Variations and cautions

• abscess formation ^ localised mass and tenderness

• retrocaecal appendix: pain and rigidity less and may be no rebound tenderness; loin tenderness; positive psoas test

• pelvic appendix: no abdominal rigidity; urinary frequency; diarrhoea and tenesmus; very tender PR; obturator tests usually positive

• elderly patients: pain often minimal and eventually manifests as peritonitis; can simulate intestinal obstruction

• pregnancy (occurs mainly during second trimester): pain is higher and more lateral; harder to diagnose; peritonitis more common

• perforation more likely in the very young, the aged and the diabetic

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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