Although the appendicitis is a very common condition, it can often be difficult to diagnose with certainty, because it can be confused with other diseases or ailments.
All children under 3 years old and adults over 60 have a very high probability of drilling due to delay in diagnosis.
The first symptoms of appendicitis include pain right lower side of gradual onset, malaise, nausea and loss of appetite. If there are any of these three symptoms, it can be assumed that the patient has appendicitis.
When abdominal pain begins around the navel or at the top of the central abdominal – epigastrium – and in the right lower abdomen – pit right – iliac, is the most reliable of all symptoms of appendicitis, since 80% of the cases are presented in this way.
In pregnancy, the pain can be anywhere in the abdomen, because the uterus moves the appendix to its normal position. The pain may be continuous, worse with movement and decreases in bed.
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When the appendix is very inflamed, the pain can be located in the outer third of a line drawn between the navel and the front of the tip of the bone waistline, called the McBurney point.
There is a sign referred to as the Roc sign, which exists when the doctor feels the lower left abdomen, but causes pain in the right. If the hip moves or stretches, it can also cause pain and sit where the appendix is; this is known as the sign of the psoas. The loss of appetite is the most consistent symptom of appendicitis and vomiting begin after pain. If vomiting begins before the pain begins, then the appendix, not be the culprit. There may be diarrhea or constipation, especially in young children and low fever. If the temperature is above 38.5°C. then it is likely that there is a perforated appendicitis.