Question

My daughter's age is 18 year. Dr. Last week she had a swear stomach pain with vomiting. We were go 11 am in the hospital they had given injection buscopan, domperidone, emset. But no improvement. At 7 pm we go again other hospital and they had given again emset, ranitidine, buscopan injection. But after that no improvement in the pain and vomiting. Next morning drmsuggest for ultrasound of whole abdomen, after ultrasound the appendix size was 6 mm. Then Dr. Said admit her in the hospital for 2-3 days if not remove the pain we will do surgery for appendix. But after we had go to other hospital they had done their ultrasound and xray of stomach. Dr. said 4.5 appendix size no need to operate. 5 to 8 appendix is normal. They had given ciplox tz, metrogyl, meftal spas, b complex, vitamin c tablets for 5 days. Now she feel relief in stomach pain but she had a feeling of nausea all day and some time she had a two three episodes of vomiting. Dr. Suggest me is 4.5 mam appendix size is normal.

MBBS

General Physician•Navsari

The decision to operate on an inflamed appendix is typically based on a combination of clinical symptoms, physical examination findings, and imaging studies. An appendix size of 4.5 mm may be within a normal range, but the decision to operate is usually not based solely on the size but also on the presence of inflammation and clinical symptoms.
The fact that your daughter's stomach pain has improved is a positive sign. However, the persistent feeling of nausea and occasional vomiting may ind...more

Dr.Abdullah Shaikh · Accepted Answer

The decision to operate on an inflamed appendix is typically based on a combination of clinical symptoms, physical examination findings, and imaging studies. An appendix size of 4.5 mm may be within a normal range, but the decision to operate is usually not based solely on the size but also on the presence of inflammation and clinical symptoms.
The fact that your daughter's stomach pain has improved is a positive sign. However, the persistent feeling of nausea and occasional vomiting may indicate that further evaluation is needed. It's important to communicate these ongoing symptoms with her healthcare provider.
Appendicitis can sometimes present with atypical symptoms, and the decision to operate or pursue conservative management depends on the overall clinical picture. If there's uncertainty or if symptoms persist, seeking a second opinion or discussing the case further with a specialist is advisable.
Encourage your daughter to stay hydrated and follow the prescribed medication regimen. If symptoms persist or worsen, it's crucial to consult with her healthcare provider promptly.

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