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Doctor insights on: Appendicitis

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Dr. Barry Rosen
1,095 doctors shared insights

Appendicitis (Overview)

The inflammation of the appendix which can cause right lower quadrant pain that radiates and become worse over time.


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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
1,095 doctors shared insights

Appendicitis (Overview)

The inflammation of the appendix which can cause right lower quadrant pain that radiates and become worse over time.


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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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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 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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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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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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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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Doctor is worried I might have appendicitis but is not sure. Wants to do a diagnostic laparoscopy. Can this help?

Yes, but...: Appendicitis, with rare exception, is an acute process that, left untreated, will lead to rupture. It would be highly unusual to have to do exploratory surgery for appendicitis since ct scans are very sensitive tests. Furthermore, this would need to be done on an emergency basis, usually not lending itself to online inquiries. ...Read more

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How accurate are blood tests for appendicitis?

How accurate are blood tests for appendicitis?

Not diagnositic: Blood test do not diagnose appendicitis, elevated blood cell counts in a person with right lower quadrant pain support the diagnosis. Imaging studies are more reliable than blood tests. ...Read more

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How do you know if you have appendicitis? I felt some thing rip by my appendics and it was a sharp pain then i got light headed.

How do you know if you have appendicitis? I felt some thing rip by my appendics and it was a sharp pain then i got light headed.

If : If you had one sharp and no pain or other symptoms since then, it is not likely to be appendicitis. Many times the pain from appendicitis can start near the belly button or in the upper abdomen. The pain could move from those locations down toward the bottom, right part of your abdomen. If the pain is from appendicitis it is likely to get worse with time. You could develop a fever. Nausea and vomiting are common and the normally you lose your appetite. You might even notice some swelling of your abdomen. Some other possible symptoms include abdominal cramps and pain with urination. There are other causes of abdominal pain besides appendicitis. If you have the symptoms described above or you have severe abdominal pain that is not improving, i suggest you go to the emergency room. I hope this is helpful. ...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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Can pain in your appendix area definitely mean appendicitis?

NO: The differential diagnosis of right lower quadrant pain includes: appendicitis, kidney stones, pneumonia, ovarian problems, adenitis ( inflammed nodes, ) meckle's diverticulitis, colonic diverticulitis, crohn's disease, and urinary infection. An evaluation is needed to pinpoint the diagnosis. ...Read more

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What will happen if you don't treat appendicitis, will it go away after a few weeks?

No: Untreated appendicitis will worsen possibly rupture. Treatment can include antibiotics but ideally surgical removal. In the 21st century surgical removal is the gold standard but antibiotics can be use as an interim treatment. ...Read more

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Who treats appendicitis?

General Surgeons: Appendectomy is the "bread-and-butter" surgery of general surgeons (available 24-7). ...Read more

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How is appendicitis treated now?

How is appendicitis treated now?

Surgical Removal: There is a growing body of literatures that supports medical (antibiotic) treatment for appendicitis. This literature is mainly from europe, and is a reflection of their particular medical system. The issue is that appendicitis is definitively treated by surgical intervention (appendectomy) with minimal risk. However, some cases of appendicitis can be cured by antibiotics with a failure rate. ...Read more

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Ideas? What kind of antibiotics are used when treating appendicitis?

Ideas? What kind of antibiotics are used when treating appendicitis?

Surgery: I assume you've already had surgery. Typically we use antibiotics that cover gram negative bacteria and anerobic bacteria. Quinolones plus Flagyl for example. ...Read more