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Overview

Appendicitis - Symptom, Treatment And Causes

What is Appendicitis ?

Appendicitis is a condition which illustrates inflammation of the appendix.

Appendicitis may be acute or chronic. This condition can happen in every one of us at any time. However it has been observed that it mostly occurs between the ages of 10-30. Appendicitis occurs more in men than in women. Complications from this disease can be serious and fatal if it is not treated in time.

Causes of Appendicitis

In most of the cases the cause for appendicitis is not known. There can be several causes for developing this disease. Experts believe that one of the main conditions for developing appendicitis is an obstruction in the appendix. This obstruction can be complete and also partial. When there is a complete obstruction in appendix, it calls for an emergency surgery.

Obstruction in appendix often happens due to accumulation of fecal matters, which results in:

  • Worms
  • Enlarged lymphoid follicles
  • Tumor and
  • Trauma

When appendix get obstructed, it leads to multiplication of bacteria inside the organ, which in turn leads to formation of pus.Increased pressure inside appendix creates pain as it compresses the blood vessels inside the organ which can even lead to gangrene. So in severe cases this obstruction often calls for an emergency surgery.As, if the appendix ruptures, fecal matters can fill the abdomen, ruptured appendix can lead to peritonitis, which is a deadly condition that can be a cause for sepsis.Peritonitis also affects organs like the cecum, bladder and sigmoid colon, which when inflamed can be fatal for the patient. However, instead of rupturing if the infected appendix leaks, it can form an abscess. Though abscess is less dangerous than peritonitis, but still then it can be really harmful for the patient. Primarily appendicitis is diagnosed by performing a physical examination on the patient. The doctor looks for tenderness in the lower right quadrant of the patient’s abdomen. However, if the patient is pregnant the pain can be in a place higher up the abdomen. In case of perforation of the appendix, the patient’s stomach may get hard and swollen.

How is the condition treated?

Apart from physical examination doctors also perform other tests to diagnose this disease and rule out other illnesses.

Urinalysis, pelvic examination, abdominal CT scan and X-ray are conducted to rule out possibilities of urinary tract infections, pelvic infections and other abdominal complications like peritoneal abscess respectively.

Even pregnancy test and chest X-ray is conducted on the patients at times to rule out possibilities of ectopic pregnancy and right lower lobe pneumonia, before arriving at a conclusion that the patient is suffering from appendicitis.

Appendectomy or surgical removal of the appendix is the only remedy of appendicitis.

Treatable by medical professional Require medical diagnosis Lab test required Short-term: resolves within days to weeks Non communicable
Symptoms
Loss of appetite. Abdominal pain, tenderness, nausea and vomiting. Fever

Popular Health Tips

Pre-Operation Care For Appendicitis - 11 Things You Must Follow!

MBBS, MS - General Surgery, Fellowship in Gastroenterology
General Surgeon, Hyderabad
Pre-Operation Care For Appendicitis - 11 Things You Must Follow!

Appendicitis, also commonly referred to as epityphlitis, is generally an inflammation that is triggered by bacterial, fungal, or viral infections. Since the appendix happens to empty into the colon with lesser efficiency and because the lumen is also small, it experiences some form of obstruction, being otherwise vulnerable to infections. This then manifests in the form of a primary factor that causes appendicitis. The pain that generates from this affected region remains localized primarily within the right lower quadrant of your abdomen.

