Appendicitis happens when your appendix becomes inflamed. It can be acute or chronic.
If left untreated, appendicitis can cause your appendix to burst. This can cause bacteria to spill into your abdominal cavity, which can be serious and sometimes fatal.
Read on to learn more about the symptoms, diagnosis, and treatment for appendicitis.
If you have appendicitis, you may experience one or more of the following symptoms:
- pain in your upper abdomen or around your bellybutton
- pain in the lower right side of your abdomen
- loss of appetite
- abdominal swelling
- inability to pass gas
- low-grade fever
Appendicitis pain may start off as mild cramping. It often becomes more steady and severe over time. It may start in your upper abdomen or bellybutton area, before moving to the lower right quadrant of your abdomen.
Contact your doctor if you have tenderness in the right side of your abdomen along with any of other symptoms of appendicitis. Appendicitis can quickly become a medical emergency. Get the information you need to recognize this serious condition.
In many cases, the exact cause of appendicitis is unknown. Experts believe it develops when part of the appendix becomes obstructed, or blocked.
Many things can potentially block your appendix, including:
When your appendix becomes blocked, bacteria can multiply inside it. This can lead to the formation of pus and swelling, which can cause painful pressure in your abdomen.
Other conditions can also cause abdominal pain. Click here to read about other potential causes of pain in your lower right abdomen.
If your doctor suspects you might have appendicitis, they will perform a physical exam. They will check for tenderness in the lower right part of your abdomen and swelling or rigidity.
Depending on the results of your physical exam, your doctor may order one or more tests to check for signs of appendicitis or rule out other potential causes of your symptoms.
There’s no single test available to diagnose appendicitis. If your doctor can’t identify any other causes of your symptoms, they may diagnose the cause as appendicitis.
Complete blood count
To check for signs of infection, your doctor may order a complete blood count (CBC). To conduct this test, they will collect a sample of your blood and send it to a lab for analysis.
Appendicitis is often accompanied by bacterial infection. An infection in your urinary tract or other abdominal organs may also cause symptoms similar to those of appendicitis.
Your doctor will collect a sample of your urine that will be examined in a lab.
Ectopic pregnancy can be mistaken for appendicitis. It happens when a fertilized egg implants itself in a fallopian tube, rather than the uterus. This can be a medical emergency.
If your doctor suspects you might have an ectopic pregnancy, they may perform a pregnancy test. To conduct this test, they will collect a sample of your urine or blood. They may also use a transvaginal ultrasound to learn where the fertilized egg has implanted.
To examine your reproductive organs, your doctor may perform a pelvic exam.
During this exam, they will visually inspect your vagina, vulva, and cervix. They will also manually inspect your uterus and ovaries. They may collect a sample of tissue for testing.
Abdominal imaging tests
To check for inflammation of your appendix, your doctor might order imaging tests of your abdomen. This can also help them identify other potential causes of your symptoms, such as an abdominal abscess or fecal impaction.
Your doctor may order one or more of the following imaging tests:
In some cases, you might need to stop eating food for a period of time before your test. Your doctor can help you learn how to prepare for it.
Chest imaging tests
Pneumonia in the lower right lobe of your lungs can also cause symptoms similar to appendicitis.
If your doctor suspects you might have appendicitis, they may order an abdominal ultrasound. This imaging test can help them check for signs of inflammation, an abscess, or other problems with your appendix.
Your doctor may order other imaging tests as well. For example, they may order a CT scan. An ultrasound uses high frequency sound waves to create pictures of your organs, while a CT scan uses radiation.
Compared to an ultrasound, a CT scan creates more detailed images of your organs. However, there are some health risks associated with radiation exposure from a CT scan. Your doctor can help you understand the potential benefits and risks of different imaging test.
Depending on your condition, your doctor’s recommended treatment plan for appendicitis may include one or more of the following:
- surgery to remove your appendix
- needle drainage or surgery to drain an abscess
- pain relievers
- IV fluids
- liquid diet
In rare cases, appendicitis may get better without surgery. But in most cases, you will need surgery to remove your appendix. This is known as an appendectomy.
If you have an abscess that hasn’t ruptured, your doctor may treat the abscess before you undergo surgery. To start, they will give you antibiotics. Then they will use a needle to drain the abscess of pus.
To treat appendicitis, your doctor may use a type of surgery known as appendectomy. During this procedure, they will remove your appendix. If your appendix has burst, they will also clean out your abdominal cavity.
Like any surgery, there are some risks associated with appendectomy. However, the risks of appendectomy are smaller than the risks of untreated appendicitis. Find out more about the potential risks and benefits of this surgery.
Acute appendicitis is a severe and sudden case of appendicitis. The symptoms tend to develop quickly over the course of
It requires immediate medical treatment. If left untreated, it can cause your appendix to rupture. This can be a serious and even fatal complication.
Acute appendicitis is more common than chronic appendicitis. Learn more about the similarities and differences between these conditions.
