Acute appendicitis in children

This may occur at any age, being more common in children of school age and in adolescence, and uncommon under 3 years of age. Special problems of early diagnosis occur with the very young (less than 3 years) and in mentally retarded children, many of whom present with peritonitis. Vomiting occurs in at least 80% of children with appendicitis and diarrhoea in about 20%. The temperature is usually only slightly elevated but in about 5% of cases it exceeds 39°C. 1 In children the physical examination, especially eliciting abdominal (including rebound) tenderness, and the rectal examination demand considerable tact, patience and gentleness. Jumping or hopping induces pain.

A serious point of confusion can occur between pelvic appendicitis, causing diarrhoea and vomiting, and acute gastroenteritis. A particularly severe case of apparent gastroenteritis, especially if persistent, should be regarded as pelvic appendicitis until proved otherwise.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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