Typhlitis is a pathology associated with a lesion of the mucous membrane of the cecum, which is characterized by the manifestation of the same symptoms as with an attack of appendicitis. In case of inaccurate or incomplete diagnosis, patients with this diagnosis are sent to the operating table. If timely and comprehensive treatment of typhlitis is not carried out, the disease becomes chronic, with a latent course and periods of exacerbation, which are characterized by the appearance of sudden pain in the iliac region on the right, the development of diarrhea and an increase in body temperature.
CAUSES OF TYPHLITIS
The probable causes of the development of this pathology may be pathogenetic factors, such as:
the presence of foods in the diet with a large amount of coarse fiber;
eating excessive amounts of smoked, salted and fried food;
the use of products containing a large amount of dyes and preservatives;
regular heavy physical activity, most of which falls on the abdominal muscles (heavy loads, lifting weights);
complications after peritonitis and chronic appendicitis;
sepsis of internal organs, which is fixed in case of blood infection;
intestinal infections: Crohn’s disease at a sluggish stage, ulcerative colitis, dysentery, rotavirus infections, food poisoning, cholera, typhoid fever, salmonellosis;
intolerance to lactose, gluten and some other animal and vegetable proteins;
food allergy with a long-term asymptomatic course;
organic lesions of the mucosa of the large and small intestine, as a consequence of other diseases of the digestive tract (gallbladder, stomach, pancreas);
candidiasis of the abdominal cavity;
chronic dysbiosis;
SYMPTOMS OF TYPHLITIS
The disease manifests itself as a sudden attack, which is very similar in symptoms to appendicitis. A person is disturbed by acute pain in the ilium on the right side. The pain can radiate both to the inner surface of the thigh and to the groin area. An attack develops about an hour after eating. The patient may have a significantly elevated temperature, he feels weakness and chills, which are joined by increased sweating and headache.
After about two hours, nausea and frequent diarrhea may appear. Vomiting with this disease is extremely rare.
In chronic typhlitis, the symptoms are even less pronounced. In the period of remission, there are no deviations from the norm in patients at all. Any psychological, stressful or physical exertion provokes an exacerbation of typhlitis, as well as non-compliance with diet and diet.
The general symptom complex of typhlitis is very similar to the manifestation of an acute attack of appendicitis, therefore a thorough examination of the patient is required.
DIAGNOSIS OF TYPHLITIS
To clarify the diagnosis, a differential diagnosis is required to eliminate the need for surgical intervention. The patient undergoes a thorough examination:
A general blood test is prescribed.
X-ray examination to verify the presence of thickening of the cecum and narrowing of its lumen.
Women are prescribed a gynecologist’s consultation and ultrasound to exclude cystic ovarian changes and ectopic pregnancy.
TREATMENT OF TYPHLITIS
Treatment of this disease should be comprehensive and include:
Adjustment of nutrition.
Antibacterial therapy.
Antimicrobial therapy.
In the acute period, anti-inflammatory therapy combined with the restoration of bacterial balance in the patient’s intestine.
