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The article was professionally consulted with Specialist Doctor II Tran Van Trong - Department of General Surgery - Vinmec International Hospital Da Nang.Appendicitis can occur at any age including children. For cases of children with appendicitis without complications, surgery can be performed. After surgery, the child's health can be completely restored to normal.
On the contrary, with cases of appendicitis in children who have had complications such as rupture, abscess... then the problem of treatment is very difficult.
1. Signs of appendicitis in children
Appendicitis in children usually occurs between the ages of 10-19 years, mainly due to a blocked appendix or other intra-abdominal infections infecting the appendix. However, appendicitis can still occur in children aged 2 to 5 years with symptoms of stomach pain, fever, frequent vomiting, loss of appetite, and loss of appetite. In children with appendicitis under 2 years of age, because the child cannot describe and locate the pain, mothers should pay attention to signs such as frequent crying, fever, vomiting, and digestive disorders.Common clinical signs indicating that the child may have appendicitis:
Abdominal pain: right iliac fossa, usually starting in the upper umbilicus, then pain around the navel and then focusing on the right iliac fossa. However, in very young children, sometimes determining a child's pain point can be difficult. At that time, adults should pay attention to the child's gestures and actions such as crying, or touching the abdomen, and the doctor will complain of pain everywhere. Just because a child has colic doesn't mean they have appendicitis. It should be noted to distinguish between children with abdominal pain caused by digestive disorders, food poisoning, bloating, indigestion, allergies to food or other common diseases such as intussusception, enteritis... Abdominal pain is one of the common signs of appendicitis in children. When the doctor examines and touches the child, there is pain, positive signs of abdominal wall reaction, and pain when the pressure changes suddenly. Anorexia: Suddenly, children become anorexic even when they are eating foods that they love every day. Fever: The child has a fever of 37-39 degrees Celsius, in some cases it may be as high as 40 degrees Celsius. This shows that there is an inflammatory condition in the child's body that needs to be diagnosed early for treatment. treat. May present with nausea, vomiting of food, vomiting of gastric juice, abdominal distension, may be accompanied by diarrhea or constipation. Fatigue, dry lips, dirty tongue. Children with appendicitis may also experience frequent urination and pain when urinating. Blood tests, ultrasound, and CT scan of the abdomen can help with the diagnosis.
2. Nutritional care for children with appendicitis
If the child has symptoms that are suspected of acute appendicitis, temporarily stop feeding the child much and take the child to a doctor or hospital specializing in pediatric surgery to immediately examine and receive the most specific advice. Appendicitis is difficult to diagnose in children, pregnant women, and the elderly. Sometimes children with late appendicitis have complications, but before going to the hospital, some parents think that giving their children enough food to make it easier to recover after surgery, such thinking is not correct. Feeding a child 6 hours before surgery can affect the anesthetic process during surgery and easily lead to complications during anesthesia that can affect the child's life.Depending on the child's medical condition, usually the child can eat and drink again 6 hours after surgery. Children can drink some sugar water first, then soft foods. After 24 hours of surgery, the child can eat and drink normally again. Eat foods that your child is used to before. Children can be discharged after 3 days
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