What should I do if I have appendicitis pain?

Written by Gao Tian
General Surgery
Updated on June 16, 2025
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Appendicitis pain is generally considered to be caused by inflammation. It is recommended to initially opt for conservative treatment and visit the general surgery department for further examinations, such as an ultrasound and a routine blood test to clarify the condition. Subsequent steps should be based on the results. Regularly, pay attention to rest, monitor your diet, avoid spicy and irritating foods, adjust your mindset, and maintain a good mood. When necessary, take oral medication. If you are not allergic to cephalosporins, you can take some; if the effect is not satisfactory, surgical treatment may be required. Regular follow-ups afterwards should suffice; this issue is not very severe. (Note: Medication should be taken under the guidance of a physician.)

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Written by Li Jin Quan
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Does chronic appendicitis cause fever?

Chronic appendicitis is a common gastrointestinal disease. Whether chronic appendicitis causes fever depends on the control of the inflammation. Most cases of chronic appendicitis do not involve fever, but some cases may exhibit a low fever when the inflammation is not well controlled. A very small percentage of chronic appendicitis cases can undergo acute episodes and develop suppurative infections, leading to perforation of the appendix and diffuse peritonitis, septicemia, and septic shock; in such acute episodes of chronic appendicitis, a high fever can occur.

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Appendicitis complications

Appendicitis is the inflammation of the appendix lumen. If not treated promptly, it can lead to several complications, such as perforation of the appendix. After perforation, pus from the appendix lumen leaks into the abdominal cavity, causing peritonitis, which leads to abdominal pain, tenderness, and rebound pain. Furthermore, if acute appendicitis is not thoroughly treated, it can progress to chronic appendicitis and periappendiceal abscess. A swollen mass can often be felt on the surface of the abdomen in affected patients. Therefore, active treatment for appendicitis is essential. The principle treatment is surgical removal of the appendix. For mild cases of appendicitis, medical conservative observation and treatment can also be chosen.

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Written by Li Jin Quan
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Should you avoid certain foods if you have chronic appendicitis?

The majority of chronic appendicitis is transformed from acute appendicitis after treatment. Clinically, it mainly manifests as recurrent pain and discomfort in the lower right abdomen. In cases of chronic appendicitis, it is important to pay attention to a reasonable diet, avoid overeating and the consumption of gastrointestinal irritants, including spicy foods and some hard, cold foods, as these can induce pain in the lower right abdomen. Additionally, the diet should be low in sodium, sugar, and fat. Consumable options may include liquid or semi-liquid foods, as well as foods like yogurt. It is also advisable to eat fruits and vegetables rich in vitamins and anti-inflammatory substances, such as apples, bananas, cabbage, and cauliflower.

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Gastroenterology
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Appendicitis surgery how many days to remove stitches?

Appendectomy stitches are generally removed about a week after the surgery. However, there are special circumstances where the removal of stitches may be delayed. For example, if the patient is physically weak, nutritionally compromised, or if the wound heals slowly, it is necessary to wait until the wound has sufficiently healed before removing the stitches. If the appendectomy incision shows clear signs of pus formation, it is crucial to remove the stitches promptly, thoroughly clean the wound, and then dress it externally. Therefore, the timing for stitch removal after an appendectomy should be based on the patient's current medical condition.

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Can appendicitis recur?

Acute appendicitis, if not treated surgically, can relapse under poor lifestyle and dietary habits and then transform into chronic appendicitis. Therefore, appendicitis can recur. However, if the appendix is removed during an acute episode of appendicitis, then appendicitis will not recur. Currently, the primary clinical treatment for appendicitis is surgery, because without surgery, the recurrence rate of appendicitis is quite high, and ultimately, the appendix must be removed.