The inflamed appendix then gradually fills up with pus. Appendectomy is considered to be the only curative procedure to treat a case of appendicitis. Pre-operative care is always stressed upon immensely so as to provide the best results to the patients:

  1. Complete bed-rest and relaxation is suggested to patients once the symptoms have been put under the light of clinical examination.
  2. Intubation is then provided if necessary.
  3. Patients also require to fast during the period right before the operation.
  4. Antibiotics must be prescribed in order to prepare the patient for surgery.
  5. Radiological and laboratory examinations are then carried out.
  6. Blood sugar levels must be established to decide if the patient is ready to undergo surgery or not.
  7. Patients who have any previous record of hypertension may be prone to experiencing some amount of anxiety right before the operation itself. If such a case arises, the surgery might be cancelled to avoid any incidence of complications.
  8. Mental preparation must be taken by the patient himself since psychological and physiological stress has a way of jeopardizing the operation.
  9. Presence of friends and family helps immensely to stabilize and relax the patients.
  10. The patient must be explained the very nitty-gritty of the surgery and how it’s going to take place so that he may not face anxiety.
  11. A sedative might be introduced to the patient to help him relax.

Along with the aforementioned factors, a number of things need to be taken care of if the question of appendicitis arises. Since operations are primarily carried out as emergency surgeries, there is little that can be done at the last moment itself. Ensure that the person has an empty stomach and is stable enough to undergo the procedure.

1 person found this helpful

Appendicitis - Why Surgery Should Be Preferred?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Appendicitis - Why Surgery Should Be Preferred?

Under an antibiotic treatment of an Appendicitis patient, a surgical removal of the appendix, say Appendectomy is the primary procedure to cure Appendicitis. However, it is said that an antibiotic treatment of computed tomography (CT) proven which seems effective as the traditional surgical method termed as Appendectomy. Let’s dig it more to know whether the appendectomy or surgical method is required or just antibiotic treatment along with tomography can work too. If it can work or in case where surgical treatment can be avoided, would it be safe

What is Appendicitis?

Appendicitis is a medical condition where appendix in human body becomes inflamed. The appendix is a tube in our body with a length of 3 ½ inches long which elongates from the large intestine. Appendicitis is a medical emergency condition where the appendix has to be removed or eliminated from the body to cure the patient. If not removed or in case, left untreated, it can perforate, spill infectious liquid or even burst leading to severe inflammation in the abdominal cavity. Until it is treated with antibiotics or appendix gets removed, the inflammation can lead to further damage to abdominal cavity continues.

Why surgical procedure is required

Appendectomy is the most effective medical procedure for the treatment of acute appendicitis, however antibiotic treatment with a tomography has proven. It is also observed that most of the patients didn’t need any surgery or Appendectomy after their follow up to nearly one year. Even it is seen often that patients who had gone through the surgery didn’t have actually any such complications. But does that mean, such patient do not need medical surgery or does it prove that Appendectomy isn’t just required to remove appendix or cure Appendicitis? The answer is no! 

This is because when these two kinds of treatment and their respective results are compared in the non-inferiority trials to anticipate the effect of new treatment is not worse than prevailing one. As the outcome of this comparison, medical investigators learned that other than medical surgery, the antibiotic treatment doesn’t meet the expected marginal criteria in non-inferiority trials.

However, there is bit of relief to say that investigators found out 72.7 % of total patients getting recovered from the acute non-complex Appendicitis are undergoing antibiotic treatment. Complicated acute Appendicitis is mostly not cured by the antibiotic treatment. Another important observational difference between these two types of treatment is the reduced stay of surgical patients in hospital than antibiotic treatment patients.

Antibiotic treatment can be really be the exact cure for some patients, however, surgery gives more assurance. Therefore, it completely depends on the patient’s scale of Appendicitis, its complexity and professional guideline of doctors or surgeons for sure.

2014 people found this helpful

Appendicitis- How Can Surgery Help You?

MBBS, MS - General Surgery, Fellowship In Laparoscopic & Robotic Onco-Surgery, Fellowship In bariatric surgery, F.I.A.G.E.S
General Surgeon, Delhi
Appendicitis- How Can Surgery Help You?

Appendicitis occurs when there is an obstruction in the lining of the appendix, resulting in an infection. Left to itself, it may lead to swelling, inflammation, formation of pus, and rupture of the appendix. The most common symptoms of appendicitis are pain in the abdomen, abdominal swelling, nausea, loss of appetite, high fever.

