Do children with acute appendicitis need surgery?

Acute appendicitis in children usually requires surgery because it can cause serious complications such as perforation and peritonitis. Treatment options include antibiotics and surgery to remove the appendix, depending on the severity of the condition. The main symptoms of acute appendicitis include pain in the right lower abdomen, fever, nausea, vomiting, and loss of appetite. Early diagnosis and prompt treatment are key to avoiding complications.

1. The symptoms of acute appendicitis usually start with pain around the umbilicus, then move to the right lower abdomen. The pain may be accompanied by fever, nausea, vomiting, and loss of appetite. These symptoms may be more severe in children because their immune systems are not fully developed and the inflammatory response is more rapid.

2. The cause of acute appendicitis is often related to the obstruction of the appendix lumen, which may be caused by fecal stones, lymphatic tissue hyperplasia or foreign bodies. The obstruction leads to increased pressure in the appendix, obstructed blood circulation, and bacterial growth leading to inflammation. Children are more prone to perforation because of their thinner appendix walls.

3. The main method of treating acute appendicitis is surgical removal of the appendix, also known as appendectomy. The surgical methods include traditional open surgery and laparoscopic surgery. Laparoscopic surgery is less invasive and has a faster recovery, making it more suitable for children. For mild appendicitis discovered early, antibiotic treatment can be tried, but the condition needs to be closely monitored.

4. Postoperative care includes infection control, pain relief and recovery promotion. Antibiotics are used to prevent postoperative infection, and analgesics can relieve postoperative pain. Early postoperative activities help prevent intestinal adhesions and promote intestinal function recovery. Diet should be gradually transitioned from liquid to normal diet, and spicy and greasy foods should be avoided.

5. The key to preventing acute appendicitis is to maintain good eating habits and intestinal health. Eating more fiber-rich foods, such as vegetables, fruits, and whole grains, can help promote intestinal peristalsis and reduce the risk of fecal stone formation. Regular physical examinations and timely treatment of intestinal problems can also reduce the incidence of appendicitis.

Acute appendicitis in children requires prompt surgical treatment to avoid serious complications. Early diagnosis and correct treatment are key to ensuring children's health. Parents should pay close attention to their children's symptoms, seek medical attention promptly, and follow the doctor's advice for treatment and care.