Chronic appendicitis: symptoms in women, diagnosis, treatment

Chronic appendicitis is diagnosed primarily in the female sex and is a very rare pathology. The disease develops with the arrest of acute appendicitis by any means, except appendectomy. People with this diagnosis are at risk and should be constantly under the care of a doctor.

Causes of chronic appendicitis

Appendix is a disease that is an inflammation in the walls of the appendix of the appendix of the cecum. According to statistics in women, this pathology develops much more often than in men. Two forms of appendicitis are known:

1. Primary-chronic process - a slow inflammation of the process, which does not cause acute manifestations. The diagnosis is made when there are no experimentally or instrumentally confirmed diseases, in the symptomatology of which there are pains in the right abdominal region.
2. Secondary-chronic process - occurs with a recurrent acute course of appendicitis. The main cause of this pathology is improperly rendered assistance, in which scars appear in the tissues of the appendage and stagnant phenomena develop. In a secondary chronic process, people throughout the whole life suffer from periodic pain.

Chronic appendicitis, the signs of which often recur, it is better to remove in advance. Adverse factors that affect the body can cause exacerbations, which lead to the development of acute appendicitis, which requires surgical intervention.

Symptomatology of pathology

Many digestive and genitourinary diseases have the same manifestations as chronic appendicitis. Symptoms in women can be mild and do not cause increased attention. The main signs of appendicitis:

• Severity and pulling pain in the right side - after overeating, eating fatty foods and physical exertion, the pain is greatly increased;
• Digestive processes are disrupted - a person is constantly accompanied by bloating, nausea, vomiting, constipation or diarrhea;
• There are pain in the bladder, ureter, lumbar region, in women, pain can spread in the ovaries and vagina, and in men the discomfort appears in the rectum area;
• Urination becomes more frequent and painful;
• Develops hyperthermia - in the evening, the body temperature rises to 37.5-38 degrees.

With any manifestations of discomfort in the right iliac region and the appearance of intestinal disorders, it is urgent to seek medical help in order to prevent the development of complications.

Chronic appendicitis: symptoms in women

When the inflammation worsens, the patient feels a pulling or aching pain localized in the umbilical and right ileal region of the abdomen. She can not lie on her left side, there are difficulties with moving. Most often these symptoms become worse at night or in the morning.

When gynecological examination there is severe pain, and it is typical for palpation of the abdomen. Women with disease of the appendages may not recognize the aggravation in a timely manner, which will lead to serious complications.

Features of the anatomical structure of the female body provoke pain in the abdominal area during menstruation and during sexual intercourse. This is due to the close arrangement of the organs of the genitourinary and digestive systems. Therefore, any suspicion of appendicitis should not be left without attention.

Diagnosis of chronic appendicitis

It is rather difficult to detect a chronic course of inflammation of the appendix. Pathology has no pronounced symptoms and can differentiate with many digestive and genitourinary diseases.

After a detailed survey and a primary examination, the patient needs to undergo additional examinations. Acute appendicitis, diagnosed in a timely manner, will not cause serious complications in the patient.

With chronic appendicitis, the doctor can prescribe the following diagnostic measures:

1. X-ray examination of the abdominal cavity - indicates the presence of clogging of the process of the cecum by the calves, which contributes to the development of a chronic inflammatory process. Most often this phenomenon occurs in children.
2. A blood test is necessary to determine the number of leukocytes in the blood, since it is these cells that testify to the development of any inflammatory pathology in the body.
3. Urinalysis - with chronic appendicitis all indicators should be normal. The appearance of red and white blood cells in the urine indicates the presence of infectious pathology and kidney diseases.
4. US appendicitis - allows you to quickly and accurately determine the inflammation or abscess of the appendix. Ultrasound examination allows you to exclude the presence of diseases of the genitourinary system, which have a similar symptomatology with chronic inflammation of the process of the cecum.
5. Computer tomography - excludes all related diseases that have similar symptoms.

To establish the correct diagnosis, it is necessary to conduct a complete examination of the organism and exclude adjacent pathologies. Any suspicion of appendicitis should be confirmed or disproved by a qualified physician.

Methods of treatment of pathology

The main method of treatment is appendectomy, which can be performed using an open method or laparoscopy. The decision on the need to remove the inflamed process takes the doctor based on the results of the examination, the severity of the symptoms and the general condition of the patient.

In some cases, it is possible to refuse removal of the process, when the risks of complication of appendicitis are high. In this case, doctors must provide the necessary conservative treatment (only if the elimination of pathology is possible without surgical intervention).

Conservative therapy includes the use of spasmolytic drugs, physiotherapeutic procedures and drugs that neutralize intestinal disorders.

Laparoscopy of appendicitis

Laparoscopy is a test that is performed by inserting into the intestine a thin tube with a camera at the end. This method allows you to detect any diseases in the intestines. Laparoscopy is a modern method of appendicitis removal.

For the operation in the abdominal wall make three sections. One of them introduces a laparoscope. It enables surgeons to see everything that occurs in the abdominal cavity and to regulate the direction of their actions.

Laparoscopy appendicitis greatly facilitates the postoperative period - the patient in a few hours can get up off the bed. The rehabilitation period proceeds more easily than with open appendectomy, and the scars remain virtually invisible.

Diet in the rehabilitation period and with conservative treatment

As with any pathology, chronic appendicitis requires adherence to a special diet:

• From the daily menu, you should exclude sharp, salty, fried and fatty foods;
• The menu should be divided into 5-6 meals in small portions;
• Black tea and coffee should be excluded and preferred preference for mussel, compote and green tea;
• Sweet soda, preserves, smoked products and seasonings, too, need to be excluded from your menu;
• The diet should be balanced and include all categories of products.

Only observance of all prescriptions of the doctor will allow to minimize unpleasant sensations and a pain at exacerbations of a current of a chronic inflammation of the appendix.

Complications of chronic appendicitis

The most dangerous complication is when chronic appendicitis grows into an acute form . Symptoms in women at the same time exacerbated, there is severe pain, vomiting, body temperature rises.

Perhaps the development of appendicular infiltration - inflammatory altered tissue, tightly welded together. Requires the appointment of painkillers, anti-inflammatory drugs and antibiotics, as well as physiotherapy procedures. After relief of acute symptoms (about 2-4 months), appendectomy is recommended.

Chronic inflammation can cause the appearance of adhesions, which will provoke the passage of pathology into an acute form. Complications of appendicitis, caused by adhesive processes in the appendix, are eliminated by physiotherapy or by surgical intervention.

Chronic appendicitis in pregnancy

Since the gradual growth of the fetus causes displacement of the abdominal cavity organs and puts pressure on the organs of the genitourinary system, the inflammation of the process can acquire a sharp form and be dangerous for the mother and the unborn child. It is very important to carefully monitor your condition if you have a diagnosis such as chronic appendicitis.

Symptoms in women may be similar to many gynecological and urological diseases and require the care and responsibility of physicians in order to differentiate the aggravation in time. To avoid the experiences and dangers associated with inflammation of the appendix, it is recommended to remove it at the planning stage of pregnancy.