APPENDICITIS ACUTE IN CHILDREN
Signs . In the first hour of the child's behavior violated the disease up to three years . He is naughty , refuses to eat , toys, crying. If the disease began in the evening or at night , the baby sleeps. Following this, repeated vomiting begins . Occasionally vomiting diarrhea joins . Body temperature rises to 38 - 39 ° C. The baby's face takes a pained expression. Lips become dry , skin - pale. When you try to palpate the abdomen on the right hand half of the child pushes , screams. At such young children in the appendix inflammation develops so rapidly that often after 6-8 hours comes perforation process and inflammation is spread by the entire abdominal cavity.
Older children (3 to 15 years) in the first hours of the disease feel pain in the stomach . Only a few hours later the pain moved to the right lower half of the abdomen. Along with the pain nausea , vomiting happens . Body temperature is normal or increased by 0,2 - 0,7 ° C. Pulse rate up to 100 - 120 in 1 minute. When the feeling of abdominal defined protective muscle tension in the right half and the pain intensified . If an inflamed appendix is atypical site ( in the pelvis , in the navel , in the right upper quadrant , the left half of the abdomen , retroperitoneum ) , children feel the pain on the right and in the location process. They can be speeded urination, severe pain throughout the abdomen .
Assistance . Parents need as early as possible consult your doctor or call the " ambulance " . To reduce abdominal pain and to suspend the development of inflammation , before the arrival of the doctor recommended to put a chill on the stomach ( hot water bottle with cold water, ice packs ) . Due to the development of severe and life-threatening complications of acute appendicitis , which occurs the more than later treatment begins , the mortality from acute appendicitis is still high : children up to three years - 1%, older children , 0.1-0.2 %.
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