What to do if you have appendicitis pain during early pregnancy

As we all know, pregnant women are a special group. During pregnancy, they will lose weight and be relatively fragile. Therefore, during this period, both their families and themselves will pay special attention to some small details in life and try not to let themselves have any accidents. Therefore, even if pregnant women are sick, they cannot take some medicines easily, let alone undergo some operations? But people will always get sick, and there are always small details that we fail to notice. So what should a pregnant woman do if she has appendicitis pain during pregnancy? And I can't do resection surgery.

1. What to do if appendicitis occurs in early pregnancy:

1. Treatment of acute appendicitis in early pregnancy

Early pregnancy usually refers to weeks one to twelve of pregnancy. Acute appendicitis in early pregnancy should be treated surgically regardless of the severity of the clinical manifestations. At this time, there is little interference to the uterus and it will not affect the continued pregnancy. If surgery is performed only when the disease recurs in the middle or late stages of pregnancy, it will increase the difficulty of the operation and may be dangerous to the mother and child.

2. Treatment of acute appendicitis during mid-pregnancy

The second trimester of pregnancy is between 12 and 24 weeks. For patients with acute appendicitis in mid-pregnancy whose clinical manifestations are mild and who refuse surgery, non-surgical treatment can be used with high-dose intravenous penicillin or ampicillin. If the disease progresses and cannot be controlled, surgical treatment should be performed. At this point the embryo has already fixed, the surgery will not interfere much with the uterus, miscarriage is unlikely, and the pregnancy can continue. It is generally believed that the best time to perform appendectomy surgery is between 4 and 6 months of pregnancy.

3. Treatment of acute appendicitis in late pregnancy

Twenty-four weeks later is the third trimester of pregnancy. Acute appendicitis in late pregnancy should be treated surgically. Even if the surgical stimulation causes premature birth, the vast majority of babies can survive. The operation has little impact on pregnant women.

2. Why do pregnant women get appendicitis?

1. For pregnant women, the road to having children can be described as “no storm, no rainbow”. Appendicitis is one of the common "storms" for pregnant women.

2. It is difficult to identify appendicitis in pregnant women. In the early stages of pregnancy, the pregnancy itself can easily mask the symptoms of appendicitis and divert the doctor's attention. In the late stages of pregnancy, it may be misdiagnosed as early placental abruption, labor, urinary tract infection, etc.

3. The typical symptoms of appendicitis usually start with severe upper abdominal pain, which is often misdiagnosed as stomach spasm or stomach disease, but no inducement such as drinking, drugs, or unclean diet can be found. A few are accompanied by vomiting or mild diarrhea, and may have fever and elevated white blood cell count. The typical feature is that this upper abdominal pain is transferred to a very limited area in the right lower abdomen called McBurney's point, while the early upper abdominal pain disappears without a trace.

4. If the disease can be diagnosed early and anti-inflammatory or even surgical treatment can be given, there will be no serious danger and the baby can be safe. However, special attention should be paid to analgesia, sedation and tocolysis treatment to prevent the baby in the womb from being frightened and causing premature miscarriage, or even putting the baby in the womb in serious life-threatening condition.

5. Pregnant women within 3 months of pregnancy should also be careful not to use drugs that may cause fetal malformations. Even after 3 months, drugs should be used with caution. Correct diagnosis and treatment of appendicitis during pregnancy is a major matter that affects the safety of mother and child. In addition to the careful diagnosis and identification of the attending doctor, it is undoubtedly very important for the expectant mother to be informed and report it.

3. Symptoms of appendicitis in early pregnancy:

1. Abdominal pain

It is mainly located in the right lower abdomen, and is characterized by intermittent dull pain or bloating, which is sometimes severe and sometimes mild, and the location is relatively fixed. Most patients experience abdominal pain after a full meal, exercise, or long-term standing. There may be an attack of acute appendicitis during the course of the disease.

2. Gastrointestinal reactions

Patients often feel indigestion and poor appetite of varying degrees. Patients with a longer course of illness may experience emaciation and weight loss. There is generally no nausea, vomiting, or abdominal distension, but elderly patients may suffer from constipation.

3. Abdominal tenderness

Experts pointed out. Tenderness is the only physical sign of chronic appendicitis, which is mainly located in the right lower abdomen. It is generally small in range, constant in position, and only occurs when heavy pressure is applied. There is no muscle tension or rebound tenderness, and generally no abdominal mass, but a distended cecum can sometimes be felt.

4. Indirect signs

Various specific tender points such as McBurney's point, Langerhans' point, psoas sign, and Roche's sign are meaningless in the diagnosis of chronic appendicitis.

5. Inspection method

The barium meal examination can not only confirm that the tenderness point is located in the appendix, but also rule out other lesions. The X-ray signs of chronic appendicitis are interrupted and twisted appendix development, slow emptying, and difficulty in pushing due to adhesions. If the appendix cavity is completely blocked, it will not develop. The relationship between the tenderness point and the appendix can be judged based on the location of the development in the ileocecal region.

4. Differential diagnosis of appendicitis in early pregnancy:

Appendicitis pain can move

Liu Yingsheng introduced that the main cause of appendicitis is appendicitis obstruction. The appendix is ​​a long and thin tube that connects to the cecum at only one end. Once blocked, secretions may accumulate in the lumen, which may easily lead to infection. The most common cause of appendicitis obstruction is fecal stones, food residues, foreign objects, etc. falling into the appendix cavity and causing blockage. In addition, some appendicitis is caused by bacterial infection in the appendix cavity. In addition, people with gastrointestinal dysfunction, such as diarrhea and constipation, are also prone to appendicitis.

Liu Yingsheng said that the main symptom of appendicitis is stomach pain. But what is different from abdominal pain caused by other diseases is that most of the pain from appendicitis will "transmit". At the beginning, the pain is mostly in the upper and middle part of the abdomen or around the navel, and the patient cannot accurately identify the exact location of the pain. After several hours or more than ten hours, the abdominal pain shifts to the lower right abdomen. The pain is persistent, and the longer the time, the more severe the abdominal pain becomes. Symptoms such as nausea and vomiting may also occur. If you press the lower right abdomen with your hand, you will feel pain and tenderness. This is the most important feature of appendicitis. When the condition is serious, symptoms such as fever and palpitations may also appear.

However, it should be noted that about 1/3 of patients will not experience "passing" pain, and will initially experience right lower abdominal pain, especially during an acute attack of chronic appendicitis. Therefore, non-metastatic right lower abdominal pain cannot be immediately judged as not acute appendicitis. A comprehensive judgment must be made in combination with other symptoms and signs.