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Doctor insights on: Acute And Chronic Appendicitis

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Dr. Barry Rosen
1,105 doctors shared insights

Appendicitis (Definition)

The inflammation of the appendix which can cause right lower quadrant pain that radiates and ...Read more


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What triggers acute appendicitis when someone already has chronic appendicitis?

What triggers acute appendicitis when someone already has chronic appendicitis?

Obstruction: If you have the diagnosis of chronic appendicitis you should have an appendectomy. The appendix has no function and can only lead to an acute issue. Acute appendicitis is caused by an obstruction usually secondary to a fecalith or an inflamed lymph node. Occasionally it can be infected secondary to a tumor. ...Read more

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I have been having symptoms of chronic appendicitis, and I was wonderingwhat would make it acute appendicitis?

I have been having symptoms of chronic appendicitis, and I was wonderingwhat would make it acute appendicitis?

Inflammation: The obstruction may be complete and get infected, causing more inflammation, swelling, lymphadenitis and even perforation and peritonitis. ...Read more

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I might have chronic appendicitis. What are some do's and don'ts? I don't want it to turn into acute appendicitis.

I might have chronic appendicitis. What are some do's and don'ts? I don't want it to turn into acute appendicitis.

Then get it out: The term chronic appendicitis, now rarely used, you have appendicitis or not, possible without surgery, some may suffer for long time without surgery, bursting is unlikely as adhesions will prevent. . If symptoms persists & ct shows removal is the best option. ...Read more

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Does chronic appendicitis exist?

Controversial: There are people who have point tenderness at the location of the appendix but without fever, signs of infection. They may have obstruction of the appendix and have 'pressure' in it. If other issues are disproven, removal may solve the issue. ...Read more

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How do I know if I have chronic appendicitis?

Difficult diagnosis: Recurring pain in the area of the appendix, (and that location can vary), as well as possible symptoms of fever or other GI symptoms could be consistent with chronic appendicitis. A ct scan of the abdomen and pelvis would be helpful. Ultimately, surgery might be necessary to make a definitive diagnosis. ...Read more

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Chronic appendicitis does the pain come and go?

Chronic appendicitis does the pain come and go?

Chronic only : Means that it is not "acute". So yes, pain can come and go. But most doctors don't believe that this entity exists, but "chronic" means repeated bouts of "acute" appendicitis. Other possibilities, such as crohn's ileitis, must be considered. Consult a GI specialist. ...Read more

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What can I do about possible chronic appendicitis?

Term no longer used: Even though possible, if the pain and symptoms are proved to be only from appendix, get it out, but need proof that is the cause. ...Read more

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What should I do about potential chronic appendicitis?

Appendectomy: Chronic Appendicitis believed by some is a condition in which patients feel recurrent abdominal discomfort or pain in right lower abdomen.nausea/vomiting and fever.the symptoms may be daily or once in a while
if a diagnosis of chronic appendicitis is made the best treatment is removal of appendix surgically to prevent potential complications like acute appendicitis, rupture,peritinitis and sepsis ...Read more

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The past 2 days, I've had almost all symptoms of chronic appendicitis. I don't want to overreact. How do I know if its chronic appendicitis for sure?

The past 2 days, I've had almost all symptoms of chronic appendicitis. I don't want to overreact. How do I know if its chronic appendicitis for sure?

See a doctor: Chronic appendicitis is extremely rare. If you have been having symptoms for two days, that is not a long enough period to consider chronic. However, if you have had the same symptoms previously then it is possible that you have chronic appendicitis. If you symptoms do not improve or worsen, you should be evaluated by a healthcare provider. Left untreated appendicitis can be life threatening. ...Read more

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Why do some doctors believe I Grumbling / chronic appendicitis, and others don't?

Change of concept: Current thinking you have acute appendicitis or don't have one. Due to good diagnostic tools it is rarely missed, some even advocating treat with antibiotics without surgery if the lumen is not obstructed with faecolith (stone like stool blocking the lumen) . ...Read more

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Could chronic appendicitis cause mildly elevated ALT enzyme levels?

Not expected: I would not expect elevations in liver enzymes from chronic appendicitis. I would think liver insult from viruses or medications/alcohol. (tylenol (acetaminophen) (acetaminophen) by itself or tylenol (acetaminophen) + alcohol is even worse for liver). ...Read more

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Had numerous tests drs unsure what's wrong possibly chronic appendicitis. Should I pursue and see surgeon or drop since pains mild started in oct 2012.?

Up to you: It depends on how bad it is. Sounds like it is not something life threatening or severe, so watching it or getting a surgical opinion are both reasonable. ...Read more

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I have 3 doctors saying I have chronic appendicitis and a surgeon saying there's no such thing. The pain comes and goes but very painful?

I have 3 doctors saying I have chronic appendicitis and a surgeon saying there's no such thing. The pain comes and goes but very painful?

