What are the symptoms of appendicitis in pregnancy?

summary

Appendicitis in pregnancy is a common surgical disease in pregnancy, which is a common and serious complication. Due to the enlargement of uterus, the position of appendix and omentum changes, and the clinical manifestations are not typical. If the doctor does not have rich clinical experience, it is easy to cause misdiagnosis and delay treatment, the appendix is easy to perforation, the inflammation is not easy to be limited, and it is easy to develop into diffuse peritonitis, sepsis or even septic shock, fetal death, abortion or premature birth. What are the symptoms of appendicitis in pregnancy? Let's talk about it

What are the symptoms of appendicitis in pregnancy?

Metastatic right lower abdominal pain: typical acute appendicitis, abdominal pain begins in the upper abdomen or around the navel, patients can not accurately identify the exact location of pain. After several hours or more than ten hours, abdominal pain transferred to the right lower abdomen, and the pain was persistent. About 70-80% of the patients have the above-mentioned history of abdominal pain.

There is a significant tenderness point: after the attack of appendicitis, there is an obvious tenderness point in the right lower abdomen, which is also the most important feature of appendicitis. Gastrointestinal symptoms: got acute appendicitis, generally accompanied by nausea, vomiting, loss of appetite, diarrhea or constipation and other symptoms.

During the examination, the tenderness point increased, and the most severe tenderness could even reach the right subcostal liver area. Because the pregnant uterus props up the abdominal wall peritoneum, and the appendix is deep in the abdominal cavity, it is covered by the enlarged pregnant uterus, which makes the signs of localized peritonitis atypical.

matters needing attention

Diet conditioning (1) regular diet, do not overeat, otherwise it will lead to changes in normal intestinal peristalsis, dysfunction（ 2) Avoid raw, hard and other difficult to digest food, avoid aggravating the burden of the intestinal tract, resulting in indigestion, gastrointestinal dysfunction（ 3) Chew and swallow slowly to reduce the food residue entering the cecum.