What is the Appendix?
Appendix is a small, 3.5 inch long pouch-like tube of tissues present in the colon, which is located on the right side of your lower abdomen. Quite a few research studies suggest that the appendix functions as a depository for the good bacteria and helps reboot your digestive system after it is rendered dysfunctional by diseases like diarrhea. However, doctors suggest that the human body can function perfectly without an appendix and hence, one can have their appendix removed in order to prevent bacterial infection or inflammation from spreading to the abdominal cavity.

Appendicitis surgery, also known as appendectomy, is the procedure of removing the appendix before it gets ruptured. There are two methods of performing an appendectomy- open appendectomy and laparoscopic appendectomy.

  1. Open appendectomy- During the procedure the doctor will make a surgical cut in your lower abdomen to remove the appendix. Moreover, if the appendix has already burst, your abdominal cavity will be cleaned. After that the wound will be carefully stitched. Open appendectomy is the preferred choice for those who’ve had a surgery before, or when the abdominal infection has spread to other body organs.
  2. Laparoscopic appendectomy- To start with this procedure, the doctor will first make a couple of cuts – usually three - in your abdomen and insert a narrow small tube known as cannula. The cannula inflates your abdomen with carbon dioxide gas, which gives your doctor a clear view of the appendix. Next, a thin long tube with attached camera and light, known as laparoscope, will be inserted through the cut. The camera displays the images of your abdomen and appendix on a monitor screen and thereby allows your doctor to tie it off with stitches and remove it. After the removal, the incision will be cleaned, closed and dressed. This type of surgery is a preferred option for adults who are slightly overweight. Moreover, this procedure is safer and faster as compared to open appendectomy.

Appendectomy is usually a safe and permanent solution to have your appendicitis removed. It does not have many serious complications or side effects. Like all surgeries, there are some post treatment guidelines to quicken the recovery process. You should clear your doubts with your doctor after the surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1926 people found this helpful

Pain In Lower Abdomen - What Could Be The Causes?

MBBS, MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Jaipur
Pain In Lower Abdomen - What Could Be The Causes?

Lower abdomen pain can originate from a range of medical issues. In some cases, the pain disappears just like the way it came, in some cases, it takes longer medical treatment to cure the pain. Once the origin and the root cause of the pain are diagnosed, there are plenty of medical options to cure the pain. In this piece, we will briefly touch upon the causes of lower abdomen pain:

  1. AppendicitisThis is one of the most common causes of lower abdomen pain. It typically originates from the right side of the stomach and soon diverges into the other side as well. The pain can become unbearable in a matter of hours.
  2. Pelvic inflammatory disease: This is an infection that is caused in the reproductive system of a woman. This is often characterized by vaginal discharge, fever, weakness, intercourse related pain and pain in the lower abdomen.
  3. MiscarriageIn case there is a loss of fetus on or before the twentieth week, the mishap is termed as miscarriage. It results in acute pain in the lower abdomen pain, vaginal bleeding, back pain, fluid expulsion from the vagina etc.
  4. Fibroids: This is a growth in the uterus that is often non-cancerous and is commonly characterized by symptoms such as heavy periods, constipation, pain in the legs and back area, pain in the lower abdomen area, frequent urination etc.
  5. CancerA cancerous growth in the lower abdomen area can lead to very sharp pain in the back and surrounding area. The pain is dull in nature and slowly spreads to other areas in a short interval of time.
  6. Cholecystitis:  This is a disorder that results in swelling of the gallbladder area. It results in a sharp pain in the lower abdomen area. A doctor needs to be immediately consulted if a person is suffering from this disease.
  7. Intestinal obstruction: When the lower bowl gets blocked due to the contents of the lower intestine, a person can feel a sharp pain in the lower abdomen area.
  8. Salpingitis: When a woman faces stiff pain in the lower abdomen area due to an inflammation of the fallopian tube, Salpingitis is the culprit behind it. This is a sexual disease and needs a doctor’s consultation to get rid of it.
  9. PMS: A woman can face throbbing pain in the lower abdomen area during her monthly periods. Other symptoms include cramps, weakness, fatigue etc.
  10. EndometriosisWhen there is an extension of the uterus tissue just outside the wall of the uterus, it leads to symptoms such as lower abdomen pain, cramps etc.
  11. Polycystic ovarian syndrome: This is a disorder of the hormone and can lead to symptoms such as heavy periods, a growth of facial hair accompanied with sharp pain the lower abdomen area.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2925 people found this helpful

