Appendicitis : Symptoms Causes Diagnosis Treatment

Updated: 05-04-2025

 

The colon has a small, worm-shaped appendage known as the appendix.

When bacteria invade the appendix wall, it causes appendicitis.

Let us know more about Appendicitis: Symptoms, Causes, Diagnosis, Treatment.

The symptoms of appendicitis are varied and sometimes can lead to emergency surgery.

Some of the most common complications of appendicitis include abscess, rupture, and peritonitis.

 

Appendicitis : Symptoms Causes Diagnosis Treatment

Causes of Appendicitis

Appendicitis mostly occurs when the appendix is blocked by a foreign object, blocked faeces, or, in rare cases, a tumour.


Symptoms of Appendicitis

 

There are no particular symptoms of appendicitis, as they vary depending on whether the condition is affecting adults, children, or nursing women.

Mostly, the first symptom starts with a shooting pain near the belly button.


At first, the pain is so minor that it is simply unnoticeable.

As time progresses the pain becomes severe and sharp and can be accompanied by other symptoms such as nausea, vomiting, appetite or low fever.


The pain usually focuses on a spot that is directly above the appendix. This spot is known as
McBurneys Point.

It shifts more towards the right lower part of the abdomen. These symptoms start surfacing after 12 to 24 hours from the formation of the infection.

Sometimes when the appendix breaks open, you experience a lessening of pain for a short time, and you also feel better.

Soon you become sicker and feel more pain. The pain worsens when you cough, walk, or make sudden movements.


Later-stage symptoms include

  • Shaking and chills
  • Diarrhea 
  • Hard stools 
  • Nausea and vomiting 
  • Fever


Diagnosis and Treatment
of Appendicitis

 

One of the ways appendicitis is suspected is based on the history of the patient.

Physical examination is another consideration.

But apart from these two, the diagnosis of appendicitis is carried out by evaluating the white blood cell count, abdominal X-ray, urinalysis, CT scan, barium enema, ultra-sonography, and laparoscopy.

The proximity of the appendix to different organs and its varying size make it difficult to differentiate the condition of appendicitis from pelvic and abdominal diseases.

Several other health conditions can mimic appendicitis, such as pelvic inflammatory disease, liver disease, inflammatory disease of the right upper abdomen, right-sided diverticulitis, perforated duodenal ulcer, and kidney diseases.

Antibiotics and surgical removal of the appendix through appendectomy are the only treatments.

An appendectomy can cause serious complications such as abscess and wound infection.

 

Can you prevent Appendicitis?

Factors such as the family history of appendicitis can put children below 2 years or adults above 70 years of age at risk of a ruptured appendix.

But there is not much you can do to prevent this condition except eat a healthy diet that includes fresh fruits and vegetables.

Since a ruptured appendix can be threatening to life, the condition must be diagnosed at a very early stage.

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