Chronic appendicitis symptoms?

summary

Chronic appendicitis refers to the chronic inflammatory lesions of the appendix left after the acute inflammation of the appendix subsides, such as the proliferation of fibrous connective tissue on the wall of the appendix, the stenosis or occlusion of the lumen, the distortion of the appendix, and the adhesion with the surrounding tissues. Chronic appendicitis is divided into primary and secondary. The onset of primary chronic appendicitis is insidious, the symptoms develop slowly and intermittently, and the course of disease lasts for several months to several years. There was no typical history of acute attack at the beginning of the disease, and there was no repeated acute attack in the course of the disease. Secondary chronic appendicitis is the first acute appendicitis after the onset of non-surgical treatment or self remission, followed by clinical symptoms, long-term treatment, the course of disease can be repeated or multiple acute attacks. Chronic appendicitis symptoms? Let's talk about it

Chronic appendicitis symptoms?

Right lower abdominal pain is characterized by intermittent dull pain or swelling pain, sometimes heavy and sometimes light, and the location is relatively fixed. Most patients in satiety, exercise, fatigue, cold and long-term standing, induce abdominal pain. There may be acute attack of chronic appendicitis in the course of disease.

Patients often have varying degrees of dyspepsia, loss of appetite. The patients with a longer course of disease may lose weight and weight. Generally no nausea and vomiting, no abdominal distension, but elderly patients can be accompanied by constipation. All kinds of specific tenderness points, such as Maxwell's point, Lambert's point, psoas major sign and Roche's sign, may not appear in the diagnosis of chronic appendicitis.

Tenderness is the only sign, mainly located in the right lower abdomen, generally smaller, constant position, can appear when heavy pressure. No muscle tension and rebound pain, generally no abdominal mass, but sometimes can touch the flatulent cecum.

matters needing attention

Surgical treatment is the only effective method, but the decision of appendectomy should be very careful. After the diagnosis of chronic appendicitis, operation should be performed in principle, especially for patients with acute attack history. Conservative treatment and close observation should be carried out for patients with suspected diagnosis or elderly patients with severe complications.