General Practice 2022

Appendicitis-like symptoms (but not just ão)

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Appendicitis-like symptoms (but not just ão)
Appendicitis-like symptoms (but not just ão)

Appendicitis is a condition characterized by inflammation of a part of the intestine, the appendix, which is located in the lower right region of the abdomen.

At times, appendicitis can be difficult to diagnose and identify for the person, as the symptoms that manifest, such as abdominal discomfort, severe pain in the lower right side of the belly, nausea and vomiting, loss of appetite, fever Persistent low, constipation or diarrhea, bloated belly, and reduction or absence of intestinal gas, resemble other conditions. In all cases in which these symptoms appear, one should go to the medical emergency as soon as possible, in order to avoid complications.

Appendicitis is easier to diagnose in men, because there are fewer differential diagnoses than in women, whose symptoms can be confused with other gynecological diseases, such as pelvic inflammatory disease, torsion of the ovaries or ectopic pregnancy, for example example, which happens due to the proximity that the appendix has in relation to the female reproductive organs.

Some of the conditions and diseases that can be confused with appendicitis are:

1. Intestinal obstruction

Intestinal obstruction is characterized by interference in the intestine caused by the presence of intestinal bands, tumors or inflammation, which makes it difficult for stool to pass through the intestine.

Symptoms that can arise in this situation are difficulty in evacuating or eliminating gas, belly swelling, nausea or abdominal pain, which are very similar to appendicitis situations.

If these symptoms appear, it is very important to seek medical assistance as soon as possible. Know the causes and what the treatment consists of.

2. Inflammatory bowel disease

Inflammatory bowel disease refers to Crohn's disease and ulcerative colitis, which are characterized by inflammation of the intestine, leading to symptoms very similar to those of appendicitis, such as abdominal pain, diarrhea and fever.

However, in some cases, weight loss, anemia, or food intolerances may also be seen, which can help rule out appendicitis.

If any of these symptoms are present, go to the emergency room as soon as possible. Learn more about inflammatory bowel disease.

3. Acute diverticulitis

Acute diverticulitis is a condition characterized by inflammation and infection of the intestinal diverticula, whose symptoms are exactly the same as those that occur in appendicitis, such as abdominal pain, diarrhea or constipation, left side tenderness of the abdomen, nausea and vomiting, fever and chills, the intensity of which may vary depending on the severity of the inflammation.

If it is not treated quickly, complications such as bleeding, abscesses, perforation or intestinal obstruction can occur, so as soon as the first symptoms appear, you should go to the emergency room immediately. Find out how diverticulitis is treated.

4. Pelvic inflammatory disease

Pelvic inflammatory disease is characterized by an infection that begins in the vagina and spreads to the uterus, fallopian tubes and ovaries, and in some cases can spread to the abdomen, and therefore should be treated as soon as possible.

This disease occurs in women and is more common in sexually active young people who have multiple sexual partners without using protection.

Some of the symptoms can be confused with appendicitis, however, in this case, vaginal bleeding can also occur outside the menstrual period or after sexual intercourse, vaginal discharge with a bad smell and pain during intimate contact, which helps to exclude the possibility of appendicitis.

Learn more about the disease and what treatment consists of.

5. Constipation

Constipation, especially one that lasts for many days, can cause symptoms such as difficulty and straining to evacuate, abdominal pain and discomfort, belly swelling and excess gas, however, the person usually does not have a fever or vomiting, which may help rule out the possibility of appendicitis.

Learn what to do to combat constipation.

6. Kidney stone

When a kidney stone appears, the pain can be very intense and, as with appendicitis, vomiting and fever can also occur, however, the pain caused by a kidney stone is usually located in the lower part of the kidneys. back and not so much in the abdomen, which helps rule out the possibility of appendicitis. In addition, other symptoms that may arise are painful urination, pain that radiates to the groin, and red or brown urine.

Learn what kidney stone treatment consists of.

7. Torsion of the ovaries

Torsion of the ovaries happens when the thin ligament that holds the ovaries to the abdominal wall bends or twists, causing intense pain, due to the presence of blood vessels and nerves in the region, which are compressed. If the twist is on the right side, the person can confuse it with appendicitis, but in most cases, other characteristic symptoms are not manifested.

Treatment should be done as soon as possible and usually consists of surgery.

8. Ectopic pregnancy

Ectopic pregnancy is a pregnancy that develops in the fallopian tube, and not in the uterus, causing symptoms such as severe abdominal pain, only on one side of the belly and swollen abdomen. In addition, it can cause vaginal bleeding and a feeling of heaviness in the vagina, which facilitates its diagnosis.

Learn to identify the symptoms of an ectopic pregnancy and how to treat it.

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