Appendicitis

Homeopathic_doctor_chandigarh_Appendix Inflammation of the appendix is called appendicitis.

Appendix is attached at the beginning of the large intestine. It is a vestigial pouch.
Bacteria enters the appendix and infects its wall hence causing inflammation called appendicitis.

It is represented with abdominal pain with tenderness, nausea and vomiting and fever.

Basics:
Appendix is a thin tube.Its length is 4 inches.It is present at the junction of small and large intestine.

The lumen of the appendix inflames and obstructs resulting in increased pressure. Intestinal bacteria multiply in the appendix.White blood cells invade and attack bacteria and forms pus as a result intraluminal pressure increases.Appendix can be removed without any problem to digestive system.

Blockage of opening of appendix is considered to be the cause of apendicitis. Blockage occurs either because of thick mucus or from stool that enters the appendix through cecum.These contents becomes hard and blocks the opening.After the blockage bacteria invade and infect the walls of appendix.

The inflammation and infection can spread causing the appendix to rupture.
Mortality of Appendicitis

My young and very old patient have high mortality rate. Early diagnosis and treatment has low mortality rate.

Age/Sex prevalence of Appendicitis

It is common in middle age group people.

Classification of Appendicitis

• Acute appendicitis: It appears suddenly, causing severe pain. Mostly surgical treatment is needed in acute cases.
• Chronic appendicitis: It is a long standing inflammation of the appendix.
• Recurring appendicitis: As the name indicates, the appendix get inflamed and infected again and again.

Causes of Appendicitis

• Food waste or a hard piece of stool can block the opening of appendix.
• Infection in the appendix.

Appendicitis Signs and Symptoms

• Aching pain that begins around navel and often shifts to your lower right abdomen.
• Rebound tenderness.
• Pain becomes worse on slightest motion.
• Nausea.
• Vomiting.
• Loss of appetite.
• Low-grade fever.
• Constipation.
• Inability to pass gas.
• Diarrhea.
• Abdominal swelling.

Differential diagnosis of Appendicitis

• Cholecystitis
• Abdominal Abscess
• Diverticular Disease
• Gastroenteritis
• Crohn Disease

• Endometriosis

• Mesenteric Ischemia
• Kidney stone

• Omental Torsion
• Mesenteric Lymphadenitis
• Pelvic Inflammatory Disease
• Inflammatory Bowel Disease
• Ovarian Cysts
• Ovarian Torsion

Investigations of Appendicitis

Examinations to diagnose appendicitis and to rule out other conditions of pain in abdomen, following tests are done:
• Physical exam to assess your pain.
• Blood test. High WBC count indicates infection.
• Urinalysis to differentiate between appendicitis and kidney stone that can cause same type of pain.
• X- ray abdomen
• CT scan.
• Ultrasound.

Treatment of Appendicitis

In emergency conditions of acute appendicitis surgery is done to remove appendix. The procedure is called appendectomy.

Diet/management of Appendicitis

Preoperative care:
• Administer IV fluids.
• Monitor vital signs.
• Avoid analgesics as it subside the pain that will make the examination ineffective.
• Avoid hot application over abdomen as it may cause the appendix to rupture.

Post-operative care:
• Pain relief medicines are given.
• Monitor vital signs at an interval of half an hour for two hours.
• Change the wound dressing every 1-2 days.
• Bed rest is not allowed much in order to prevent formation of emboli.

Diet:
Well balanced diet with lots of fiber. Fruits, milk, fruit juices, green vegetables.
Avoid meat, fried food, white sugar, white flour, spices, refines cereals, canned foods, tea, coffer and alcohol.

Prognosis of Appendicitis

If removal of appendix is done before rupture patient recovers early. If removal of appendix is done before rupture patient recovers early. If removal of appendix is done before rupture patient recovers early. If rupture occurs in abdomen recovery is slow or other complications may develop e.g. abscess.

Complications of Appendicitis

• Rupture and/ or peritonitis may also occur, which require repeat operations and generally result in a prolonged recovery
• Fever exceeding 103°F and elevated white blood cell count are more likely in cases of perforation
• Perforation and subsequent abscess formation are more likely if symptoms have been ongoing for more than 48-72 hours.

Homeopathic treatment for Appendicitis

Every branch of science has its own scope and limitations, so does Homeopathy. Although Homeopathy has a lot of very good remedies for curing & controlling auto-immune disorders, male & female disorders, children and elderly people.

In cases of any emergency situation such as poisoning, serious abdominal complaints (such as acute appendicitis and pancreatitis), fractures, injury, and accidents should be first taken to emergency. However a patient can consult his homeopathic physician after recovering from his initial phase. Please note Homeopathy plays no role in treating any nutritional disorders.

The scope of Homeopathy is limited; it is the sole responsibility of the physician to decide upon the cure – by looking into the complete nature of the disease, onset and stage of the disease and then act accordingly.

Belladonna:
• Acute appendicitis.
• High fever and throbbing with flushed face.
• Violent delirium with high fever.

Bryonia:
• Throbbing and sharp stitching pains.
• Abdomen is very sensitive to touch.
• Least movement is painful.

Rhus toxicodendron:
• Swelling with pain and restlessness.
• Twisting pains with gas formation.

Arsenic
• Indicated in septic conditions.
• Chills, diarrhea and restlessness.
• Abdomen is sensitive to touch.

Merc cor
• Bloated abdomen.
• Least touch causes pain.

Arnica
• Indicated in septic cases.
• It is given after operation.
• Distended abdomen.
• Bruised feeling.

Plumbum
• Swelling in the ileo-caecal region.
• Least touch and movement is painful.
• Retracted abdominal wall.
• Eructations and vomiting have fecal odor.

Ignatia
• Indicated after operation when there is no relief.
• It is prescribed in patients who become nervous from any abdominal pain.

Colocynth
• Pain in the abdomen makes the patient to bend double.
• Sensation as if stones are in the abdomen and it would burst.
• Associated cramps in calves.
• Pain is felt below the navel.