What is Appendicitis?

Appendicitis is the inflammation of the appendix, a small pouch attached to the large intestine. If left untreated, it can rupture, causing life-threatening complications. But what causes it, and how do you recognize the symptoms? Let’s dive in.

What Causes Appendicitis?

The exact cause isn’t always clear, but could one of these factors be responsible?

1. Blockage in the Appendix – Could hardened stool, mucus, or a foreign object be obstructing it?
2. Infection – Could a bacterial or viral infection in the digestive tract be spreading to the appendix?
3. Inflammation & Swelling – Could trauma, tumors, or other digestive conditions be triggering irritation?

When the appendix is blocked, bacteria multiply rapidly, leading to swelling, pus buildup, and severe pain. But how do you know if it’s appendicitis?

What Are the Symptoms of Appendicitis?

Symptoms usually start suddenly and worsen over time. Have you noticed any of these warning signs?

• Pain in the Lower Right Abdomen – Does your pain start around the belly button and shift to the lower right side?
• Sharp, Worsening Pain – Is it getting more severe within hours?
• Loss of Appetite – Have you lost interest in eating?
• Nausea & Vomiting – Are you feeling sick to your stomach?
• Fever & Chills – Do you have a mild fever that’s worsening?
• Bloating & Gas – Does your abdomen feel swollen or tender?
• Diarrhea or Constipation – Have your bowel habits changed suddenly?

Could appendicitis be confused with other conditions? Yes—stomach viruses, urinary tract infections, and even food poisoning can mimic the symptoms.

How is Appendicitis Diagnosed?

Since other conditions can cause similar symptoms, how do doctors confirm appendicitis?

• Physical Exam – Does pressing on your lower right abdomen cause pain? If so, appendicitis is likely.
• Blood Tests – Do you have an elevated white blood cell count? That could indicate an infection.
• Urine Test – Could it be a kidney infection instead? A urinalysis helps rule that out.
• Imaging Tests:
  • Ultrasound – Can detect swelling or a ruptured appendix.
  • CT Scan – Provides a detailed image to confirm diagnosis.
  • MRI – Often used for pregnant women to avoid radiation exposure.

Early diagnosis is key—waiting too long can lead to serious complications.

What Happens If Appendicitis is Left Untreated?

If appendicitis is ignored, what are the risks?

1. Ruptured Appendix – Could the appendix burst? Yes, usually within 24-72 hours after symptoms start.
2. Peritonitis – Could infection spread throughout the abdomen? If the appendix ruptures, it can cause a dangerous infection.
3. Abscess Formation – Could pus build up around the appendix? Yes, and it may require drainage before surgery.

When should you go to the ER? If you have severe pain, fever, or vomiting, seek medical help immediately.

How is Appendicitis Treated?

Once appendicitis is confirmed, what are the treatment options?

• Appendectomy (Surgery):
  • Laparoscopic Surgery – Minimally invasive, smaller incisions, faster recovery.
  • Open Surgery – Used if the appendix has ruptured or infection has spread.
• Antibiotics:
  • If surgery isn’t immediately possible, IV antibiotics may help reduce infection.
  • In rare cases, mild appendicitis can resolve with antibiotics alone, but surgery is usually recommended.

How long is recovery? Most people return to normal activities within 2-4 weeks after surgery

Can Appendicitis Be Prevented?

There’s no guaranteed way to prevent it, but could lifestyle choices help reduce the risk?

• Eat a high-fiber diet – Do you include fruits, vegetables, and whole grains?
• Stay hydrated – Are you drinking enough water daily?
• Avoid constipation – Do you have regular bowel movements? Fiber and water can help.

While prevention isn’t always possible, a healthy diet may lower your risk.

When Should You See a Doctor?

If you experience sudden, sharp abdominal pain—especially in the lower right side—when should you seek help? Immediately. Waiting too long can be life-threatening.