What are the symptoms of appendicitis in women

Women are more likely to suffer from appendicitis than men. Appendicitis is currently a more complicated disease. The main symptom is abdominal pain. Many female patients will experience bloating and pain in the right lower abdomen, which sometimes transfers upward, accompanied by symptoms such as diarrhea. Therefore, it is easy for women with appendicitis to be misdiagnosed. Some women often treat it as some gynecological inflammation.

1. Acute appendicitis

(1) Abdominal pain: Typical acute appendicitis causes pain in the upper and middle abdomen or around the umbilicus in the early stages. After a few hours, the pain moves to and becomes fixed in the right lower abdomen. When the inflammation spreads to the serosa and parietal peritoneum, the pain is fixed in the right lower abdomen, and the original pain in the upper abdomen or around the umbilicus is alleviated or disappears. Therefore, the absence of a typical history of migratory right lower quadrant pain does not exclude acute appendicitis.

Simple appendicitis often presents with paroxysmal or persistent distending pain and dull pain. Persistent severe pain often indicates purulent or gangrenous appendicitis. Continuous severe pain affecting the middle or lower abdomen or both sides of the lower abdomen is often a sign of gangrenous appendix perforation.

(2) Gastrointestinal symptoms The gastrointestinal symptoms of simple appendicitis are not prominent. In the early stages, nausea and vomiting may occur due to reflex gastric spasm. Pelvic appendicitis or gangrenous appendix perforation may cause increased bowel movement frequency.

(3) The fever is usually low-grade, without chills, and the temperature of purulent appendicitis generally does not exceed 38°C. High fever is often seen in appendix gangrene, perforation or complicated by peritonitis.

2. Chronic appendicitis

(1) Abdominal pain: Pain in the right lower abdomen, characterized by intermittent dull pain or bloating, which can be severe or mild at times and is located in a relatively fixed location. Most patients experience abdominal pain after a full meal, exercise, fatigue, cold or long-term standing.

(2) Patients with gastrointestinal reactions often experience varying degrees of indigestion and decreased appetite. 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 experience constipation.

(3) Abdominal tenderness Tenderness is the only physical sign, mainly located in the right lower abdomen. It is usually small in range and constant in position, and only occurs when heavy pressure is applied. There is no muscle tension or rebound tenderness, and generally no abdominal mass.

Appendicitis is also relatively troublesome to treat. Appendicitis manifests itself as some inflammatory lesions, and there are many clinical effects. Therefore, women with appendicitis should be treated immediately. Otherwise, they will not only suffer great pain, but also cause the disease to spread further. If the situation is critical, you can also take some anti-inflammatory drugs, such as penicillin, amoxicillin, etc.