Doctor insights on:
Acute And Chronic Appendicitis
I'm still in pain but my CT scana says I don't have appendicitis? Would this be a good indicator for acute and chronic appendicitis?
Both: But this is not 100% and early appendicitis may not show an abnormality.
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.See 1 more doctor answer
I have been having symptoms of chronic appendicitis, and I was wondering, what would make it 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 with out surgery, some may suffer for long time with out surgery, bursting is unlikely as adhesions will prevent.. If symptoms persists & ct shows removal is the best option.See 1 more doctor answer
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.
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.
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..
Yes: It is possible to have chronic appendicitis but fairly uncommon.
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
The past 2 days, I've had almost all symptoms of chronic appendicitis. I don't want to overreact. How do I know if it's 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.See 1 more doctor answer
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.See 1 more doctor answer
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.
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 some thing simple or could be a complex problem, you are neglecting your problem for 6 months, it is time to see your doctor
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, how ever 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.See 1 more doctor answer
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 an non-draining pocket of infection & an inadequate blood supply to transport antibiotics to the site to work.
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.