This condition is dangerous for the life of the child. What are its signs and what should be done in such a situation? The surgeon of the Institute of Emergency Children's Surgery and Traumatology, to. Malkhaz Shvelidze.

False alarm?.

The stomach hurts! This is the most common child complaint. And my mother gets used to "fight" with pain the usual means: antispasmodics, analgesics, enzyme preparations. But often under the usual pain in the abdomen are concealed serious diseases requiring urgent surgical care, as reported by the Internet publication for girls and women from 14 to 35 years old Pannochka. net Acute appendicitis (inflammation of the appendix of the cecum) is one of the most dangerous situations. Most often the disease develops in children from 7 to 14 years, but can occur at any age (although up to a year this happens rarely). The younger the child, the more difficult the diagnosis, especially in children under 3 years old, who can not tell about their feelings. There is one more feature: in children, abdominal pain occurs with many ailments - diseases of the upper respiratory tract, pneumonia, cystitis, measles, chickenpox, etc.. To "not miss" appendicitis, when a child has pain in the abdomen, he should be shown to the surgeon.

What should alert parents? * In children under 3 years of age, appendicitis begins to develop violently: the child refuses to eat, cries, does not touch the tummy.

* Most often the baby complains of pain in the navel area, the stomach can hurt at the bottom on the right side.

* The temperature can rise up to 38 ° and above.

* Some time later (or immediately) there may be nausea, vomiting.

* Often the child tries to find a position where pain causes the least concern: lies on the right side, pressing the legs to the stomach, less often - on the left side or on the back.

* The tongue of the baby at the beginning of the disease is wet, then a white coating appears on it.

* Slightly increased heart rate, sometimes it can be associated with emotional experiences (fear, excitement).

Pay special attention to such symptoms: does the child have painful urination, a mushy stool, does he feel pain in the lumbar region on the right.

This is important to know!.

If the child has a strong, sharp pain in the abdomen, DO NOT:.

* give him painkillers, laxatives and any other medications - this will make the diagnosis more difficult;.

* Put a heating pad on the stomach, put an enema - the inflammation will increase, which can lead to the development of peritonitis;.

* water and feed the child before the examination by his doctor - if surgery is necessary, with the introduction of anesthesia, the presence of food and liquids in the stomach leads to vomiting.

In hospital!.

In the hospital, a child is made ultrasound of the abdominal cavity, which gives the overall picture, but, unfortunately, the vermicular appendix of the cecum is not always possible. A blood test in this situation can only indicate the presence of an inflammatory process. Usually leukocytosis is detected, but it happens that the number of white blood cells remains normal or even decreases. Therefore, it is unmistakable to establish or remove a diagnosis of acute appendicitis only by a surgeon. The doctor slowly and deeply presses two or three fingers on the wall of the abdomen, then sharply pulls back his arm. The patient thus feels a sharp pain - usually such a symptom indicates the presence of acute agshendipit.

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