Does appendicitis cause vomiting?

Written by Ren Zheng Xin
Gastroenterology
Updated on February 11, 2025
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Appendicitis can cause vomiting. An acute appendicitis attack presents with distinct symptoms such as severe abdominal pain, high fever, nausea, and vomiting. The main reason is the inflammation of the appendix lumen, which reflexively causes vomiting. For appendicitis, once diagnosed, surgery is generally required. Currently, there are two surgical approaches: laparoscopic appendectomy and appendectomy via McBurney's point. Laparoscopic appendectomy is more common and involves less intraoperative bleeding and faster postoperative recovery. Postoperatively, it is important to enhance nursing care by eating more vegetables, drinking plenty of water, and ensuring that stools are softened.

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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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Which department should I go to for chronic appendicitis?

Chronic appendicitis results from the treatment of acute appendicitis, forming a chronic inflammation around the appendix. Clinically, it mainly manifests as recurrent pain or dull pain in the right upper abdomen, with either fecalith obstruction in the appendix cavity or adhesion of the appendix cavity. When chronic appendicitis has an acute flare-up, it is recommended to actively pursue surgical treatment. Therefore, when chronic appendicitis occurs, it is advised to consult general surgery, or gastroenterological surgery if the hospital has specialized departments.

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Written by Jiang Guo Ming
Gastroenterology
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What should I do if I have appendicitis pain?

Appendicitis should first be diagnosed and treated at the general surgery outpatient clinic. The doctor will perform relevant examinations based on symptoms and signs, such as complete blood count, C-reactive protein, and ultrasound of the lower right abdomen, among others. Based on the results of these tests, the doctor will make an appropriate judgment about the condition. Generally, surgery is advocated for acute appendicitis. If the inflammation is not severe, conservative treatment, primarily focusing on anti-inflammatory treatment, may also be an option. Severe acute appendicitis poses a risk of perforation, and timely hospitalization for surgical treatment is recommended. Chronic appendicitis should also be managed based on specific symptoms, signs, and related examinations, with early surgery performed if possible to prevent recurrent episodes.

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Written by Li Jin Quan
General Surgery
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Where does chronic appendicitis hurt?

Chronic appendicitis, unlike acute appendicitis, does not begin with upper abdominal pain followed by pain in the lower right abdomen, which we refer to as migratory lower right abdominal pain; migratory lower right abdominal pain is a characteristic symptom of acute appendicitis. Chronic appendicitis typically presents with chronic recurrent pain, discomfort, dull pain, or bloating in the lower right abdomen. During a physical examination, chronic appendicitis generally manifests as fixed tenderness in the lower right abdomen, with less evident rebound pain. Rebound pain in the lower right abdomen during a physical exam only occurs when chronic appendicitis acutely flares up and signs of peritonitis are present.

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Written by Li Jin Quan
General Surgery
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The dangers of chronic appendicitis

Patients with chronic appendicitis primarily exhibit persistent, recurring pain in the lower right abdomen, which may be accompanied by abdominal bloating, loss of appetite, and indigestion. These prolonged gastrointestinal symptoms can lead to malnutrition and a weakened immune system. Additionally, chronic appendicitis can acutely flare up and become suppurative, which can lead to perforation of the appendix. Once the appendix perforates, it causes diffuse peritonitis, leading to sepsis, septic shock, and even multi-organ failure, endangering the patient's life. This outlines the dangers associated with chronic appendicitis.