Doctor insights on:
Possibly: It is possible that ultrasound may not be diagnostic for appendicitis. It depends on the tech performing the exam, the patient's body size/habitus, the amount of bowel/stool present, the age of the patient, the location of the appendix, whether free fluid is present, and the confidence of the interpreting radiologist. ...Read more
Could a CT scan miss appendicitis if I wasn't given contrast fluid to drink or wasn't injected with dye?
Possibly: That is possible. Contrast should always be given for abdominal and pelvic cts unless there is reduced kidney function or allergies to the dye. ...Read more
Can a PET scan report miss the presence of appendicitis when the goal is to locate pancreatic tumors?
PET picks up inflamm: PET scan would ordinarily pick up (show increased uptake) Inflammation (like in acute appendicitis) and growing tumors. It is used for searching all tumors (not only pancreatic Cancer). I hope I have addressed your question. Otherwise send me another email with your remaining question. ...Read more
Could appendicitis be missed on a CT scan if I wasn't given contrast fluid to drink before the scan and didn't have dye injected? ?
Yes: Yes but usually not. And if people are super nervous then they would have not sent you out of the office. ...Read more
Not missed if Examin:
Acute appendicitis is a surgical emergency and has to be diagnosed and if diagnosis confirmed by History Physical, Blood count and if imaging if needed to confirm the diagnosis like Cat Scan or ultrasound. If one does not seek medical help the appendix can rupture and cause abscess/peritonitis/sepsis and can be life threatening
One can not afford to miss the diagnosis. ...Read more
Can an abdominal CT miss appendicitis? They checked me for it today but I hurt so bad. I've had fever / diarrhea / chills for days, and I'm stressed.
Yes but symptoms: Yes, a CT scan can miss appendicitis. however, your symptoms are not classic for appendicitis. Diarrhea is not usually an early sign. Also, stomach pain tends to localize or concentrate in a particular spot. Did you have a blood test / blood count? Ask to be evaluated by an experienced surgeon based on your clinical signs, rather than relying solely on the CT scan for a diagnosis. ...Read more
Abdominal Pain: There are many different symptoms. The classic presentation is that of generalized abdominal pain, followed by nausea and vomiting along with fever and chills. The reality is that patients report a multitude of different symptoms. The main complaint is abdominal pain that just doesn't go away after 6 hours. If you are awakened by abdominal pain, and it doesn't go away, see a doc! ...Read more
The early symptoms: Of appendicitis are abdominal pain that starts diffusely or around the bellybutton and then localizes to the right lower quadrant (rlq) of the abdomen; some nausea, maybe with vomiting; and decreased appetite (anorexia). Early signs of appendicitis are abdominal tenderness that ultimately localizes to the rlq; there is discomfort with movement (e.g., the bumps in the road cause pain). ...Read more
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
Neither am I: Typical appendicitis begins as vague, central abdominal pain. The pain then moves to the right lower abdomen. Pain is usually constant rather than crampy. The temperature is normal or slightly elevated. Most patients with appendicitis lose their appetite. Nausea is not unusual. Diarrhea is uncommon. This comes on abruptly and is not a long term problem. Sound like you? See a doctor. ...Read more
Becomes severe: Sometimes the pain from an inflamed appendix can start around your naval. The pain usually worsens over time and moves to mcburney's point which is in the right lower quadrant of your abdomen. Usually the area is tender when touched or when pressure is released. Things which are jolting like walking or coughing can increase the pain. See below. ...Read more
SEVERE: At the onset, the pain may be mild and cramping, not unlike a normal stomach ache. However, within 24hrs, the pain changes, "moving" to the right lower abdomen, and becoming sharp, constant, and progressively worsening. ...Read more
Unlikely: Pain from appendicitis usually becomes gradually worse as the inflammation of the appendix worsens. In rare cases, this can heal itself, then recur at another time. Intermittent right lower quadrant abdominal pain however is usually not appendicitis. See your doctor for an exam to be sure. And if you think it is the appendix, head to the er. ...Read more
They usually don't: Appendicitis is extemely uncommon in babies. Appendicitis comes from plugging up or occlusion of the long, narrow, cylindrical appendix, allowing inflammation to build up. Babies have shorter, wider, conical appendices that may be harder to plug up. Appendicitis is most common in children (older than babies) and young adults. It is possible but uncommon at the extremes of age. ...Read more