An inflammation that occurs in an appendix that extends from the large intestine. When an appendix becomes blocked due to a foreign body, cancer or stool appendicitis may occur. The appendix tends to swell as a response to infection in the body. The common symptoms of appendicitis include dull pain around the navel or upper side of the abdomen. When it becomes sharp it moves towards the right lower abdomen. People often undergo loss of appetite. Vomiting and nausea followed by abdominal pain. Usually, fever with a temperature of 99-102 degree Fahrenheit and abdominal swelling occurs. Often there will be an inability to pass gas. When the symptoms develop appendix starts getting inflamed causing pain because of collected pus. Other symptoms include painful urination, severe cramps and constipation or diarrhea with gas. It mostly affects children of age between 6-18. Not all will have an appendix in the same place. They can be also located behind the colon, liver or pelvis. If a doctor observes these symptoms, they will diagnose for appendicitis. The doctor may ask to take some tests as a part of the diagnosis. To detect infection if any, you may be asked to undergo a blood test. Usually, an MRI, ultrasound or CT scan will be taken to see how much inflammation has occurred in an appendix. It is often difficult to detect appendicitis among children. To prevent the child’s body from exposure to radiation, an ultrasound is carried out first and only if it is inconclusive, CT scan is recommended. Kidney or bladder infection will be checked using urinary tests. It has been found that if proteins are detected in urine, it can be treated as an indicator of appendicitis. Depending upon the severity and symptoms the doctor may suggest treatment which covers medications like antibiotics and surgery to remove the appendix.
The treatment for the appendicitis vary according to the conditions and can be any one of the following:
Antibiotics will be recommended after the operation. If symptoms have lasted for more than 4 days, a course of antibiotics will be given so that infection reduces and appendix gets shrink. It has been found that surgery is more effective than antibiotics. If an abscess is found, it will be first drain and surgery will be performed at a later date.
If the symptoms are detected in an early stage, antibiotics will be sufficient. But if severe inflammation is found in scan and infection in blood tests, surgery will be recommended within 24 hours of appendix detection. This is to avoid risks and complications. If the inflammation worsens, it may lead to peritonitis. In the worst case, the infections start entering the bloodstream causing Septicemia.
Not all patients are eligible for surgery and antibiotic medication. The antibiotics are an option if the appendicitis is found to be uncomplicated. If a patient is having problems with immune systems, or undergone chemotherapy or organ transplant, or had any heart implants or bowel disease in the near past, these treatment options may not suitable. Surgeons have to analyze and come up with a different treatment method.
The most common side effects of surgery that are likely to occur are allergic reactions to the medications, people tend to develop a difficulty in breathing in some cases, the incisions made can trigger infections, people might feel obstruction of bowel, if the procedure causes ruptures , inflammation can happen, there are chances of pus collection in the abdomen.
After 12 hours you can move around as normal. Consult a doctor after surgery if you tend to have an uncontrolled vomiting, increased pain in the abdomen, if you feel dizziness or faintness, if you see blood during vomiting or urination, pus in the wound, fever and pain and redness in your incision. Avoid tedious activity in the first few weeks, if you have undergone laparoscopy, you can limit the activity up to five days. If you have undergone open surgery, you can limit the activity up to 2 weeks. Follow the instructions given by the surgeon.
Recovery time depends upon the type of surgery. Laparoscopic surgery can get you back to your normal routine in one to three weeks while an open surgery will take up to four weeks. The inside sutures dissolve in about 6 weeks and you can gain full strength only in 6 months.
The average price in India ranges from Rs 20,000 to Rs 2, 00,000. Majority of the cities in India offer treatment for the appendix. The average cost can be estimated at Rs 65,000.
A patient who has undergone laparoscopy treatment seems to have satisfying results. If you take a good care of yourself during the healing time. You can get rid of appendicitis. There are rare chances that it may reappear again. Since you have only one appendix and once it is removed, it cannot grow back.
Take the proper diet and enough water. Stay hydrated all the day. Don't skip food or do fasting. Antibiotics can act as an alternative to the treatment. Include garlic, fenugreek seeds, lemon, and basil in your diet. You can choose Ayurveda as one of the alternatives to the surgery.