Appendicitis is a term which is used for “inflammation of the appendix”, a small tube of tissue that connects the beginning of the large intestine, usually at the lower right side of the abdomen. Appendicitis is the most common reason for emergency abdominal surgery.
People who have family history of appendicitis are at increased risk of developing appendicitis. If this condition is not treated properly on time, it can lead to severe complications.
Causes of appendicitis
Appendicitis is an inflammation of the appendix, the main cause of appendicitis is blockage of opening of appendix by mucus or fecal material. Other causes mainly include infection y bacteria and swelling of lymphatic tissue within the appendix.
Symptoms of appendicitis
Early symptoms of appendicitis
- Spasmodic or gripping abdominal colic which is off and on in character (comes and goes)
- Anorexia or loss of appetite
- Hard stools or constipation
Late symptoms of appendicitis mainly involves
- Intense pain in right iliac region (right lower abdomen), which may move up or down from umbilicus.
- Increased temperature
- Increased pulse rate
- Sometimes patient may have diarrhea
- Patient feels amelioration when bend the right leg up, stretching it down aggravates pain.
Signs of appendicitis
Cough tenderness – this is an important sign which differentiate appendicitis from right sided ureteric colic.
Cope’s psoas test – irritation of psoas major muscle which produces flexion at the hip, any attempt of extension causes pain
Cope’s obturator test – irritation of the obturator muscle, flexion and medical rotation causes pain.
Tenderness and rebound tenderness – present at Mc Burney’s point. Rebound tenderness is due to inflammation of the partial peritoneum.
Guarding and rigidity – in the right ileac fossa
Roving sign – palpation of left ileac region of abdomen producing pain in the right iliac region
Differential diagnosis of appendicitis
- Acute pancreatitis
- Meckel’s diverticulitis
- Acute cholecystitis
- Right sided ureteric colic
- Torsion of undescended testes
- Perforated duodenal ulcer
- Torsion of ovarian cyst
- Bilateral Salpingooophoritis
- Ruptures ectopic gestation
- Mid menstrual rupture of ovarian follicle
Treatment of appendicitis
Appendicitis is treated by removal of the appendix through appendectomy (a surgical procedure to remove appendix.) It involves open surgical incision in the right lower portion of the abdomen. This can be done through laparoscopy in which a small incision is given and during whole procedure a camera visualize the area of interest.
Antibiotic treatment is often given prior to surgical operation to reduce inflammation and to kill remaining bacteria.
Homeopathic treatment of appendicitis
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat appendicitis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat appendicitis that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of appendicitis:
Belladonna – acts well in early stages of appendicitis, complaints along with headache and increased temperature without perspiration; patient becomes restless due to symptoms
Bryonia Alba – remarkable remedy for appendicitis, pains of appendicitis aggravates when patient moves, and relieved by absolute rest or lying on the painful side.
Lachesis – has got marked action on appendicitis pain when pain is aggravated by slightest touch.
Rhus Tox – known as homeopathic knife in cases of appendicitis
Sulphur – should be used as a inter current remedy to complete the cure
Iris Tenax – well known remedy for appendicitis; pain in the ileo-caecal region, extreme tenderness on pressure
Dioscorea – constant pain; bowels filled with gas; pain of gripping character; twisted pain ameliorated by bending backward.
Colocynth – indicated when there is intense cutting, cramping or twisting pain; which is worse by indigestion and relieved by warmth, and pressure
Arsenic album – excellent remedy when there is indication of sepsis. Diarrhea; with marked restlessness and prostration
Ignatia – body hot and rigid; extreme pain in the region of appendix with fear of getting operated; patient is much sensitive, alert with great nervous feeling.
Mercurius – acts well on acute condition; swelling hard hot and painful in ileo-caecal region; tender lump felt in the region of appendix.