Acute Appendicitis

Medically reviewed by John Sammis, D.O. on October 25, 2023
11 min read

Acute appendicitis is a medical condition in which the appendix becomes inflamed and infected. It is a common cause of abdominal pain that requires prompt medical attention. If left untreated, it can lead to serious complications, including a ruptured appendix and peritonitis.

Causes of Acute Appendicitis

The exact cause of acute appendicitis is not known, but it is believed to be caused by a blockage in the appendix. This blockage can be caused by a variety of factors, including a buildup of stool, parasites, or tumors. In some cases, the blockage is caused by an infection.

Diagnosis of Acute Appendicitis

Acute appendicitis is typically diagnosed through a physical examination and imaging tests, such as an abdominal X-ray or CT scan. Blood tests may also be used to help diagnose the condition.

Complications of Acute Appendicitis

If left untreated, acute appendicitis can lead to serious complications, including a ruptured appendix and peritonitis. Peritonitis is an infection of the abdominal cavity that can be life-threatening if not treated promptly.

Take the Acute Appendicitis Assessment

Symptoms

Abdominal Pain

The most common symptom of acute appendicitis is abdominal pain. This pain typically begins around the navel and then moves to the lower right side of the abdomen. It may be sharp and sudden, or it may be a dull ache that worsens over time. The pain may also worsen when you move, cough, or take deep breaths.

Nausea and Vomiting

Nausea and vomiting are also common symptoms of acute appendicitis. These symptoms may be accompanied by a fever and loss of appetite. If you experience any of these symptoms, it is important to seek medical attention right away.

Fever

A fever is another common symptom of acute appendicitis. This fever may be accompanied by chills and sweats. If you experience a fever along with abdominal pain, it is important to seek medical attention right away.

Loss of Appetite

Loss of appetite is another symptom of acute appendicitis. This symptom may be accompanied by nausea and vomiting. If you experience any of these symptoms, it is important to seek medical attention right away.

Conclusion

Acute appendicitis is a medical emergency that requires immediate medical attention. Symptoms of acute appendicitis can vary from person to person, but typically include abdominal pain, nausea, vomiting, fever, and loss of appetite. If you experience any of these symptoms, it is important to seek medical attention right away.

Causes

Obstruction

One of the most common causes of acute appendicitis is obstruction. This occurs when the appendix is blocked by a hard mass, such as a tumor or fecal impaction. The blockage prevents the appendix from draining properly, which can lead to inflammation and infection.

Infection

Infection is another common cause of acute appendicitis. Bacteria, such as Escherichia coli, can enter the appendix and cause an infection. This can lead to inflammation and pain.

Diet

Diet can also play a role in the development of acute appendicitis. Eating a diet that is high in processed foods and low in fiber can increase the risk of developing the condition. Eating a diet that is high in fiber can help reduce the risk.

Genetics

Genetics can also play a role in the development of acute appendicitis. People who have a family history of the condition are more likely to develop it than those who do not.

Age

Age is also a factor in the development of acute appendicitis. The condition is most common in people between the ages of 10 and 30.

Conclusion

Acute appendicitis is a serious medical condition that requires immediate medical attention. While the exact cause of the condition is not known, there are several factors that can increase the risk of developing it. These include obstruction, infection, diet, genetics, and age.

Getting a Diagnosis

Physical Examination

The physical examination is the first step in diagnosing acute appendicitis. The doctor will look for signs of abdominal tenderness, rebound tenderness, and guarding. The doctor may also check for fever, nausea, and vomiting.

Laboratory Tests

Laboratory tests are used to help diagnose acute appendicitis. These tests may include a complete blood count (CBC), urinalysis, and a stool sample. The CBC can help detect an infection, while the urinalysis can help detect a urinary tract infection. The stool sample can help detect the presence of parasites or other organisms that may be causing the abdominal pain.

Imaging Studies

Imaging studies are used to confirm the diagnosis of acute appendicitis. These studies may include an abdominal ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI). These imaging studies can help the doctor determine the size and location of the appendix and any other abnormalities in the abdomen.

Conclusion

Diagnosing acute appendicitis requires a combination of physical examination, laboratory tests, and imaging studies. The physical examination can help detect signs of abdominal tenderness, rebound tenderness, and guarding. Laboratory tests can help detect an infection or the presence of parasites. Imaging studies can help confirm the diagnosis and determine the size and location of the appendix.

Questions for Your Doctor

Symptoms

The most common symptom of acute appendicitis is abdominal pain. This pain usually begins around the navel and then moves to the lower right side of the abdomen. Other symptoms may include nausea, vomiting, fever, and loss of appetite. It is important to tell your doctor about any symptoms you are experiencing.

Medical History

Your doctor will want to know about your medical history, including any previous abdominal surgeries or illnesses. It is also important to tell your doctor if you have a family history of appendicitis or any other abdominal conditions. This information can help your doctor make an accurate diagnosis.

Diagnostic Tests

Your doctor may order a variety of tests to diagnose acute appendicitis. These tests may include a physical exam, blood tests, urine tests, and imaging tests such as an ultrasound or CT scan. It is important to discuss the risks and benefits of each test with your doctor.

