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Doctor insights on: Appendicitis

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Dr. Barry Rosen
1,120 doctors shared insights

Appendicitis (Overview)

Acute inflammation and infection of the appendix, which is usually in the right lower abdomen. The most common cause of severe abdominal pain requiring an operation in children and young adults.


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What are the tests needed to confirm appendicitis?

What are the tests needed to confirm appendicitis?

Appendectomy: The only foolproof method of diagnosing appendicitis is to surgically remove the appendix. We may suspect appendicitis based on symptoms & exam findings; a ct of the abdomen can be very helpful in certain cases. However, when suspected, it is best to remove the appendix rather than wait for rupture to occur. ...Read more

Dr. Barry Rosen
1,120 doctors shared insights

Appendicitis (Overview)

Acute inflammation and infection of the appendix, which is usually in the right lower abdomen. The most common cause of severe abdominal pain requiring an operation in children and young adults.


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What are the common risk factors for appendicitis?

What are the common risk factors for appendicitis?

Youth, time, genes,: Most commonly occurs ages 10-30, but can occur any age. Cystic fibrosis a risk factor. More common with low fiber intake; more common in males; more common october to may (go figure); after some viral infections (which may be more common in the wintertime), some bacterial or parasitic infections (like amoeba); family history of appendicitis. ...Read more

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Rlq abdominal pain for 16 days? Appendicitis?

Rlq abdominal pain for 16 days? Appendicitis?

Maybe, but...: Causes of recurrent abdominal discomfort as described may be identified by first addressing signs/symptoms so as to localize the organ involved: in women: vaginal discharge or bleeding, alteration in periods, pregnancy risk? Fever, nausea, vomiting, altered stool pattern, blood with stool, tenderness, distension? Painful urination, blood in urine? Recent trauma, herniation? Stressors? Other risks? ...Read more

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Could gastritis cause appendicitis?

Could gastritis cause appendicitis?

No: Gastritis is a phenomenon of hellicobactor unless caused by agents such as alcohol. Gastritis for the most part remains a problem in the stomach which has to be brought under control locally. ...Read more

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How does appendicitis lead to death?

How does appendicitis lead to death?

Bad complication: Death from appendicitis is extremely rare in the modern era. With good surgical treatment and potent antibiotics, most patient recover just fine. However, if the diagnosis is delayed, patient suffers from significant systemic illness, allergic to the appropriate antibiotic, has resistant infection that lead to severe sepsis, death is an unfortunate complication. ...Read more

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What causes appendicitis?

What causes appendicitis?

Appendicitis ...: comes from obstruction of the lumen of the appendix which causes inflammation to build up. If it is not recognized early on and appropriately treated, the appendix can rupture, spreading infection elsewhere in the abdomen and causing severe illness. ...Read more

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What is the very first symptom of appendicitis?

Abdominal pain: May be mild, increase, move to right lower abdomen and focus and intensify loss of appetite, nausea and occ vomiting may also be early and confuse with gastroenteritis. ...Read more

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Could no gallbladder appendix cause pancreatitis?

Could no gallbladder appendix cause pancreatitis?

No: Appendix had nothing to do with pancreas. If the gallbladder had stones you could possible have a stone remaining on the bile duct. See your doctor. ...Read more

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What are some of the symptoms of appendicitis?

What are some of the symptoms of  appendicitis?

Symptom appendicitis: Appendicitis starts, progresses, with pain in lower right abdomen, fever and signs of infection. By 12 to 24 hours patients know something is wrong and get in to a health care facility. Surgeons remove the bad appendix, hopefully before it ruptures. Surgically cured! recovery is about a week. Usually one or two days in hospital. Often performed laprascopically. ...Read more

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What are the signs of appendicitis?

Early or late?: Early may be non specific signs. Mild upper abd discomfort on exam. Later can be fever, dehydration from vomiting or diarrhea, rapid heart rate, pain in right lower quadrant of abdomen, "rebound" tenderness (hurts worse after pressing in ), with heel drop, bringing right knee to chest, stretching it out, tenderness on rectal exam. Thinking maybe? See a doc now! ...Read more

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Lower right back/butt/frontal pain...worsening. Ruled out diverticulitis, pancreatitis, appendix, kidney stones. Have fatty hernia is stable. Help?

Lower right back/butt/frontal pain...worsening.  Ruled out diverticulitis, pancreatitis, appendix, kidney stones.  Have fatty hernia is stable. Help?

R/O IBS: IBS is a diagnosis of exclusion. IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach.com The SX wax and wane. ...Read more

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Differential diagnosis for acute appendicitis?

Differential diagnosis for acute appendicitis?

RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...Read more

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Does ruptured appendicitis causes sterility in men?

Does ruptured appendicitis causes sterility in men?

Usually not: Whereas in women it can cause blockage of fallopian tubes with inflammatory adhesions. If you are concerned, get to a doctor for a sperm analysis. ...Read more

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Is there one best test to diagnose appendicitis?

Is there one best test to diagnose appendicitis?

CAT scan: Good history and physical exam labs and if needed a cat scan to confirm diagnosis. ...Read more

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Could diverticulitis cause pancreatitis?

Could diverticulitis cause pancreatitis?

No, I have: Never heard of a patient whose colonic diverticultis caused pancreatitis. In a rare cases, duodenal diverticula can cause pancreatitis, but this is really rare. ...Read more

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Can ultrasonic abdomen scan miss appendicitis?

Possibly: It is possible that ultrasound may not be diagnostic for appendicitis. It depends on the tech performing the exam, the patient's body size/habitus, the amount of bowel/stool present, the age of the patient, the location of the appendix, whether free fluid is present, and the confidence of the interpreting radiologist. ...Read more

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