Chronic appendicitis is less common than acute appendicitis. In chronic cases of appendicitis, the symptoms may be relatively mild. They may disappear before reappearing again over a period of weeks, months, or even years.
This type of appendicitis can be challenging to diagnose. Sometimes, it’s not diagnosed until it develops into acute appendicitis.
Chronic appendicitis can be dangerous. Get the information you need to recognize and treat this condition.
In children and teenagers, appendicitis often causes a stomachache near the navel. This pain may eventually become more severe and move to the lower right side of your child’s abdomen.
Your child may also:
- lose their appetite
- develop a fever
- feel nauseous
If your child develops symptoms of appendicitis, contact their doctor right away. Learn why it’s so important to get treatment.
Your recovery time for appendicitis will depend on multiple factors, including:
- your overall health
- whether or not you develop complications from appendicitis or surgery
- the specific type of treatments you receive
If you have laparoscopic surgery to remove your appendix, you may be discharged from the hospital a few hours after you finish surgery or the next day.
If you have open surgery, you will likely need to spend more time in the hospital to recover afterward. Open surgery is more invasive than laparoscopic surgery and typically requires more follow-up care.
Before you leave the hospital, your healthcare provider can help you learn how to care for your incision sites. They may prescribe antibiotics or pain relievers to support your recovery process. They may also advise you to adjust your diet, avoid strenuous activity, or make other changes to your daily habits while you heal.
It may take several weeks for you to fully recover from appendicitis and surgery. If you develop complications, your recovery may take longer. Learn about some of the strategies you can use to promote a full recovery.
The symptoms of appendicitis may be mistaken for routine discomfort from pregnancy. Pregnancy may also cause your appendix to shift upward in your abdomen, which can affect the location of appendicitis-related pain. This can make it harder to diagnose.
Treatment options during pregnancy might include one or more of the following:
Delayed diagnosis and treatment may increase your risk of complications, including miscarriage.
Appendicitis can cause serious complications. For example, it may cause a pocket of pus known as an abscess to form in your appendix. This abscess may leak pus and bacteria into your abdominal cavity.
Appendicitis can also lead to a ruptured appendix. If your appendix ruptures, it can spill fecal matter and bacteria into your abdominal cavity.
If bacteria spill into your abdominal cavity, it can cause the lining of your abdominal cavity to become infected and inflamed. This is known as peritonitis, and it can be very serious, even fatal.
Bacterial infections can also affect other organs in your abdomen. For example, bacteria from a ruptured abscess or appendix may enter your bladder or colon. It may also travel through your bloodstream to other parts of your body.
To prevent or manage these complications, your doctor may prescribe antibiotics, surgery, or other treatments. In some cases, you might develop side effects or complications from treatment. However, the risks associated with antibiotics and surgery tend to be less serious than the potential complications of untreated appendicitis.
There’s no sure way to prevent appendicitis. But you might be able to lower your risk of developing it by eating a fiber-rich diet. Although more research is needed on the potential role of diet, appendicitis is less common in countries where people eat high-fiber diets.
Foods that are high in fiber include:
- lentils, split peas, beans, and other legumes
- oatmeal, brown rice, whole wheat, and other whole grains
Your doctor may also encourage you to take a fiber supplement.
Add fiber by
- sprinkling oat bran or wheat germ over breakfast cereals, yogurt, and salads
- cooking or baking with whole-wheat flour whenever possible
- swapping white rice for brown rice
- adding kidney beans or other legumes to salads
- eating fresh fruit for dessert
Appendicitis can affect anyone. But some people may be more likely to develop this condition than others. For example, risk factors for appendicitis include:
- Age: Appendicitis most often affects people between the ages of 15 and 30 years old.
- Sex: Appendicitis is more common in males than females.
- Family history: People who have a family history of appendicitis are at heightened risk of developing it.
Although more research is needed, low-fiber diets might also raise the risk of appendicitis.
Appendicitis can be acute or chronic. In acute cases of appendicitis, the symptoms tend to be severe and develop suddenly. In chronic cases, the symptoms may be milder and may come and go over several weeks, months, or even years.
The condition can also be simple or complex. In simple cases of appendicitis, there are no complications. Complex cases involve complications, such as an abscess or ruptured appendix.
Contact your doctor right away if you experience symptoms of appendicitis. It’s a serious condition that requires medical treatment. And it’s not safe to rely on home remedies to treat it.
If you undergo surgery to remove your appendix, your doctor may prescribe antibiotics and pain relievers to support your recovery. In addition to taking medications as prescribed, it may help to:
- get lots of rest
- drink plenty of fluids
- go for a gentle walk each day
- avoid strenuous activity and lifting heavy objects until your doctor says it’s safe to do so
- keep your surgical incision sites clean and dry
In some cases, your doctor might encourage you to adjust your diet. If you’re feeling nauseous after surgery, it might help to eat bland foods such as toast and plain rice. If you’re constipated, it might help to take a fiber supplement.