Know Everything About Tubal Scarring and Infertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Noida
Know Everything About Tubal Scarring and Infertility

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories:

  1. Blocked fallopian tubes
  2. One blocked and one open fallopian tube
  3. Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

  1. Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however does not say much about tubal scarring. 
  2. Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types. 

  1. Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. She may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
  2. In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.

In large number of cases of tubal scarring tubes would be open on tubal testing. However, it may not be working well or is functional. A lot of women with so called unexplained infertility may actually have tubal scarring or non functional tubes as the cause of Infertility. IVF is the best treatment option in such cases as it would bypass the work of the tubes completely. If you wish to discuss about any specific problem, you can consult an IVF Specialist.

3406 people found this helpful

Popular Questions & Answers

On 9th October I have pain at my right side adobeman then Dr. said appendicitis 7.9 mm after 3 days I have done my cycle scan whole adobeman the appendicitis size 5.6 mm so what will I do operate or not?

MS(gen.surg), M.B.B.S.
General Surgeon, Kota
When acut appendicitis occure its inflammed that why size increase but after medication its normal but when 1st attack of appendicitis occure than 2nd attack more dangerous even some time life-threatening so you can go for elective laproscopic apendicectomy.

Sir, there's done my appendix surgery 6 months before. My middle abdominal having 13 stitches (staple) I've started doing gym after 5 months. Nowadays I'm feeling too much pain in my abdominal. What should I do? Please suggest me any diet or medicine. Please. Should I workout at this moment? Please suggest me.

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology
General Surgeon, Kolkata
Hi lybrate-user please stop working. Take adequate rest atleast 6 months. After which light exercises are recommended Follow your doctors advice.
1 person found this helpful

Hello doctor I got surgery last year that was appendix operation with laparoscopic .I am getting pain in testes. Doctor said that stitches compressed with nerve .what was the treatment of compressed nerve lower abdominal please tell me.

MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy
General Surgeon, Srinagar
Hello there is no such entity that stitches compressing nerve after lap appendectomy. Kindly get your scrotal USG done and consult another surgeon for a second opinion. Get one urine examination done too.
1 person found this helpful

5 months before there's done appendix surgery on my stomach middle section having 13 stitches. I want to start a gym now. Like lifting heavy weights. Does it will affect on my surgery? Having muscular body is my goal. Please consult me.

MBBS, MS - General Surgery
General Surgeon, Agra
In five months wounds heal. Still as you have very large wound, you can start gym very slowly with abdominal belt in place. Let me know your progress.
1 person found this helpful

Hi Sir, I drink alcohol every day for about 200 ml which has 46 percentage alcohol. I had appendix operation 8 months before and I eat lots of homemade food no fast food but I feel pain in appendix side little bit.

MD - Psychiatry
Psychiatrist, Chennai
Do an ultrasound abdomen and liver function blood tests, it is more likely to be fatty liver or hepatitis which mimics appendix pain, you need to stop alcohol totally, consult a psychiatrist.

Table of Content

What is Appendicitis ?

Causes of Appendicitis

How is the condition treated?

