Diagnosis begins with a thorough survey and inspection. Patients often a fever and is usually painful (from tolerable to very strong) right in the lower abdomen when the doctor pushes there. If the inflammation has reached peritoneum, often a "rebound" tenderness. This means that when the doctor presses on your stomach and then quickly removed his hand, suddenly becomes a pain, but only slightly stronger. Counting of white blood cells to the presence of infection, number of white blood cells in the blood is increased.
In the early stage of appendicitis, before infection develops, it may be normal, but more often observed at least a small rise of white blood cells early enough. Unfortunately, appendicitis – is not the only condition which causes an increase in the number of white blood cells. Almost any infection or inflammation may lead to an increase the number of white blood cells. So just increase the number of white blood cells can not be regarded as direct evidence of appendicitis. Urine Microscopy Microscopy of urine – urine is under microscope, which allows detection of red blood cells, white blood cells and bacteria in the urine. Urine tests are usually changed when the kidneys or the bladder has inflammation or stones, which sometimes can be confused with appendicitis. Therefore, changes in urine indicate a pathological process in the kidneys or bladder, whereas normal urine microscopy results are more characteristic of appendicitis.
Abdominal X-ray oral X-ray of the abdomen may reveal the coprolite (hardened and calcified piece of feces the size of a pea, occluding the output of the appendix), which can be cause of appendicitis. It is more common in children. Ultrasonography Ultrasound – a painless procedure, which uses sound waves to see inside organs of the body. Ultrasound examination may reveal an enlarged appendix or an abscess. However, appendicitis, the appendix is seen in only 50% of patients. So you can not see appendix for ultrasound does not exclude appendicitis. Ultrasound also helps to exclude the presence of pathological changes in the ovaries, fallopian tubes and uterus, which can simulate appendicitis. Computed tomography In nonpregnant patients computed tomography of the appendix is performed for diagnosis of appendicitis or an abscess periappendikulyarnogo, as well as to exclude other diseases within the peritoneal cavity and pelvis, which are symptoms similar to appendicitis. Laparoscopy Laparoscopy – surgical procedure in which a thin fiber-optic tube with a camera is inserted into the abdominal cavity through a small hole in the abdominal wall. Laparoscopy allows you to see the appendix and other organs of the abdomen and pelvis. If appendicitis is found, we can immediately remove the appendix. No study, except laparoscopy, with which to diagnose appendicitis sure. Therefore, in cases of suspected appendicitis tactics might be: the period of observation, research (see above) or surgery.