Appendicitis pain location

Written by Ren Zheng Xin
Gastroenterology
Updated on November 08, 2024
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Appendicitis initially presents with pain throughout the abdomen and around the navel, which gradually shifts to the lower right abdomen, and the pain becomes more localized. Besides abdominal pain, symptoms of appendicitis can also include nausea, vomiting, and fever. Most cases of appendicitis require surgical treatment. Currently, laparoscopic appendectomy is a common surgical method. This technique involves less bleeding during surgery, quicker postoperative recovery, and minimal scarring. If one cannot tolerate general anesthesia, an option is to remove the appendix through an incision at McBurney's point.

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Written by Ren Zheng Xin
Gastroenterology
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Can you drink alcohol with appendicitis?

Having appendicitis absolutely prohibits drinking alcohol, as alcohol can stimulate the mucous membranes of the gastrointestinal tract, causing appendicitis to worsen. For appendicitis, active treatment is necessary. During the acute phase, one should not eat anything. In the postoperative recovery or convalescence phase, a semi-liquid or liquid diet can be appropriately chosen. Currently, surgery is the predominant method for treating appendicitis, with laparoscopic appendectomy being a common procedure. This surgical method involves minimal bleeding during the operation and faster postoperative recovery, characterizing it as a minimally invasive treatment. Postoperative care should be enhanced, with increased water intake and more vegetables to prevent constipation.

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Written by Zhang Peng
General Surgery
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Appendicitis location

The location of appendicitis is generally in the lower right abdomen, as the appendix is mostly located in the right iliac fossa. There are very few cases of situs inversus, where it is located on the left, but the appendix usually originates from the base of the cecum, attached to the posterior wall of the cecum, at the confluence of the three taeniae coli. Therefore, the surface projection of the appendix is mostly at the junction of the outer one-third of the line connecting the navel and the right anterior superior iliac spine, which is also commonly used as the marking point for surgical incisions. In cases of appendicitis, there may be pain in the upper right abdomen or pelvic region due to changes in the position of the appendix. For confirmed diagnoses of appendicitis, surgery is generally considered, and minimally invasive methods can be chosen. If an abscess forms around the appendix and the patient's condition can be managed, conservative treatment is usually preferred initially, followed by elective removal of the appendix after three months.

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Written by Ren Zheng Xin
Gastroenterology
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Is surgery necessary for appendicitis?

Once appendicitis is diagnosed, most cases require surgical treatment because the blood supply to the appendix is quite unique, with only the appendicular artery providing blood flow. If appendicitis occurs, it can easily lead to ischemic necrosis of the appendix, resulting in gangrenous appendicitis. Currently, laparoscopic appendectomy is a common surgical procedure, which is a minimally invasive treatment. For elderly or frail individuals who cannot tolerate surgery, conservative treatment is the only option. Postoperative care should be enhanced, with regular dressing changes at the incision site, and stitches can generally be removed one week after surgery. A semi-liquid diet is recommended for one to two days after surgery, and a regular diet can be resumed three to four days post-operation.

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Written by Ren Zheng Xin
Gastroenterology
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What can you eat with appendicitis?

The diet for appendicitis should be based on the needs of the condition, determining what can or cannot be eaten based on the response of the gastrointestinal tract. During the acute inflammatory phase, fasting is necessary, and hydration and electrolytes should be replenished through intravenous fluids. If the inflammation is severe, immediate surgical treatment should be undertaken. For chronic appendicitis, soft and easily digestible foods can be consumed, and proactive anti-inflammatory or surgical treatments should be pursued. Post-surgery, it is important to rest in bed and use anti-infection medications timely to prevent infections.

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Written by Ren Zheng Xin
Gastroenterology
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Is appendicitis nauseating?

Appendicitis can cause nausea, primarily due to inflammation stimulating spasms in the gastrointestinal tract. In addition to nausea, symptoms include vomiting, abdominal pain, tenderness in the abdomen, and rebound pain. If vomiting and nausea are severe, timely appendectomy should be performed. Currently, laparoscopic appendectomy is common. This surgical method involves less bleeding during surgery and quicker postoperative recovery. After surgery, a semi-liquid diet can be chosen on days 1 to 2, and a normal diet can be resumed on days 3 to 5. It is also important to consume more vegetables and increase the intake of plant-based fiber thereafter.