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Post-Appendectomy Considerations For Children
by Groshan Fabiola, Gro
Appendicitis refers to inflammation, enlargement and in many cases bacterial infection of the vermiform appendix. This small tubular organ is the extension of the cecum, and it is believed to have a role in the process of digestion. When this worm-like organ is obstructed by calculus or feces, it becomes swollen and inflamed. When the inflammation is accompanied by bacterial infections, the progression of the disease is accelerated and the vermiform appendix quickly seizes to function. In the absence of an appropriate medical treatment, appendicitis can lead to serious complications such as perforation of the appendix, sepsis (severe bacterial infection) and abcess.

Appendicitis is known to be a surgical disease and its treatment commonly requires appendectomy. Appendectomy is a simple medical procedure that involves the removal of the diseased appendix from the body. Nowadays, appendectomy is considered to be a safe and reliable surgical procedure, and the risks of post-operative complications are minimal.

Unlike grown ups, young children and babies need special medical and parental care before and after surgery. If appendicitis involves bacterial infection, young patients are commonly administered antibiotics before and after appendectomy. Prior to surgery, children should also follow a strict food regimen, aimed at minimizing the risks of complications. Such regimens include soft, non-irritant foods and well-tolerated beverages.

After surgery, young patients need to remain hospitalized for at least a few more days. During this period, children will be kept under permanent medical monitoring and they will receive post-operative medical treatments in order to speed up their recovery. Children are usually not allowed to eat or drink right after surgery. In order to avoid dehydration and to reduce pain, young patients should receive intravenous fluids and analgesics. Even if children experience post-surgery pain, doctors recommend that they should get out of bed and walk soon after the surgery. This way, the intestines will start functioning properly, speeding up the young patients? recovery.

Within the first week after surgery, children should only eat soft, non-irritant foods such as mashed potatoes, rice, soups and mashed fruits. You should avoid giving your child foods that can produce abdominal bloating and discomfort. In order to prevent post-operative anemia and asthenia, give your child vitamin and mineral supplements for at least one month. Also, make sure that your child gets enough rest.

After appendectomy, young patients shouldn't be allowed to sustain intense physical effort for around 2 months. However, simple recuperative gymnastics can speed up the process of recovery and older children should be encouraged to participate in non-intense physical activities. This way your child will maintain a good muscle tonus and a strong immune system.
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