Hey, what’s up, you guys?
My name is Buck Parker. I’m a board certified general surgeon. In this video, we’re gonna talk about appendix pain. Why are we gonna talk about appendix pain? Because you guys apparently searched it, like, 49,500 times a month. So that’s why I’m gonna talk about appendix pain. Plus, I take the appendix out all the time. I see it on a daily basis – not a daily basis – like, a weekly basis I suppose. So I can just talk about it, and I don’t really have to look at any notes, which is really good. Because if you’re a family medicine guy, you don’t really know that much about it. You read the books and stuff like that, but you don’t really have an intimate knowledge of the appendix. Me and the appendix are like this. Okay? This is what I’m trying to tell you right now. This is why we’re gonna be talking about appendix pain.
I’m just gonna kind of ramble. I don’t know if you’ve noticed that already. But the appendix…If you wanna know more about the appendix, you can go to some of my other videos. We’ll put ’em up there, bing bing.
The appendix is a tubular structure located on the right side of the abdomen hanging off the colon. What the appendix does, nobody really knows. We think, maybe, it had some immune function at some point but really most likely it doesn’t do anything right now that we know of. Sometimes the appendix gets blocked at the base. What happens is the bacteria that’s normally in the appendix proliferates, which is what bacteria does, and then the appendix swells up and that’s what starts causing the pain.
There’s two things to know about appendix pain. First of all, you’re probably searching appendix pain because you wanna know where it is, and that is in the right lower abdomen. Doctors like to call the right lower quadrant. The appendix pain is on the right lower abdomen but typically, the appendix pain starts in what we call the periumbilical region, and that’s around the belly button. The reason for that is the stretching of the appendix. When the bacteria starts to proliferate, it starts to stretch the appendix.
There’s a different kind of pain that we develop in the appendix trajectory. This first pain starts in the periumbilical region. Classically, the appendix pain starts around the belly button and slowly moves down to the right lower quadrant, and the reason for that is that the appendix swells up. That is the stretching pain, and we don’t have a localization. Our bodies can’t localize where that stretch is. We just feel it, generally, in our abdomen. Then later when the bacteria stretches the appendix so much that it starts to become inflamed, then the appendix inside the abdomen starts to irritate the lining of the abdomen. When the appendix starts to irritate the lining of the abdomen, then you start to get that pain. You can localize that pain, and that pain is in the right lower quadrant. We call it McBurney’s Point. If you’re a medical student or resident, obviously you probably know where McBurney’s Point is. If you are not and you’re looking at this video because you wanna know what the hell is going on with your body, McBurney’s Point is between the ASIS, which is the anterior superior iliac spine, otherwise known as the little hip bone there and your belly button. It is halfway to two thirds a way between those two things. If you push on that area, that is the maximum point of tenderness, which we like to call in medicine. That’s where your appendix pain is.
Two types of pain. Generally, it is a somatic pain, which is with a stretching pain and that is the periumbilical region. Then the pain moves through the right lower quadrant, the right lower abdomen, when it starts to irritate the abdominal lining.
I hope that explains the appendix pain for you. If you have any other questions about the appendix, check out my other videos. If you like these kind of videos, why don’t you go ahead and subscribe to my channel or share with a friend? And can you do me an extra favor and like the video? That would be awesome. I’ll see you in the next one. Don’t worry. I’ll change my shirt so it looks like I did these over multiple days, but really I’m just sitting down and doing, like, 25 at a time.
See you next time!
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