This is how one distinguishes an irritation of the appendix from an appendicitis
The transition from irritation of the appendix to appendicitis is fluid, so that it is often not possible to make a clear distinction. In case of doubt, therefore, the more dangerous one, i.e. appendicitis, should be assumed until the exclusion of the other. In addition, an irritation of the appendix can always change into an appendicitis.
The irritation of the appendix is more likely to manifest itself by less severe symptoms such as slight abdominal pain in the right lower abdomen and possibly some nausea. A normal body temperature is also more likely to indicate an appendicitis. Appendicitis, on the other hand, manifests itself by increasing abdominal pain, which often starts in the upper abdomen and then moves to the right lower abdomen.
Fever, nausea and vomiting are also common. However, it is important to note that in some cases, dangerous to life-threatening appendicitis can also manifest itself through less pronounced symptoms and can therefore quickly be dismissed as an appendicitis. This is especially true for older people. For this reason, a doctor should always be consulted promptly whenever symptoms occur which can be caused by both an irritation of the appendix and an appendicitis.
Particularities of irritation of the appendix in children
Appendicitis usually occurs between the ages of four and 25 and especially between nine and 14 years of age. Special care should be taken with children in case of appendicitis, as the probability of having an appendicitis is much higher. In addition, children do not have much experience with gastrointestinal cramps and have usually never had an appendicitis before, which they could compare the symptoms with.
Therefore, children, and especially small children, should always consult a doctor first if they suspect that they may have an appendicitis. If the doctor decides that it is only an irritation, he will determine the necessary therapy. Children are more frequently admitted to hospital, as constant observation and possibly rapid intervention may be necessary. Another special feature in children is the variation in the choice of antibiotics.
Irritation of the appendix during pregnancy
During pregnancy, appendicitis can occur, which is particularly likely to be misinterpreted. On the one hand, the typical symptoms of an appendicitis such as abdominal pain and nausea can also be classified as normal pregnancy complaints. On the other hand, the growing child displaces the intestine including the appendix upwards in the mother’s body, so that the pain of an appendicitis is not felt in the lower abdomen as usual but rather in the upper abdomen.
While the irritation of the appendix is not yet dangerous, it can quickly develop into appendicitis, which if left untreated can be life-threatening for the mother and the expectant child. In case of newly occurring abdominal pain and nausea during pregnancy, a doctor should therefore be consulted as soon as possible.
