To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. You'll have to fill out some paperwork and provide basic information, including:.
A nurse comes to the home in the following days to monitor the IV and remove it. Postoperative care Activity: If your child is very scared or upset, the doctor may give a special medication to help him or her relax.
Fluids are usually given through the vein. Most patients have a notable decrease in pain after surgery, even with the pain of the incision. Ultrasound may be useful for girls to look at the ovaries.
Rupture occurs in about one of three patients admitted to children's hospitals. Related Articles. It is important to notify us in advance about any special needs your child might have.
One benefit of laparoscopy is that other abdominal structures can be examined using the video camera during surgery. If the surrounding tissues are healthy, the surgeon can begin to close the incision by first sewing the layers of muscle together, then closing the skin with stitches or staples.
X-rays or CT may show intestinal obstruction. The time interval between onset of symptoms and rupture of the appendix is about 36 to 72 hours. Bloodwork may be sent to look at suggestion of an infection. Many hospitals allow at least one parent to stay with the child throughout the day and overnight.
CT is most useful when the diagnosis is not clear or if ruptured appendicitis suspected.
Ruptured Appendicitis: Intestinal blockage or obstruction is suspected if the patient has lots of vomiting and the vomit is green or bright yellow in color. Before surgery you may be given a dose of antibiotics to prevent infection.
Then he or she makes an incision, about 2 inches long, through the skin of the abdomen, past the abdominal muscles, and into the abdominal wall layers of tissue that protect the abdomen. In cases where the appendix has burst, doctors typically keep a child on antibiotics for a week or more.
Conditions that mimic appendicitis: Through one of the cuts, a video camera is placed. But it helps to know that in most cases, appendectomies are common procedures and complications are rare.
This leads to blockage of the flow of food through the intestinal tract.