Appendicitis
Also known as: Inflamed Appendix
Appendicitis is an inflammation of the appendix, a small finger-shaped pouch attached to the large intestine in the lower right abdomen. It is a medical emergency that typically requires surgical removal of the appendix (appendectomy) to prevent rupture. A ruptured appendix can lead to peritonitis, a life-threatening infection of the abdominal cavity.
Symptoms
Causes
- Blockage of the appendix lumen by stool, mucus, or foreign body
- Enlarged lymphoid follicles (often due to infection)
- Parasitic infections
- Abdominal trauma
Risk Factors
- Age between 10 and 30 years (most common age group)
- Male sex (slightly higher incidence)
- Family history of appendicitis
- Low-fiber diet
Diagnosis
- Physical examination (McBurney's point tenderness, rebound tenderness)
- Complete blood count showing elevated white blood cells
- CT scan of the abdomen and pelvis
- Ultrasound (preferred in children and pregnant women)
Treatment
- Appendectomy (laparoscopic or open surgery)
- Intravenous antibiotics before and after surgery
- Antibiotics alone may be used in select uncomplicated cases
- Abscess drainage if the appendix has ruptured with contained infection
When to See a Doctor
- You experience sudden, severe abdominal pain in the lower right side
- Abdominal pain is accompanied by fever, nausea, and vomiting
- Pain worsens rapidly over hours—seek emergency care immediately
- You have rebound tenderness when pressing on the abdomen
Frequently Asked Questions
Related Conditions
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