In the beginning pain occur in the navel area known as hypogastria; after several hours they advance towards the right ileac fossa, where high sensibility appears and the patient desperately tries to protect it. Nausea, vomiting, fever and diarrhea are primer symptoms of appendicitis. Movements with the right inferior limb will also cause pain.



If not treated in time, the inflamed appendix may perforate and cause A severe infection of the abdominal layer known as peritoneum; the patient's status will worsen by high fever and generalized abdominal pain. Although pains in appendicitis usually start and then go away before a continuous pain installs, you should immediately call a doctor if you or your child accuse this kind of aches.

The surgeon will need specific data about the d'but of pain, its character and their localization. The diagnosing process will be based also on blood analysis searching for signs of infection, rectal and abdominal examination. Abdominal X-ray or echography can also provide information about the obstruction or inflammation in the abdomen.

The classical treatment for a confirmed appendicitis is removing the appendix through an incision in the ileac fossa. As the risk of perforation is present, the surgery must be done as an emergency, right after the proof of a positive diagnosis.

In order to minimize the risk of major infection, antibiotherapy is required before and after surgical intervention. In case of perforation the administration of antibiotics will be intra venous and the time in the hospital might last for a week or two, according to the sever ness.

Because of the traumatic intervention on the digestive system during the operation, the intestinal transit will slow down or stop for a period of time; a nasogastric sound will be introduced in the patient's oral cavity down to the stomach to prevent nausea and vomiting that can damage the surgical incision and healing process. Until the transit is resumed, the child won't be allowed to eat or drink, except for an ice-cube to help hydration.

Patient's handle in the post-operator stage include intra-venous fluids to nourish the body and prevent dehydration, and also pain-releasing medication to improve the comfort during the first days after the operation.