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A 43-year-old member asked:

please explain if it is possible for appendicitis to go away?

2 doctor answers10 doctors weighed in
Dr. Creighton Wright
General Surgery 56 years experience
Yes: Possibly! Some folks have had repeat abdominal,spells of RLQ pain, and then have an abscess, or perforation, or acute spell . The situation is usually in retrospect.
Dr. Diane Minich
Family Medicine 37 years experience
Possible: but not common. Normally requires antibiotic and surgery.

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A 38-year-old member asked:

What are the causes of appendicitis?

4 doctor answers9 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Unknown: It is unclear what causes appendicitis, although many cases are associated with obstruction of the appendix, leading to it's rupture.
A 41-year-old member asked:

What is the very first symptom of appendicitis?

2 doctor answers2 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
"stomach ache": Appendicitis usually begins with ill-defined abdominal pains not unlike a "normal" stomach ache, often associated with nausea and a poor appetite. Typically within 24 hrs, the pain appears to change, becoming sharp, constant, and well-localized to the right lower abdomen.
A 39-year-old member asked:

What other common or serious conditions mimic appendicitis?

4 doctor answers6 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Ruptured cyst/Crohns: It is often difficult to distinguish inflammation in the right ovary or fallopian tube from appendicitis. Therefore, a ruptured ovarian cyst or pelvic inflammatory disease can look just like appendicitis. In men or women, inflammatory bowel disease or diverticulitis can have similar symptoms and signs. Though not perfect, cat scans have helped differentiate these diseases.
A 31-year-old member asked:

Why do some people consider appendicitis as a serious condition?

6 doctor answers11 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
It can be.: When caught early (prior to rupture), appendicitis is a very simple disease to treat, with low complication rates. Once rupture occurs, many people can get quite ill due to the bacteria from the intestinal tract directly entering the abdominal cavity thru the hole in the appendix. This is even more serious in those with preexisting medical problems.
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A 40-year-old member asked:

Why is it sometimes difficult to diagnose appendicitis?

2 doctor answers1 doctor weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Everyone's different: In my experience, about 1/2 of all people that i see with appendicitis come in with classic signs and symptoms that make the decision to operate quite easy. However, there is a lot of variability in the description and location of the pain, as well as other diseases that can resemble appendicitis. Added to this is the fact that we want to operate as soon as possible, before the appendix ruptures.

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Last updated Jul 8, 2014

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