Episodes of Constipation

Low Fiber Diet

Occlusion of Appendix by Fecalith Decreased flow/drainage of mucosal secetions ncreased L! in the appendix "asocongestion Decreased blood supply in the appendix Decreased O# supply in the appendix Appendix starts to be necrotic$ %acteria in&ade the appendix Disruption of Cell 'embrane of Appendix (tart of nflammatory !rocess )elease of Chemical 'ediators Acti&ation of the "omiting *eutrophils to area Center in the 'edulla +++, -istamine. !rostaglandin. (timulation of "agus (uppression of !us Formation Leu/otrienes. %rady/inin *er&e (ympathetic 0phagocyti1ed bacteria 2 Function and dead cells3 (welling of Appendix +++, !rostaglandin. %rady/inin !ain in the )L5 of Abdomen Acute !ain +++, nterleu/in+7 ncreased 8%C *ausea 4 "omiting )is/ for Deficient Fluid "olume Anorexia )is/ for nfection 0if appendix ruptures3 )is/ for mbalanced *utrition less than body re6uirements

nflammation of Appendix 0Appendicitis3 Appendectomy :issue :rauma Open 8ound mpaired :issue ntegrity )is/ for nfection Disruption of Cell 'embrane (tart of nflammatory !rocess )elease of !rostaglandin/ %rady/inin

*ociceptors on the Dermis (end mpulse to C*( !ain on (urgical (ite Acti&ity ntolerance