Doctor insights on:
What Does An Enlarged Appendix Mean
Normal: I presume that the character of the appendix was found on ultrasound or ct abdominal examination. Baseline diameter of appendix is about 5-6mm. However there are exceptions with appendix distended by air or fluid and having a larger diameter. If no inflammation associated with it and no large blocking stone, appendicolith, then appendix is normal. It is normal variation being larger than expected. ...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
What does mild enlargement and stranding noted throughout the appendix mean, rlq pain, diarrhea, normal labs and stool sample normal, what could it be?
No: Pain in the right lower quadrant of the abdomen of a female can be caused by many things including appendicitis, ovarian problems (cysts, torsion, infection), kidney stones, bowel inflammation, pulled muscle, etc. Your history will help a doctor properly diagnose your problem. I recommend seeking medical attention, especially if it persists/gets worse or you have fever or nausea/vomiting. ...Read more
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
Appendix size: Appendix can be different sizes. Sounds like yours is on the large size, This could certainly be normal for you. ...Read more
If I don't have appendticis but my appendix is enlarged and the pain isn't going away should I go back to the hospital? Will they remove it?
Possible AP: Appendicitis is not an elongated appendix. It is an inflammatory process in the appendix frequently induced by a stone in the appendix. If the appendix is the problem an x-ray should show a stone or appendicolith, marked thickening and evidence of inflammation. WBC should be elevated and pain present on palpation of RLQ ...Read more
Position: A free lying appendix refers to the position being deeper inwards into your pelvis. For doctors this may explain why most appendicitis patients have abdominal pain in the right lower quadrant while free lying pelvic appendicitis will likely have tenderness usually during a rectal exam. I hope our Healthtap radiologists and surgeons will be able to comment more on this terminology. ...Read more
Enlarged appendix: I don't know what test you had done that said your appendix is large. A CT scan can usually show if is suspicious of anything to be concerned about. Although it's rare, an enlarged appendix can indicate a problem. You could have a mucocele or a benign or malignant tumor such as a carcinoid. Colonoscopy can see the opening of the appendix and if you haven't had one, see a gastroenterologist ...Read more
My ultrasound scan shows that appendix appears hypoechoic, pls can you advice me what this means?, which conditions can cause this appearance on scan?
The outer: Muscular wall of the appendix is normally hypoechoic, so it may not mean anything. Whether the appendix is abnormal or not depends on other features, such as wall thickening. ...Read more
What does 9.50 on cat-scan mean when my appendix is inflamed how much time do I have before it ruptures I have mild symptoms.?
Time of symptoms: Appendix is enlarged at 9.5 mm in diameter. If inflammed significantly perforation can occur. Risk of perforation 36 hours after the onset of symptoms is at least 15%. most frequent complication of appendicitis is perforation. Perforation of appendix cause peri-appendiceal abscess or diffuse peritonitis (infection of entire lining of abdomen) Major reason for appendiceal perforation is delayed dx. ...Read more
Did an ultrasound, and doc said that appendix was upside down, and over another organ. What could that mean, upside down? Is is dangerous?
Not important: If appendix is not inflammed and there is no evidence of appendcitis usually does not matter what position it is in. Appendix comes off cecum and mainly behind cecum, and if cecum mobile can move around. ...Read more
If I was put on antibiotics two days ago for an enlarged appendix, but not infected. And the pain is not getting any better, what should I do?
Family Doctor: I think this is the tenth question you have asked us, strangers on the internet, but it appears you are not getting the right help in person. You have a family doctor. This professional should be consulted and aware of your problem so that these ongoing questions are managed appropriately. You do not need to go back to the ER. You need to see your family doctor. ...Read more
Had appendix removed. Pathology report said acute appendicitis. Wats this mean? Surgery went well.
My doctors said my appendix was enlarged but not infected they sent me home with antibiotics. My pain is not subsiding what should I do?
I had my appendix removed yesterday and Surgeon also told me intestines were attached to wall! How does this happen & what does it mean in future?
Year after removing appendix- blood test showed a low count of white blood cells? What does it mean and what should this person do?
