Appendicitis is an inflammation of the organ called the appendix , located in the lower right abdomen. This condition can occur at any age, including children. Proper treatment is necessary because the appendix can rupture and cause serious abdominal infections. Therefore, it is important for parents to recognize the symptoms early.
Symptoms of appendicitis in children
Symptoms of appendicitis in children can be similar to those of a common stomach ache, so it's often not recognized properly. Here are some signs to look out for:
1. Stomach pain that changes location
- Initially the pain starts in the area around the navel (middle abdomen), then spreads to the lower right abdomen and remains.
- The pain gets stronger and stronger over time.
- Children will be happier bending their legs towards their stomach.
2. Nausea and vomiting
- Stomach feels bloated
- Often accompanied by loss of appetite.
3. Mild fever
- Fever may increase if inflammation worsens.
4. Not wanting to walk or bend the body
- The child becomes uncomfortable when moving, coughing, or when the stomach is pressed.
5. Diarrhea or constipation
- Some children experience changes in bowel movements (BAB).
If your child shows the above symptoms, especially persistent stomach pain in the lower right abdominal area , take him to the doctor immediately.
Why is appendicitis dangerous if treated too late?
An inflamed appendix can rupture , and its contents can spill into the abdominal cavity, causing a more severe infection called peritonitis . This is an emergency requiring immediate treatment ( mandatory laparotomy ).
Causes of Appendicitis in Children
The exact cause is not always known, but there are several things that can trigger inflammation, namely:
- Blockage of the appendix , for example caused by hard stools ( fecaliths ), swollen lymph nodes, or parasites.
- Infections , for example gastrointestinal infections.
Gastrointestinal infections can be caused by a blockage in the appendix which causes bacteria to multiply and can cause inflammation.
Treatment of Appendicitis in Children
Appendicitis cases in children can be treated in several ways, including:
- Operation ( appendectomy ), this action is the main and most frequently performed treatment. The operation can be carried out by:
- Laparoscopy , through small incisions ( minimally invasive procedure ). However, this procedure tends to be more complicated and more expensive than open surgery.
- Open surgery , a highly recommended procedure to avoid the risk of spreading infection if the intestine ruptures.
- Treatment ( Medicine )
In some very early and mild cases, antibiotics may be given. However, there are several possible medical treatments for children, including:
- Completely recovered
- Persistent inflammatory condition
- The emergence of more serious complications, such as perforation
Therefore, for cases of appendicitis in children, surgery remains the most common treatment option to prevent recurrence.
Can appendicitis be prevented?
A diet rich in fiber (fruits, vegetables, whole grains) can help reduce the risk of intestinal obstruction by 3%.
Based on research, 99% of the diagnosis of appendicitis can be determined accurately through:
- Clinical symptoms
- CT Scan Examination
- Laboratory examination
When should you see a doctor immediately?
Immediately take your child to a health facility if they experience:
- Abdominal pain or colic
- Severe stomach pain that doesn't get better
- Pain that moves to the lower right side
- Repeated vomiting or green vomit
- Fever and not wanting to eat
- The abdomen appears swollen or is very painful to the touch.
Appendicitis in children is a medical emergency that requires immediate treatment. Early recognition of symptoms, prompt examination, and appropriate medical intervention can prevent serious complications and improve the child's chances of optimal recovery.
Article written by Dr. Ishak GM Lahunduitan, Sp.B., SubBedPed (K) (Pediatric Surgery Specialist, EMC Sentul Hospital).