‘Constant abdominal pain in children could be a sign of appendicitis’

associate Dr Burhan Aksu, who states that appendicitis is a common problem not only in adults but also in children, said: Children often present to hospitals with abdominal pain. The causes of abdominal pain are very diverse. It can be difficult to diagnose appendicitis from the inside out. Examination is the main diagnostic method.


Burhan Aksu, who states that appendicitis is an appendix, said: “This part is closed at one end and open at the other. Due to the obstruction of the open part, the problem of appendicitis arises. This can be caused by the buildup of hardened stools, intestinal worms, some parasites, intestinal stones known as stool stones, the growth of lymph that can occur around the intestine, and sometimes the settlement of fruit seeds in that area. In that sense, it is important that families are careful with small stone fruit.”


associate Dr. Aksu stated that appendicitis has warning symptoms for families in addition to abdominal pain and continued as follows:

“Nausea, vomiting, loss of appetite are symptoms of appendicitis. While vomiting includes what they ate, the color of the vomit becomes yellow-green bile. The feature of abdominal pain is also not relieved at all. The pain doesn’t stop until the appendix bursts. Then the pain starts again. This pain is accompanied by fever. It begins to swell in the abdomen. Children are constantly restless. The normal condition of the abdomen is doughy. But if there is abdominal pain from appendicitis, the right lower part of the patient will be soft and hard. The child will not allow this area to be touched.”


“The gold standard for diagnosing appendicitis in children is intermittent, sequential physical examination. Imaging and blood tests are used as an aid in making a diagnosis,” said Assoc. Dr. Burhan Aksu: “If not treated in time, the wall of the appendix can open because it is a blind-ended organ, which is called perforated appendicitis. The contents of the intestinal portion of perforated appendicitis (poop and inflammation) begin to spread into the abdomen. This is life-threatening. Late intervention of appendicitis is life-threatening.


Noting that the treatment of appendicitis is surgical, Assoc. Dr. Burhan Aksu concluded his words as follows:

“Surgery is inevitable. Appendicitis surgery is performed with open or laparoscopic surgery. The surgical method is determined based on the patient’s health condition. In some cases there may be a delay. In this case, it can be converted from closed (laparoscopic) surgery to open surgery. Delayed cases may also require intensive care. Appendicitis should be treated early. If appendicitis is not treated, your child’s appendix may burst open. A burst appendix allows bacteria from the gut to spread into the abdomen. These bacteria can cause a serious infection called peritonitis. A ruptured appendix also allows bacteria to spread in the bloodstream, causing a life-threatening condition called sepsis. If diagnosed and treated late, it causes intra-abdominal adhesions in girls in the future, and the ovaries can be affected by entering these adhesions. This can cause infertility in the future.”

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