Appendicitis in women is more common than in men, and it does not matter how old a woman is, appendicitis can occur in a 20-year-old girl and a 60-year-old woman.
All is explained by the fact that appendicitis is an inflammatory process of the appendix of the large intestine, which can be caused by inflammation in neighboring organs located in the abdomen. Women in the abdominal cavity have more organs than men, which explains their greater susceptibility to this disease.
Therefore, it is necessary to know how the symptoms of appendicitis in women manifest themselves, and what are the first signs worth paying attention to. This knowledge will help in time to seek help from specialists, which in turn will avoid complications.
Causes of inflammation of the appendix
The causes of appendicitis development can be:
- process spasm or disturbance of its normal blood supply at an atypical location - often provokes appendicitis in pregnant women;
- activation of the microflora of the large intestine;
- inflammation of lymphoid tissue in the appendix;
- overlap of the intestine with stony stones.
For the patient it does not matter, this particular reason provoked the inflammation of the appendix - the only effective method of treating the disease is immediate surgical treatment.
First signs of
All the symptoms of appendicitis in women can not be listed. In many respects it depends on the age of the patient and on where the appendicitis is located, or rather - the appendix.
The most common signs of appendicitis in women are:
- abdominal pain;
- temperature increase;
- vomiting attack;
- loss of appetite;
- disorder of stool;
- general weakness.
Sometimes inflammation occurs in a chronic form. In such cases, the symptoms of the disease are similar to the above symptoms, but they are much weaker.
Symptoms of appendicitis in women
In women, the symptoms of appendicitis are manifested primarily by sharp abdominal pain. The classic pathogenesis of the disease manifests itself consistently developing symptoms: pain, nausea, vomiting, fever, dyspepsia.
Details of each symptom in the onset of appendicitis:
- Soreness .At the onset of inflammation, pains are pressing, drawing( that is, not sharp), localization - not necessarily on the right side. They can give to the left side, in the rib area, to concentrate around the navel. In pregnant women, discomfort occurs more often at the top of the abdomen, under the ribs. Over time, pains spread throughout the abdomen, then focus in the appendix area, may be permanent or seizures, cramping. The peculiarity of "appendicitis" pain - with tension, laughter, coughing, they increase.
- Nausea and vomiting is a typical manifestation of an inflammation of the appendix. An adult woman usually has vomiting once, a child has several. This may be flatulence, diarrhea( diarrhea), frequent painful urination. It is these symptoms that distinguish the inflammation of the appendix from other inflammations that are possible with similar pains( for example, inflammation of the kidneys).
- Fever .A frequent companion of appendicitis is an increase in body temperature. Usually, it does not rise above the febrile fever( 37.0-38.00C).
- Dyspepsia .Acceleration of intoxication is accompanied by a disorder of defecation - dyspepsia in the form of constipation, more often, diarrhea. Dyspepsia occurs against a background of frequent urination, the result of the involvement of the bladder in pathogenesis. The color of urine is intense, dark.
The first symptoms of acute appendicitis in women, as a rule, occur against the background of a normal state of health, without any precursors, more often - closer to the evening or at night.
Symptom Zhendrinsky
When you touch the point below the navel in women with appendicitis in prone position, pain can occur - this indicates that the organs of childbirth participate in the inflammation. After getting up, the pain intensifies.
Symptom of Shtetkin Bloomberg
Women may have a symptom of appendicitis in the form of pain after palpation - this is a clear evidence of inflammation of the peritoneum.
Symptom Promptova
This symptom is found when examining the vagina - in the presence of pain during the examination of the cervix, there may be pain, which indicates the inflammation of the appendages.
Similar symptoms of
Symptoms of appendicitis in adult women can be confused with:
- inflammatory processes of the genital organs, for example, adnexitis;
- with stomach ulcer;
- pancreatitis;
- cholecystitis;
- pyelonephritis, etc.
Therefore, to exclude the possibility of incorrect diagnosis of the disease, the doctor can ask clarifying questions.
Chronic appendicitis in women
The most common symptoms of chronic appendicitis are:
- mild tenderness of a permanent or paroxysmal nature on the right side of the abdomen.
- sometimes pain can irradiate in the lower back, groin or right thigh - it depends on the location of the appendix in the peritoneum of each person.
- constants of stool disorder in the form of constipation or diarrhea.
- during exacerbations there is nausea and vomiting.
The main signs of chronic appendicitis in women are characters for a large number of gastrointestinal diseases. The doctor has to differentiate this disease with cholecystitis, kidney stone and peptic ulcer, chronic diseases of the uterine appendages.
Removal of appendicitis
Depending on the clinical situation, the operation is carried out urgently or according to plan.
- Scheduled operation .In case of contraindications for emergency intervention, the operation is performed after the elimination of the threats. The timing of the planned operation is determined based on the timing of the palliative( threat-eliminating) treatment and recovery.
- Emergency intervention .Indication is the acute stage or exacerbation of chronic inflammation. The operation is carried out 2-4 hours after admission to the hospital. The emergency is caused by the rapid development of dangerous consequences( peritonitis, perforation of the shoots, pus flow into the abdomen).
The average stay of a patient after an appendicitis removal surgery in a hospital is 10 days. If necessary, in the additional observation or treatment this term may be extended upon the recommendation of the attending physician.