Play video
Appendicitis
Here are health-related tips of Appendicitis

Hello friends! Now I am going to talk about an entity about which way you and everyone has been hearing since our childhood an Appendicitis , and Appendicectomy, an operation for that. We all hear this thing right since our childhood. It is one of the most commonly affecting disease in general population whether it is male or female. The incidence is right from the first decade of the age and it goes on till almost 50, 55 years. Thankfully, the appendicectomy after late fifties is not much and therefore the population below fifty is definitely vulnerable for it. Why we see a lot of patients with appendicitis nowadays? I think one of the reason is our bad to worse lifestyle. Less water intake, constipating foods like all junk and fast foods, absence or minimal presence of green leafy vegetables, vegetables in general, a sedentary lifestyle and so and so forth are all the factors which induce constipation and situations even like appendicitis.

We see a lot of children who have gained a lot of weight, thanks to the food habits. And this also is one section of the society in which we see a lot of appendicitis. How does a patient feel? How does a patient present with appendicitis? Well the cardinal, most important thing is pain, severe pain usually starting from the middle of your tummy and ,then probably in sometime, over a period of 12 to 24 hours, localizing to the right lower side of your abdomen, wherein it will remain constant. The pain can be quite unnerving needing immediate medications, injections, sometimes even hospital admission and this will be associated with lot of dyspepsia, nausea, in some patients even severe vomiting. This is one of the most classical way in which appendix presents and it is also called as Acute Appendicitis.

Well we have a small section of patients where all these dramatic symptoms may not be there and patients may complain mainly of dyspepsia, fullness of tummy, bloating, especially after eating food. Few hours after consuming the food pain will be dragging sometimes dull sometimes severe, but we will keep localizing to the right lower quadrant of the right lower side of the abdomen. Appendicitis is a clinical diagnosis which a doctor makes after examining the patient. We see a lot of patients coming to us with CT scans, ultrasonic abdomen, MRI and things like that. Trust me in even 21st century the best diagnosis for appendicitis is made by clinician, a doctor who examines the patients and thereby a lot of appendicitis patients, they don't need CT scans and things like that, unless and until a complication has happened or we are dealing with something else or there is a diagnostic dilemma.

So what does a patient need to have? Well he needs to have some basic blood tests that complete blood picture. We also need to show and be sure that there is no urinary tract infection especially in young women and thereby we also ask for a urine examination. In young fertile or what we call as, you know menstruating age group women, we need to be very sure about the genic history and things like that. Before we come to a diagnosis, an ultrasound helps in appendicitis as a way what we call by diagnosis by exclusion wherein exclude that there is no right kidney stone, There is no right electric stone and in women the right ovary and fallopian tubes are clean, but mainly and I would reinforces is this that appendicitis still demands a clinical diagnosis.

All the investigations which we do, they aid the diagnosis they don't make the diagnosis really. The second important factor is appendicitis can be dramatic and can present with complications like number 1 ,wherein a patient who is having abdominal pain will suddenly become sick ,his pulse rate will go and start having high grade fever and so and so forth. The pain will not be relieved by any analgesic. Conventionally, you should always suspect a perforation of appendix. Likewise a patient can also present to us with what we call as an appendicular abscess, wherein it has perforated and there is a nice pus collection around the appendix. So a small disease ignored at that particular time can present to us in a very dramatic way and with a lot of complications. Well the treatment of appendicitis in one sentence is an appendicectomy an operation. All the medicines which are used to treat appendicitis or associated conditions will give a temporary relief, will alleviate the pain for some time, will reduce the infection, but will not take away the problem. I strongly recommend that a simple operation is the best remedy. This surgery can also be done by conventional method, an open surgery or a laparoscopic method. And appendicitis is a situation which can grow from simple to bad and worse within no time. Thereby, don't waste time, try and seek and early treatment. Number 2, don't get feared by the fact that you will need an operation, because in the final run a simply done timely nice operation will save you from all the possible complications and the drama you go through.

Thereby I request you to make use of me through this wonderful medium or you are free to consult me at my consultation rooms at your wish and will. Thank you.
Having issues? Consult a doctor for medical advice