Treatment Options

If your doctor diagnoses you with acute appendicitis, they will discuss treatment options with you. The most common treatment is surgery to remove the appendix. Your doctor may also recommend antibiotics or other medications to help reduce inflammation and pain. It is important to ask your doctor about the risks and benefits of each treatment option.

Follow-up Care

After treatment for acute appendicitis, your doctor may recommend follow-up care. This may include regular check-ups, lifestyle changes, or additional tests. It is important to discuss any follow-up care with your doctor to ensure that your condition is being properly monitored.

Treatment

Antibiotics

Antibiotics are the first line of treatment for acute appendicitis. They are used to reduce inflammation and help prevent the appendix from rupturing. Common antibiotics used to treat acute appendicitis include amoxicillin, cefuroxime, and cefotaxime.

Surgery

Surgery is the most common treatment for acute appendicitis. The goal of surgery is to remove the appendix before it ruptures. The type of surgery used to remove the appendix is called an appendectomy. During the procedure, the surgeon will make a small incision in the abdomen and remove the appendix.

Recovery

Recovery from an appendectomy typically takes about two weeks. During this time, it is important to rest and avoid strenuous activities. Pain medications may be prescribed to help manage any discomfort. It is also important to follow the doctor's instructions for wound care and follow-up visits.

Drugs & Medications

Antibiotics

Antibiotics are the most common treatment for acute appendicitis. They are used to kill the bacteria that cause the infection. Common antibiotics used to treat acute appendicitis include amoxicillin, cefuroxime, and cefotaxime. These antibiotics are usually taken orally, but they can also be given intravenously in more severe cases.

Pain Relievers

Pain relievers can be used to help reduce the pain associated with acute appendicitis. Common pain relievers used to treat acute appendicitis include ibuprofen, acetaminophen, and codeine. These medications can be taken orally or intravenously, depending on the severity of the pain.

Anti-Inflammatory Drugs

Anti-inflammatory drugs can be used to reduce inflammation in the appendix and surrounding area. Common anti-inflammatory drugs used to treat acute appendicitis include corticosteroids, such as prednisone, and nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. These medications can be taken orally or intravenously, depending on the severity of the inflammation.

Antiemetics

Antiemetics are medications used to reduce nausea and vomiting associated with acute appendicitis. Common antiemetics used to treat acute appendicitis include ondansetron and promethazine. These medications can be taken orally or intravenously, depending on the severity of the nausea and vomiting.

Conclusion

Acute appendicitis is a serious medical condition that requires immediate attention. Treatment typically involves antibiotics and surgery, but there are certain drugs that can be used to help reduce the symptoms and speed up the healing process. These drugs include antibiotics, pain relievers, anti-inflammatory drugs, and antiemetics. It is important to speak with your doctor before taking any medications for acute appendicitis.

Diet

When a person is diagnosed with acute appendicitis, it is important to follow a specific diet to help reduce the risk of complications. The following are some dietary tips for those with acute appendicitis:

  • Eat small, frequent meals throughout the day.
  • Avoid foods that are high in fat, such as fried foods, processed meats, and full-fat dairy products.
  • Choose lean proteins, such as fish, poultry, and beans.
  • Include plenty of fruits and vegetables in your diet.
  • Drink plenty of fluids, such as water, juice, and herbal teas.
  • Avoid caffeine and alcohol.

It is important to note that everyone's dietary needs are different, so it is best to speak with a doctor or nutritionist to determine the best diet for your individual needs. Additionally, it is important to follow the doctor's instructions regarding medications and other treatments for acute appendicitis.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is important for overall health, but it is especially important for those with acute appendicitis. Eating a diet that is high in fiber and low in fat can help reduce the risk of developing appendicitis. Eating plenty of fruits and vegetables, whole grains, and lean proteins can help keep the digestive system functioning properly and reduce the risk of inflammation.

Stay Hydrated

Staying hydrated is essential for good health, and it is especially important for those with acute appendicitis. Drinking plenty of water can help keep the digestive system functioning properly and reduce the risk of inflammation. It is also important to avoid sugary drinks and alcohol, as these can irritate the digestive system and increase the risk of inflammation.

Exercise Regularly

Exercising regularly can help reduce the risk of developing acute appendicitis. Regular exercise can help keep the digestive system functioning properly and reduce the risk of inflammation. It is important to choose an exercise routine that is appropriate for your fitness level and to listen to your body when exercising.

Get Enough Sleep

Getting enough sleep is essential for good health, and it is especially important for those with acute appendicitis. Getting enough sleep can help keep the digestive system functioning properly and reduce the risk of inflammation. It is important to get at least seven to eight hours of sleep each night.

Manage Stress

Managing stress is important for overall health, but it is especially important for those with acute appendicitis. Stress can cause inflammation in the body, so it is important to find ways to manage stress. This can include activities such as yoga, meditation, and deep breathing. It is also important to get enough rest and to take time for yourself.

Conclusion

Acute appendicitis is a serious medical condition that requires immediate medical attention. While it is important to seek medical care right away, there are some lifestyle tips that can help reduce the risk of developing acute appendicitis and help manage the condition if it does occur. Eating a healthy diet, staying hydrated, exercising regularly, getting enough sleep, and managing stress can all help reduce the risk of developing acute appendicitis and help manage the condition if it does occur.