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Wednesday, 4 March 2015

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Appendicitis Causes, Symptoms and Treatment

Appendix is nothing but a small tube shaped, pouch attached to the large intestine at its end in the lower right side of our abdomen. The exact function of the appendix is still a mystery but however, it is believed that it helps the body to recover from various infections, inflammation, and diarrhoea. Well, it might sound like it plays a very essential role in the proper functioning of our immune system but these functions are however done effectively by other organs of a body once the appendix is removed.

Some theories also suggest that it used to play a crucial role in our body during Stone Age time when most of the food was partially raw and not cooked properly so as per those theories it is believed that the appendix was pretty active and played its role in digestion. 

Well, the role of the appendix in our body could be a mystery at present but the problem which our body might face because it is not. One of the most common problems caused by it is appendicitis. It is the stage in which the bacteria of the appendix multiply rapidly because of which the appendix gets swollen and becomes infected.

It gives a tremendous amount of pain to the person suffering from it. The risk of bursting of the appendix is also there due to the multiplication of bacteria which may turn the situation from bad to worst. 

In this article, I will discuss what are the causes of appendicitis, symptoms of appendicitis along with its effective treatment.   

Food which causes appendicitis

How appendicitis is caused to our body was already explained in the introduction now here I will tell about some food which causes it to happen.

Instant meat- it is nothing but the packed meat available in the market and is nowadays very common and sold on a large scale, especially in Japan. Actually, the preservatives and flavoring used for such kind of food causes the appendicitis

Injected poultry meat- appendicitis due to bird meat can take place if the physical changes in the body of a bird take place at a much faster rate as compared to their age. This change does not take place naturally and this change is brought through vaccination. If a bird is consumed within a very short time after the vaccine is injected to it then there is a chance that appendicitis may occur.

Directly burned food- the food which is burned on the charcoal directly is also very dangerous for our health as not only appendicitis but various problems associated with large might take place due to sticking of charcoal on the food.

Food containing high MSG-  the MSG(monosodium glutamate) is a carcinogenic substance which means its consumption for a long time might not only result in appendicitis but also something much dangerous than it. Recently one of the biggest brands of instant noodles (you already know about which brand I am talking) in India was banned due to the presence of it so I think you might have already guessed exactly which food contains MSG, yes I am talking about instant noodles. They are considered to be one of the most prime foods for causing appendicitis.

Spicy food- eating the food which contains the concentration of spice too high in it for the long run might also lead to appendicitis. 

Appendicitis symptoms and test

The three basic method or signs (more common term) employed by the doctor to detect the appendicitis is:-

Rovsing’s sign- Palpating in lower left quadrant causes pain in the lower right quadrant.

Obturator sign- Internal rotation of hip causes pain.

Illiopsoas sign- Extending right hip causes the pain along the posterolateral back and hip.

There are actually around 20 signs which indicate the doctor that the patient could be suffering from appendicitis out of which few of the common symptoms are as follows:-  

  • Pain in the abdominal area. (most common)
  • Constipation
  • Diarrhea
  • Fever
  • Migration of pain to the right lower quadrant.
  • Nausea
  • Vomiting
  • Abdominal tenderness. (most common)
  • Right lower quadrant tenderness(most common)


 Appendectomy is defined as the surgical procedure of removing the appendix from the body. This process is performed when the patient is suffering from appendicitis. Appendicitis can sometimes become life-threatening or can admit any individual in the hospital for a very long time if it does not get treated properly at the right time. Appendectomy is basically performed during the time when an emergency situation arises for the patients.

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Appendectomy is mainly of two types of open appendectomy and laparoscopic appendectomy. Which type of appendectomy is to be performed is dependent on numerous factors. Similar to any surgery performed on the patient both this method also do have some risks on the patient  

Open appendectomy- In this process, the incision in the lower right side of the abdominal cavity is made by the surgeon in order to remove the appendix, if the appendix of the patient is already ruptured then along with it removal its cleaning is also necessary which can be done effectively by employing this method only. Cleaning is necessary as the rupturing of the appendix releases unhealthy and harmful bacteria. Finally at the end wound is stitched again. 

This method is preferred when:- 

The appendix is already ruptured and cleaning of the abdominal area is necessary in order to remove the harmful bacteria.

The visibility is too poor to carry laparoscopic appendectomy.

The patient already had one abdominal surgery in the past.

The risk associated with this method are:-


Formation of dense scars on the tissue (especially if one abdominal surgery was already done in the past). 

Post-operative adhesion.

Bleeding problem.

Laparoscopic appendectomy- In this method, three small incisions of size less than about half an inch is made in order to insert a small narrow tube called cannula inside the abdominal cavity. The cannula fills the abdomen with carbon dioxide gas due to which our abdomen stretches. This process is similar to filling the balloon with air. This gas improves the visibility of a surgeon which is necessary for carrying out the surgery.

After this, the next step involves the insertion of equipment which plays the most important role in carrying out the surgery. It consists of a long, thin, cylindrical tube-like structure. One high resolution camera is placed in front along with the high intensity light beam which helps the surgeon to have a clear view of abdomen interior on a display screen and helps in guiding the instrument to appendix by following all the above mentioned procedures and techniques the appendix is removed through this process once it is found out by the surgeon.

This method is most advisable as it can remove any unruptured appendix or can help to work out effectively for those patients who are not at very high risk of rupturing of the appendix which may occur while the performance of this surgery. The effectiveness of this method is mainly dependent on the visibility achieved by the surgeon which becomes poor when the appendix is ruptured and then employing this method for such cases becomes difficult. 

This method is preferred for non-ruptured appendix because:-

  • It offers quick recovery.
  • Stay time in the hospital becomes short.
  • Postoperative pain is comparatively less.
  • Most suitable for aged people.  
  • The risk associated with this method are:-
  • Leakage might occur at the edge of colon 
  • Injury to adjacent organs like uterus, small intestine might take place.   

Note:  the above two risks are present in the case of open appendectomy also. 

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