I would tend to: Agree with the surgeon but only if he/she has examined you and obtained the requisite studies (ultrasound or CT scan) to eliminate the diagnosis. ...Read more

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22y male, discomfort and a dull constant pain in right iliac region for 6 months. Could it be chronic appendicitis? How is appendicitis diagnosed?

22y male, discomfort and a dull constant pain in right iliac region for 6 months. Could it be chronic appendicitis? How is appendicitis diagnosed?

You never will: Know unless you see your doctor soon for investigation and treatment, it could be something simple or could be a complex problem, you are neglecting your problem for 6 months, it is time to see your doctor ...Read more

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I have 2 doctors saying I have chronic appendicitis and a surgeon who says there's no such thing. The pain comes and goes but gets severe. What do Ido?

I have 2 doctors saying I have chronic appendicitis and a surgeon who says there's no such thing. The pain comes and goes but gets severe. What do Ido?

Yes there is no such: Thing as chronic appendicitis, the current concept , however in some if un-operated may result recurrent acute appendicitis. At 16 need your parents involvement, appendectomy is not the answer, need further evaluation & tests, that includes psychological evaluation. ...Read more

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Can chronic appendicitis be treated by taking antibiotics?

Can chronic appendicitis be treated by taking antibiotics?

Prob not effectively: When appendix-a small sac off the intestine-becomes infected, the opening may be plugged. Then infection fighting cells, & waste products, accumulate. If this goes on for a long time (chronic) scar tissue can also encapsulate the diseased appendix. All this leads to a non-draining pocket of infection & an inadequate blood supply to transport antibiotics to the site to work. ...Read more

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Does chronic appendicitis always mess with your bathroom bowlment like diarrheal & constipation?

Appendicitis: If you are symptomatic from appendicitis you should be seen by a competant surgeon and undergo appropriate testing which may include CT scan and CBC, etc. This is seldom a chronic condition, and although it may affect your colonic function secondarily this needs careful and acute evaluation. Do not fool with this yourself. It could become very severe very quickly and life-threatening. ...Read more

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Can I get hungry with chronic appendicitis? Idk if I'm just paranoid over appendix pain cus I feel some discomfort but I get hungry & eat

Depends on who: You ask, but chronic appendicitis does not occur or is extremely rare and unlikely. Appendicitis is progressively worsening infection with increasing right lower abdominal pain over 24-48 hours with nausea and loss of appetite. See a surgeon or go to an er for evaluation if you are getting worse problems. ...Read more

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Can chronic appendicitis go away on its on and not come back — the hospital says they suspect a grumbling appendix. Can i just forget about it?

Yes , they can : Now the concept changed, the term, chronic appendicitis is no longer used (even though after attack it gives symptoms for long time) , if symptoms persists, and documented, will need elective (planed) appendectomy, you will be fine. ...Read more

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About three ago I was diagnosed with chronic appendicitis, I was given antibiotics, though it somewhat stopped the twitch, it is now back, what to do?

Get checked out: If you are having a recurrence of your symptoms, seeing a physician may help diagnose the problem. If it truly is your appendix then surgery to remove it might be advised. I hope this helps. ...Read more

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Had some doctors say I may have chronic appendicitis and 1 said it could be my hip, the X-ray was inconclusive and I've been stretching me hip no help?

X-rays will: Generally only show bone abnormalities, and are not sensitive for soft tissue abnormalities. Hip MRI would be much more sensitive at detecting abnormalities that might cause pain. Chronic appendicitis is not common, and some doubt that it even exists. ...Read more

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How sensitive and specific would CT without contrast be for CHRONIC appendicitis?

Not ideal: For visualizing structures in the abdomen, contrast really helps -both IV and oral. Sometimes a 'dry' scan (no contrast) is done when considerations about kidney function are raised, since the IV contrast can damage the kidneys. The appendix can be hard to visualize as it is — so if possible, a high quality test is definitely better. Depending on the extent of disease too, might affect the results ...Read more

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Does chronic appendicitis cause loose stools or diarreah or it docent mess with your stools?

Chronic appendicitis: Does not exist. You either have appendicitis in which case you need treatment with surgery or more recent studies suggest antibiotics alone may be all that is necessary or your symptoms are due to something else. ...Read more

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Would chronic appendicitis show up on a CT scan when conteast is not used?

May be but unlikely : U could see thickened appendix but typically if appendix has ct findings, it is acute and not chronic. Some feel that chronic appendicitis does not exist. ...Read more

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Does "chronic" appendicitis actually exist? And would it be seen on ultrasound. Appendix type pain 5 days. Normal WBC AND US.

The existence of: "Chronic appendicitis" is controversial. Ultrasound is very good at evaluating the appendix if the appendix can be definitively located. Unfortunately, it may be difficult to visualize the appendix in large or gassy patients, and the appendix also has variable anatomic locations, so ultrasound may be inconclusive. CT more reliably demonstrates the appendix. ...Read more