How to medicate for acute appendicitis

Written by Ren Zheng Xin
Gastroenterology
Updated on September 02, 2024
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Acute appendicitis is commonly treated surgically in clinical settings. Medication for acute appendicitis should be used with caution according to indications; if the appendix is not purulent, it is appropriate to use anti-inflammatory drugs to control the infection and choose sensitive antibiotics, such as quinolones. If the appendix becomes purulent or perforates, timely surgical treatment should be administered to prevent further exacerbation of appendicitis. Before and after the surgery, it is important to monitor whether the patient's symptoms and signs have significantly worsened.

(Medications should be taken under the guidance of a physician and based on actual conditions)

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Written by Ren Zheng Xin
Gastroenterology
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Typical symptoms of acute appendicitis

The typical symptoms of acute appendicitis include abdominal pain, which starts in the upper abdomen or around the navel and, after several hours, shifts and localizes to the lower right abdomen. Additionally, reflexive gastric spasms may cause nausea and vomiting. Due to the inflammation, the body may develop a fever, generally not exceeding 38 degrees Celsius. If the inflammation affects the parietal peritoneum, it can cause tenderness, rebound pain, and abdominal muscle rigidity. These are the typical symptoms, and a preliminary diagnosis can usually be made based on them. Most cases require an appendectomy.

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Written by Ren Zheng Xin
Gastroenterology
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Anesthesia methods for acute appendicitis

The anesthesia method for acute appendicitis is related to the type of surgical treatment. If laparoscopic appendectomy is chosen, general anesthesia is usually required. If a traditional McBurney point incision is used for appendectomy, spinal anesthesia is primarily chosen. Additionally, after anesthesia, gastrointestinal function will be somewhat restricted. Until there is no gas or bowel movement from the rectum, patients should not eat after surgery. Only when the rectum starts to pass gas, indicating that gastrointestinal function is beginning to recover, can the patient begin to consume soft foods.

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Written by Ren Zheng Xin
Gastroenterology
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The cause of acute appendicitis

The etiology of acute appendicitis is directly related to obstruction and infection of the appendiceal lumen. The appendix, a narrow and elongated tube connected to the cecum, can develop increased luminal pressure due to obstruction, leading to disturbances in the blood supply to the appendiceal wall. This can easily cause damage to the mucosa and subsequent infection. Infection of the appendiceal lumen can directly cause acute appendicitis. Additionally, gastrointestinal dysfunction can also cause muscle and vascular spasms in the appendix leading to blood supply disturbances and the invasion of bacteria, resulting in acute inflammation. For acute appendicitis, surgical treatment should be administered immediately upon diagnosis.

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Written by Ren Zheng Xin
Gastroenterology
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Causes of Acute Appendicitis

The main causes of acute appendicitis are obstruction of the appendiceal lumen and concurrent infection. The appendiceal lumen is a narrow tube that communicates with the cecum at one end. Obstruction, such as a fecalith, can lead to increased pressure inside the lumen, disturbances in blood flow, damage to the mucosa, and secondary infection. It can also be caused by direct bacterial infection within the appendiceal lumen, leading to acute inflammation. Additionally, repeated diarrhea or constipation and other gastrointestinal dysfunctions can also cause circulation disturbances in the appendix, leading to bacterial invasion and acute inflammation.

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Written by Ren Zheng Xin
Gastroenterology
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Acute appendicitis nursing care

The nursing care for acute appendicitis includes preoperative care and postoperative care. Before surgery and on the day of surgery, fasting is required; the patient should not eat anything. At the same time, it is important to soothe the patient's emotions. If the pain is very severe, sedative analgesics can be used. After the surgery, dietary care should be intensified. On the first day after the surgery, a liquid diet should be administered. After bowel gas is passed, a normal diet can be resumed on the third to fourth day. It is important to monitor vital signs and the condition of the surgical incision to prevent infection. The patient can engage in activities out of bed 24 hours after surgery. Elderly patients should be assisted in expectoration to prevent dependent pneumonia.