How many days of hospitalization are required for appendicitis surgery?

Written by Ren Zheng Xin
Gastroenterology
Updated on May 09, 2025
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After appendectomy surgery, patients generally need to stay in the hospital for observation for three to five days. If there is no suppuration or infection at the wound, patients can choose to be discharged according to their own wishes. However, if the initial symptoms of appendicitis are severe, or if there is suppuration or perforation, it is advisable to stay in the hospital for additional observation until the abdominal pain subsides before considering discharge. Additionally, elderly individuals or children who are physically weaker should also stay in the hospital for longer observation, as this can aid in recovery.

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Written by Ren Zheng Xin
Gastroenterology
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Is appendicitis contagious?

Appendicitis is an inflammation that occurs in the lumen of the appendix, including acute appendicitis and chronic appendicitis. Appendicitis is not contagious, as it is not an infectious disease, but rather a purulent inflammation. Therefore, there is no need to isolate patients with appendicitis. Appendicitis usually requires surgical removal, but it is important to note that surgery should not be performed if acute appendicitis has been present for more than 72 hours, or if an abscess has formed. The majority of surgeries are performed using laparoscopic appendectomy, a method which allows for a faster recovery post-operation.

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Written by Xu Jun Hui
General Surgery
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Can appendicitis cause vomiting?

Some patients with appendicitis may experience symptoms such as nausea and vomiting. This is because the appendix is located in the lower right abdomen near the ileocecal area, and the appendix cavity is connected to the cecum. The appendix is an independent organ of the human digestive tract. When inflamed, the inflammation can easily irritate the surrounding intestines, causing intestinal spasms and contractions, leading to nausea and vomiting. A typical manifestation of appendicitis is referred pain in the lower right abdomen. Once appendicitis is diagnosed, it is advisable to promptly start anti-inflammatory treatment and, if necessary, proceed with surgical treatment. Appendicitis can range from acute simple appendicitis, which responds well to conservative anti-inflammatory treatment, to acute suppurative or even perforated appendicitis. In these severe cases, it is recommended to perform surgery as soon as possible to remove the appendix and clear the inflammatory secretions, alongside anti-inflammatory treatment.

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Written by Ren Zheng Xin
Gastroenterology
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Does appendicitis cause diarrhea?

Patients with appendicitis may experience diarrhea and abdominal pain, tenderness, and rebound pain due to spasms in the gastrointestinal tract, accompanied by vomiting and nausea. Those with severe systemic infections may also have a fever. Currently, appendicitis is primarily treated surgically, with options including the traditional McBurney's incision or laparoscopic appendectomy. In cases of appendiceal suppuration, postoperative antibiotic treatment against infection should be selected, using anti-anaerobic agents, and attention must be paid to postoperative diet, focusing on soft, easily digestible foods.

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Written by Ren Zheng Xin
Gastroenterology
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Does appendicitis cause fever?

Appendicitis often causes fever, due to systemic infection caused by inflammation entering the bloodstream. Generally, it only causes a low fever without chills. The temperature in suppurative appendicitis does not exceed 38 degrees Celsius. High fever above 38 degrees Celsius is mostly seen in cases of appendiceal perforation or concurrent peritonitis. In addition to fever, acute appendicitis also presents with abdominal pain, tenderness and rebound pain in the abdomen, tension in the abdominal muscles, as well as nausea, vomiting, and increased frequency of bowel movements due to reflexive gastric spasms.

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Written by Li Jin Quan
General Surgery
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Diagnosis methods for chronic appendicitis

The diagnostic methods for chronic appendicitis mainly include medical history, clinical symptoms, physical examination, laboratory tests, and auxiliary examinations. Firstly, cases of chronic appendicitis generally have a history of acute appendicitis episodes. Clinically, it is mainly characterized by pain, discomfort, and dull pain in the lower right abdomen, often without a history of migratory lower right abdominal pain. In physical examinations, tenderness can be found in the lower right abdomen, and when chronic appendicitis flares up acutely, signs of peritonitis can manifest as rebound pain in the lower right abdomen. In laboratory tests, an increased white blood cell count can be observed. Auxiliary examinations may reveal thickening of the appendix wall and obstruction in the appendix lumen due to fecaliths. Therefore, chronic appendicitis can be diagnosed through methods such as medical history, clinical symptoms, physical examination, laboratory tests, and auxiliary examinations.