Top
10
Doctor insights on: Appendicitis

Share
Dr. Barry Rosen
1,078 doctors shared insights

Appendicitis (Overview)

Appendicitis is inflammation of the appendix which is a finger-shaped pouch that projects off of the colon. It causes right lower quadrant pain that radiates and becomes worse over time. Common symptoms are abdominal pain localizing to the right lower quadrant, nausea or vomiting, and loss of appetite. Appendicitis is treated with IV fluids + antibiotics and appendectomy (surgical removal of the appendix) either as an open or laparoscopic operation.


1

1
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
1,078 doctors shared insights

Appendicitis (Overview)

Appendicitis is inflammation of the appendix which is a finger-shaped pouch that projects off of the colon. It causes right lower quadrant pain that radiates and becomes worse over time. Common symptoms are abdominal pain localizing to the right lower quadrant, nausea or vomiting, and loss of appetite. Appendicitis is treated with IV fluids + antibiotics and appendectomy (surgical removal of the appendix) either as an open or laparoscopic operation.


3

3
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

See 1 more doctor answer
5

5
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

See 1 more doctor answer
6

6
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

See 1 more doctor answer
7

7
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

See 1 more doctor answer
8

8
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

See 1 more doctor answer
9

9
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

See 1 more doctor answer
10

10
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

See 1 more doctor answer