs can also cause symptoms similar to appendicitis.
If your doctor thinks you might have pneumonia, they will likely order a胸部X射线。They may also order an ultrasound or aCT scanto create detailed images of your lungs.
与超声波相比，CT扫描创建了机器人的更详细的图像。然而，从CT扫描中辐射曝光有一些健康风险，因此通常仅在超声波和MRI之后推荐。
CT扫描可以伤害发展胎儿。如果你是生育年龄，你的医生将首先提供妊娠试验。
您的医生推荐的阑尾炎治疗计划很可能涉及antibioticsfollowed by手术删除附录。这被称为阑尾切除术。
Treatment may also include one or more of the following:
- needle drainage or surgery to drain an abscessbefore undergoing surgery, if your abscess has not ruptured
- pain relievers
- IV液体
- liquid diet
In rare cases, mild appendicitis may get better with antibiotics alone. But in most cases, you will need surgery to remove your appendix.
在阑尾切除术期望期待什么
Appendectomy is the surgery used to treat appendicitis. During this procedure, your doctor will remove your appendix. If your appendix has burst, they will also clean out your abdominal cavity.
在某些情况下，您的医生可能会使用腹腔镜检查去表演微创手术。在其他情况下，他们可能必须使用开放式手术来删除附录。
Like any surgery, there are some risks associated with appendectomy. However, the risks of appendectomy are smaller than the risks of untreated appendicitis.Find out more about the potential risks and benefits of this surgery.
Home remedies
Contact your doctor right away if you experience symptoms of appendicitis. It’s a serious condition that requires medical treatment. And it’s not safe to rely on home remedies to treat it.
如果您接受手术以删除附录，您的医生可能会规定抗生素和止痛药，以支持您的康复。除了服用药物的药物外，它还可能有助于：
- 得到很多休息
- drink plenty of fluids
- 每天都要温柔地散步
- 避免剧烈的活动和举重物体，直到你的医生说它是安全的
- keep your surgical incision sites clean and dry
In some cases, your doctor might encourage you to adjust your diet. If you’re feeling nauseous after surgery, it might help to eat bland foods such as toast and plain rice. If you’re constipated, it might help to take afiber supplement。
急性阑尾炎is themost commonnon-obstetric emergency requiring surgery during pregnancy. It affects an estimated0.04 to 0.2 percentof pregnant people.
对妊娠的常规不适误解了阑尾炎的症状。怀孕也可能导致您的阑尾在腹部向上移动，这会影响与阑尾炎相关的疼痛的位置。这可以使诊断更难。
Delayed diagnosis and treatment may increase your risk of complications, includingmiscarriage。
There’s no sure way to prevent appendicitis. But you might be able to lower your risk of developing it by eating a fiber-rich diet. Although more research is needed on the potential role of diet, appendicitis is less common in countries where people eathigh-fiber diets。
Foods that are high in fiber include:
- 水果
- vegetables
- 扁豆，豌豆，豆类和其他豆类
- oatmeal, brown rice, whole wheat, and other whole grains
Your doctor may also encourage you to take afiber supplement。
您的前景和恢复时间对于阑尾炎将取决于多种因素，包括：
- your overall health
- 无论您是患有阑尾炎还是手术的并发症
- the specific type of treatments you receive
如果您有腹腔镜手术来删除附录，您可以在完成手术或第二天后几个小时从医院出院。
If you have open surgery, you will likely need to spend more time in the hospital to recover afterward. Open surgery is more invasive than laparoscopic surgery and typically requires more follow-up care.
在您离开医院之前，您的医疗保健专业人员可以帮助您了解如何关心您的切口网站。它们可以规定抗生素或止痛药，以支持您的恢复过程。他们还可以建议您调整饮食，避免剧烈活动，或在您愈合时对您的日常习惯进行其他改变。
It may take several weeks for you to fully recover from appendicitis and surgery. If you develop complications, your recovery may take longer.Learn about some of the strategies you can use to promote a full recovery.