Acute appendicitis is still the commonest abdominal surgical emergency with a lifetime incidence of 7%. Appendicitis is known to be the disease of the younger age groups with only 5-10% of cases occurring in the elderly population.
Acute appendicitis is the most common surgical disease, with an incidence of about 100 per 100,000. The life-time risk of developing appendicitis is 8.6% for males and 6.7% for females [1, 2], with 90% found in children and young adults and 10% in patients over 60 years old [3, 4].
Chronic appendicitis vs. Chronic appendicitis can have milder symptoms that last for a long time, and that disappear and reappear. It can go undiagnosed for several weeks, months, or years. Acute appendicitis has more severe symptoms that appear suddenly within 24 to 48 hours .
Symptoms of appendicitis abdominal pain . low fever. nausea . vomiting . loss of appetite . constipation. diarrhea. difficulty passing gas.
Diagnostic tests to help confirm appendicitis or other conditions may include: Taking vital signs, such as body temperature and blood pressure. Physical exam, such as checking for rebound tenderness, the pain felt after the doctor presses down on the lower right quadrant of your abdomen.
A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis . The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture.
WHILE ACUTE appendicitis is primarily a disease of the younger population, with only 5% to 10% of cases occurring in elderly persons, the incidence of appendicitis in older patients seems to be increasing with an increase in life expectancy.
A small number of people may experience chronic (long-term) appendicitis – sometimes called a ‘ grumbling appendix ‘ or ‘rumbling appendix ‘. These people have abdominal pain that settles down on its own, only to return at a later date.
Appendicitis is most common in teens and young adults in their early 20s. However, children younger than 4 years are at the highest risk for a rupture.
Gas. You can become gassy from eating too much fruit, beans, and other gas-producing foods, and that’s normal. However, the combination of gas with bowel irregularity and indigestion could be a sign that something is amiss with your appendix, says Dr. McFadden.
Other early symptoms of appendicitis can include: Loss of appetite. Nausea/vomiting. Feeling bloated, constipated or having diarrhea.
Abdominal pain accompanied by additional serious symptoms Severe pain with a fever above 102°F. Abdominal pain accompanied by the passing of bloody or black stool or the vomiting of blood. Chest tightness and/or shortness of breath. Concentrated, sudden, and severe abdominal pain accompanied by the loss of
Appendicitis typically starts with a pain in the middle of your tummy (abdomen) that may come and go. Within hours, the pain travels to your lower right-hand side, where the appendix is usually located, and becomes constant and severe. Pressing on this area, coughing or walking may make the pain worse.
Without surgery or antibiotics (as might occur in a person in a remote location without access to modern medical care), more than 50% of people with appendicitis die. For a ruptured appendix , the prognosis is more serious. Decades ago, a rupture was often fatal.
The appendix sits at the junction of the small intestine and large intestine. It’s a thin tube about four inches long. Normally, the appendix sits in the lower right abdomen.