How low?: Either the absolute lymphocyte or the absolute neutrophil count needs to be markedly below reference range before you give this another thought. Both of these fluctuate wildly from hour to hour. If you feel well, the decision will be either "repeat next year" or "repeat in a few weeks." Stay fit and manage life's stresses and don't give it much worry. ...Read more
CT-Prominent appendix ill-defined enhance soft tissue at base of appendix & stranding of adjacent omentum. Colonscpy/gastroscpy-chronic gastritis. Mean?
Symptoms?: These results must be clinically correlated. I can explain what it means but ultimately no diagnoses can be made without a good history and physical. The CT basically- ill defined. .. means they see something at the base of the appendix but it does really have definition (does not resemble anything particular), stranding- often represents inflammation, chronic gast.- stomach inflamed but not new. ...Read more
I've been having probs w my appendix since March. They did an ultrasound & were unable to identify my appendix due to bowel gas. What could this mean?
Maybe but...: "stomach pain" can be caused by lots of things & may indeed originate outside the GI tract. Further evaluation is in order before anyone can answer "what to do." your doctor will want to re-examine you as well as know the quality, timing, duration, location, & associations (eating, position, activity, stooling, urinating) of your pain to better direct the next appropriate testing. ...Read more
Ct showed enlarged appendix. I have all symptoms of appendicitis. Was admit for 2 days but no removal. Why? High wbc. Still symptomatic 3 days later.
Time to remove it: If the symptoms were such that a CT was needed, and it showed an enlarged appendix with secondary signs such as streak in the adjacent tissue, then hard to explain why not removed. Nonetheless, recent studies suggest that treatment with antibiotics many may not need surgery. Before perforation occurs you need to talk to your primary care doctor and get to the bottom of what is really happening. ...Read more
Have pain under my ribs on my right side. ER did a ct scan and they said it was normal, enlarged appendix. Why didn't they take it out? More issues?
Because incidental: Finding not likely related to ribs since it is located in the right lower abdomen and was inceidental finding, er is for emergencies and they wanted to rule that out, you can schedule a surgeon to remove the appendix if you want since it can burst later but may not be necessary but you can have a surgeon ready when needed. If pain in the right lower abdomin and fever and vomiting it can be the ap ...Read more
"BOWEL: The left-sided colon including rectosigmoid colon is collapsed. Normal appendix. Stomach and small bowel are unremarkable" what does this mean?
What are your complaints???
If this is an incidental reading of an X-Ray then it's just a normal variant.
Why did you get a X-Ray ...Read more
My right abdomen is in pain randomly after I was diagnose with enlarged appendix. No nausea, no fever and I can walk straight. Is surgery needed?
I've had symptoms of appendicitis for 5days. Doctors took ctscan, saw tht my appendix is enlarged, but I have normal white blood cell ct. What to do?
My appendix ruptured and doctor said my body "walled the infection off" does that mean an abscess? And also does that mean the infection did not spill into my entire abdomen?
No, and yes: No, it doesn't necessarily mean an abscess, but it could turn in to one. Yes, the infection did not spill into the entire abdominal cavity. In this situation, usually you avoid operating in the acute setting, then have to decide whether or not to remove the appendix 6-8weeks (or more) down the road. ...Read more
What is congenital nonrotation of the bowel and mildly dilated appendix measure 1cm. I had a CT scan and that was results and not sure what it means.
Google for pics: In nonrotation, the herniated midgut loop fails to undergo its 180° rotation, although the first 90°rotation occurs as normal. The result is that the original caudal (tail) limb (mainly colon) returns to lie on the left side of the abdominal cavity and the original cranial limb (consisting of ileum and jejunum) passes to lie on the right side. If a volvulus occurs, it can pinch the SMA and cause probs ...Read more
Intra abdominal testicle removed in emergency appendix operation. Later CT scan showed enlarged lymph node? What is my next step in evaluation? Pet?
Depends: Was the pathology from the appendix & intra-abdomial testicle benign? Why were you having the surgery? Appendicitis? How long ago was the surgery? If the initial pathology was all benign then ct scan was likely not needed & nothing further is needed as the lymph node is likely a normal reactive node from the surgery itself. ...Read more
My dr sent me to ER last night from ultrasound saying enlarged area of appendix. Er did CT said everything was good. Bloodwork and urine said uti. Taking antibiotics now. Was nauseous, not eating, pain in ab. Is this a uti?
UTI: Best to report back to your doctor concerning how you are doing and confirmation of your diagnosis. ...Read more
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