YOUR SYMPTOM IS BECAUSE OF REDUCED GASTRO INTESTINAL MOTILITY BECAUSE OF SUB
ACUTE APPENDICITIS A MAJOR CAUSE OF ACIDITY AND IRRITABLE BOWEL
THE
APPENDIX HAS A SMALL LUMEN IN CONTINUATION WITH THE LUMEN OF THE LARGE INTESTINE (CAECUM).IT HAS NO VALVE AND HAS A BLIND END.
SUB ACUTE APPENDICITIS IS A CONDITION WHERE THERE IS
IMPACTION OF STOOL IN ITS LUMEN WHICH STAYS THERE FOREVER BECAUSE OF ITS BLIND END. A PATIENT SUFFERING FROM THIS CONDITION, THAT IS, INITIAL IMPACTION OF STOOL IN THE APPENDICULAR LUMEN, NEVER COMPLAINS OR HAS ANY SYMPTOMS OF PAIN OVER THE APPENDICULAR REGION BECAUSE THE LUMEN COULD ACCOMMODATE THE SMALL IMPACTION. PROTECTIVE MECHANISM OF OUR BODY NOW COMES INTO PLAY AND TRIES TO PREVENT FURTHER IMPACTION WHICH COULD OTHERWISE LEAD TO ACUTE PAIN OVER THE APPENDICULAR REGION OR EVEN PERFORATION WHICH COULD BE FATAL .
OUR BODY HERE FOLLOWS THE SIMPLE PRINCIPLES OF PHYSICS. LET US IMAGINE OUR INTESTINE TO BE A PIPE AND THE APPENDICULAR LUMEN A SMALL HOLE ON THE PIPE. TO PREVENT LEAKAGE OF WATER THROUGH THE HOLE, THE PRINCIPLE IS TO REDUCE THE FLOW RATE. SIMILARLY TO PREVENT FURTHER LEAKAGE OR IMPACTION OF STOOL INTO THE APPENDICULAR LUMEN, THE MOTILITY OF THE ADJACENT GUT NEEDS TO BE REDUCED WHICH IS ACHIEVED BY
ADHESION OF THE
ASCENDING COLON TO THE INTERIOR ABDOMINAL WALL , RESTRICTING ITS PERISTALTIC MOVEMENT , PERISTALTIC MOVEMENT IS CONSIDERABLY AFFECTED AGAIN BECAUSE BY DEFAULT THE STOOL IN THE ASCENDING COLON HAS TO MOVE AGAINST GRAVITY IN ERECT POSTURE . HENCE THIS SAVES THE PATIENT FROM FURTHER IMPACTION AND SO FROM ACUTE APPENDICITIS AND PERFORATION BUT THE PATIENT DEVELOPS OTHER FEATURES BECAUSE OF REDUCED GUT MOTILITY .THE EMPTYING TIME OF FOOD FROM THE STOMACH IS INCREASED AND DUE TO STAGNANCY OF FOOD AND ACID IN THE STOMACH , SYMPTOMS LIKE
BLOATING , BURNING ABDOMEN,
BELCHING, BURNING CHEST, FOREIGN BODY SENSATION IN THROAT OR IRREGULAR MOTION