Doctor insights on:
Is A Ruptured Appendix Always Fatal
How long should I wait to do heavy lifting after appendectomy for ruptured appendix? I was in hospital for 7 days and it took me about 4 weeks for me to start walking properly I had a open surgery and it is about a 4-5 inch opening on the right side of ac
In: In general, for uncomplicated surgeries, it is recommended to wait 6-8 weeks prior to lifting anything heavier that a gallon of milk. This is because the tensile strength of a wound is relatively stable at this point. After this, a slow return to normal pre-surgery activity should ensue. ...Read more
The appendix is a piece of tubing located at the bottom of the colon on the right lower part of the abdomen. It has no known function in modern humans, but was thought to possibly be a type of extra stomach back in our cavepeople days. Currently it's only purpose is to get infected ...Read more
No, though it can be: When the appendix ruptures, bacteria from the intestinal tract can enter the abdominal cavity, causing severe inflammation and the spread of bacteria into the bloodstream. Sometimes, the hole in the appendix is "band-aided" closed by an adjacent organ, limiting the spread of infection. In rare cases, the body can heal this without medical intervention. Since we cannot predict this, we rx all. ...Read more
Variable: The immediate complication rate is much higher for a rutured appendix and there is a small mortality rate associated with it. Assuming that you are past the acute stage, most people do well. Fertility may be decreased in some women after appendiceal rupture and peritonitis and bowel obstruction may be slightly more common in both sexes, but most patients do well in the long run. ...Read more
Depends: The overall chance of dying (mortality rate) has been reported at 30% from time periods before surgery was an option. So a ruptured appendix was not usually fatal, although clearly one would be very sick for months or years. These data are clearly skewed, since one would have to die and then have an autopsy, so the actually mortality rate is lower. If a patient dies, it could take days to months. ...Read more
It depends: Every patient and every operation is a little bit different. Also every patient's job is different. I generally tell my patients that they can go back to work whenever they feel like it as long as there is no heavy lifting (more than 20 lbs) for 6 wks, mainly to reduce the risk of getting an incisional hernia. Also avoid driving or operating heavy machinery if you are still taking pain meds. ...Read more
Much less today.: At least in developed countries the numbers are much smaller than a hundred years ago. Still, it can happen in older patients where other diseases may hide the diagnosis from doctors until it's too late. ...Read more
Yes: The first thing to do is to evaluate your fallopian tubes. Your gyn may be able to do a femvue in the office. ...Read more
My 13 yr old had a ruptured appendix, it was awful to see her sick like this. Will this cause any problems for her future health?
Common problem: Unfortunately, in spite of advances in diagnostic equipment, the frequency of rupture has not declined significantly in decades. After the initial prolonged hospital stay, most will go on to have few issues in the future.Scarring can make some structures stick together & this could complicate future surgery like a c-section or act as a pivot point, trapping bowel & causing cramps or other symptms. ...Read more
Usually a high energy: Injury 2 the abdomen.Get a more detailed answer ›
Yes: A ruptured appendix can subsequently block fallopian tubes by way of scar tissue from the infection that would ensue. ...Read more
Peritonitis Causes: Peritonitis is an irritation of the lining which covers the contents inside of your abdomen. Various different disease processes can cause peritonitis. In simple terms, anything that does not belong inside of the abdominal cavity when present. Can cause irritation which leads to peritonitis. ...Read more
Constant vs contract: Appendicitis is at first a generalized pain that starts in the peri umbilical area. As the appendix ruptures the pain may move from the right side groin area to the whole abdomen. Patients lay still because of pain. Labor pains are contractions of uterine muscle. They increase as a method for delivery of a baby and subside after delivery. Patients are moving constantly to try to get relief. ...Read more
Good with treatment: Believe it or not, we have data from World War 2 concentration camps where there were plenty of doctor prisoners but no treatment available. They found that the mortality rate of untreated appendicitis was only ~5%. With treatment, mortality will be lower, although the course may be pronged prior to getting well. ...Read more
My daughter had a appendectomy for a ruptured appendix that was ruptured, it has been 28 day postop and she still has cramping and pain?
Complication: It is not unusual for the intestines to form sticky patches (adhesions) after such an event. This can lead to variable symptoms as you describe. You may want to call the surgeon's office and schedule a followup evaluation. Evaluation can eliminate some of the more worrisome processes this could be. ...Read more
My 13 year old son had op for ruptured appendix 18 wks ago & still feels tired a lot. Is this normal? He did have urine infections for a month.
I just got out of the hospital from ruptured appendix. My vagina bled while in hospital. Now its constantly wet with thin mucus. Is this concerning?
Maybe normal: Being in the hospital can affect your period. Make sure you are not pregnant, then wait for normal periods to resume. If not normal within a cycle or two, check with your doctor. ...Read more
I have a 6 inch keloid scar from a midline incision due to a ruptured appendix when I was 8. I am 24 now, is there still a chance or way to remove/minimize the scar?
I have been getting left shoulder pain again 6 weeks after laparoscopic appendectomy for a ruptured appendix. Is it normal to still be feeling this?
Could I have a ruptured appendix? Been running a low grade fever for 2w, 2 Dr did physical test, said nothing was wrong, WBC 17000, pain comes&goes
Unlikely, but...: ...something potentially serious is going on here. With abndominal pain, fever, and such a high WBC count, you need to keep working with your doctor (s) about the cause. With non-continuous pain, ruptured appendix isn't likely. But any number of other problems may be possible. If the pain is in lower abdomen, at age 21 pelvic inflammatory disease (PID, usually due to STD) is possible. ...Read more
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