This is a disease that poses a threat to human life. Due to the peculiarities of the body structure, the symptoms of appendicitis in men do not always coincide with the well-known list of its signs. Each person should be familiar with such information so as to prevent death in a critical situation.
The appendix is a vermiform process of the cecum, which is involved in the production of intestinal juice, and, according to some scientists, contributes to the formation of immunity. Inflammation of this appendix, called appendicitis, is manifested and proceeds in men and women in much the same way. But there are certain differences - due to the proximity of the organ to the urogenital system, which can also be involved in the process. With the right treatment, all patients can count on a successful solution to the problem.
How to understand that a man is attacked by acute appendicitis?
Qualified assistance will be the most rapid and effective if a man clearly tells about his feelings. The fact that he has an attack of acute appendicitis is indicated by the following signs:
- weakness and general malaise;
- sharp pain in the abdomen, lower back and anus;
- after 6-7 hours, it is felt mainly in the right part of the peritoneum;
- tension muscles of the abdomen;
- nausea and frequent vomiting;
- diarrhea or, conversely, difficulty with defecation;
- heavy sweating;
- body temperature can reach 38 ° C.
To make sure that the cause of feeling unwell is inflammation of the appendage of the cecum, one should pay attention not only to the coincidence of the man’s complaints with appendicitis, but also to the possible symptoms of the genital organs:
- spontaneous uplift of the right testicle (LaRock symptom);
- when touching the place of pain, the right testicle moves to the upper part of the scrotum (Britten's symptom);
- acute pain in the right testicle is possible if it extends beyond the base of the scrotum (Horn symptom).
Declassify hidden ailment
After an attack of acute appendicitis, which did not stop the surgeon’s scalpel, the inflammatory process can turn into a sluggish form. In rare cases, the inflammation of the vermiform process of the intestine already initially becomes permanent. If a man has chronic appendicitis, this is indicated by the following symptoms:
- recurrent nagging pains in the right iliac region;
- sensations increase with physical activity: walking at a fast pace, running, lifting weights, as well as with general infections (flu, sore throat, etc.);
- sharp painful attacks are absent;
- decreased appetite;
- increased flatulence in the intestines;
- transfusion and rumbling in the stomach;
- frequent stools;
- unpleasant taste in the mouth.
For the clinical picture of this form of the disease is characterized by the fact that malaise is replaced by long periods of normal well-being. Usually subjective complaints prevail over objective signs that are very weakly expressed or absent altogether. Therefore, doctors have to, in addition to the inspection, it is mandatory to conduct additional diagnostic studies.
How will diagnosticians help?
Doctors may confirm suspected appendicitis as a result of:
- palpation of the peritoneum;
- digital rectal examination;
- tomography with a medical imager;
- computed tomography (X-rays are used during the procedure);
- magnetic resonance imaging (unsafe X-rays used in CT, replaced by radio waves);
- laparoscopic analysis (through a small incision on the abdominal cavity, a special optical tube with a video camera is inserted, allowing you to see the internal organs).
The diagnostic method or their combination is chosen by a specialized specialist, based on the technical equipment of the clinic and the degree of difficulty of recognition according to the patient's complaints. It is very important to distinguish appendicitis from kidney disease and ulcers in the stomach and duodenum, since these pathologies have a similar clinical picture.
When does a visit to a doctor save lives?
In case of an attack of acute appendicitis, you should immediately consult a doctor. Having found that the process has become chronic, you should not postpone the visit to the clinic. But there are situations where slowness can cost a person life. This is the occurrence of peritonitis, that is, inflammation of the peritoneum caused by appendicitis. Most often, it develops with the death or rupture of the cecum process. If appendicitis in adult men is complicated by such a dangerous process, new symptoms will appear that indicate a certain stage of peritonitis.
- Reactive stage (1 day after rupture of the appendix):
- acute pain spread to the entire abdomen;
- pain becomes unbearable when moving;
- frequent vomiting without relief;
- hyperthermia above 39 ° C.
- Toxic stage (lasts about 3 days):
- cessation of intestinal motility;
- pale skin color;
- skin and lips constantly dry;
- Indomitable vomiting, leading to dehydration;
- lower blood pressure;
- pressing bent legs to the abdomen (this position relieves pain);
- Terminal stage (comes on the 4th day):
- pain subsides due to the death of damaged tissue;
- pulse becomes filiform;
- cramps begin;
If an urgent operation is not performed, the patient will not survive.
A person familiar with the symptoms of appendicitis in men can determine the severity of the patient’s condition in order to understand how urgent medical care is needed. Even the chronic form of inflammation of the appendix of the cecum can be completed with an acute attack or development of peritonitis. Therefore, it is better to prevent a dangerous process with the operation and forget about appendicitis forever.