Pain in the lower right side of the abdomen in men?

Pain in the right lower abdomen of men is a very common phenomenon in normal times, and there are many reasons for it. It may be caused by excessive exercise or disease, such as prostatitis, appendicitis and other diseases. It is best to go to the hospital for examination. If it is caused by disease, you must actively cooperate with the doctor for treatment. Don't be careless and must take it seriously. The sooner the treatment, the better.

What are the symptoms and manifestations of appendicitis?

(1) Abdominal pain: Typical acute appendicitis has pain in the upper middle abdomen or around the umbilical cord in the early stage. After a few hours, the pain moves and becomes fixed in the right lower abdomen. When the inflammation affects the serous layer and parietal peritoneum, the pain becomes fixed in the right lower abdomen, and the original upper middle abdomen or around the umbilical cord pain is alleviated or disappears. Therefore, the absence of a typical history of migratory right lower abdominal pain cannot exclude acute appendicitis.

Simple appendicitis often presents with paroxysmal or persistent bloating and blunt pain. Persistent severe pain often indicates suppurative or gangrenous appendicitis. Persistent severe pain affecting the middle and lower abdomen or both sides of the lower abdomen is often a sign of appendicitis gangrene perforation.

(2) Gastrointestinal symptoms Simple appendicitis does not cause prominent gastrointestinal symptoms. In the early stage, there may be nausea and vomiting due to reflex gastric spasm. Pelvic appendicitis or appendicitis with gangrene and perforation may cause an increase in the frequency of bowel movements.

(3) Fever is usually low-grade, without chills, and in purulent appendicitis the temperature usually does not exceed 38°C. High fever is more common in appendicitis with gangrene, perforation, or peritonitis.

(4) Tenderness and rebound tenderness Abdominal tenderness is a manifestation of inflammatory stimulation of the parietal peritoneum. The coccygeal tenderness point is usually located at Meckel's point, which is the junction of the middle and outer 1/3 of the line connecting the right anterior superior iliac spine and the umbilicus. Rebound tenderness is also called Blumberg's sign. In patients with obesity or retrocecal coccygeal inflammation, tenderness may be mild, but there is obvious rebound tenderness.

What are the factors that cause appendicitis?

One of the causes of appendicitis: bad eating habits.

Eating raw, cold and unclean food, constipation, running fast and mental stress lead to intestinal dysfunction, hindering the blood circulation and emptying of the appendix, creating conditions for bacterial infection. Other common pathogens of acute appendicitis include E. coli and anaerobic bacteria.

The second cause of appendicitis: obstruction of the appendicitis lumen.

The coccyx is a long and thin tube that is connected to the cecum at only one end. Once obstructed, secretions can accumulate in the lumen, increasing internal pressure and compressing the coccyx wall to block distal blood flow. On this basis, bacteria in the lumen invade the damaged mucosa, which is prone to infection. Some people have found that gangrenous coccyx is almost always obstructed. Factors that lead to narrowing of the coccyx lumen include fecal stones, food residues, hair clumps, intestinal parasites, and damage to the coccyx, which causes swelling and twisting.

The third cause of appendicitis: bacterial infection.

There are also patients who develop the disease without obstruction, and the main factor is direct infection caused by bacteria in the coccyx cavity. Because the coccyx cavity is connected to the cecum, it has the same species and number of bacteria as the cecum cavity, mainly Escherichia coli and anaerobic bacteria. If the coccyx mucosa is slightly damaged, bacteria invade the tube wall and cause varying degrees of infection. A small number of patients develop the disease after upper respiratory tract infection, so it is also believed that the infection can be transmitted to the coccyx through the blood. Another part of the infection starts from purulent infection of adjacent organs and invades the coccyx. There is abundant lymphatic tissue on the wall of the coccyx, and bacteria can enter the coccyx through the blood circulation and cause acute inflammation, redness, swelling, and pain, which can easily lead to acute appendicitis.