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chronic appendicitis acute appendicitis
Appendicitis occurs when the appendix becomes inflamed and filled with pus. Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen.
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What is appendicitis?
Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen.
Appendicitis causes pain in your lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe.
Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix.
How does it form?
A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture.
Types of appendicitis
Mainly there are two types of appendicitis
Causes of appendicitis
Symptoms of appendicitis
Diagnosis
Tests
Self-diagnosis
Pain is usually the first symptom. The pain often starts near the belly button and moves toward the lower right side. Pain occurs rapidly and gets worse in a matter of hours. Pain is worse when you take deep breaths, cough, sneeze, or move.
Diagnosis by doctor
To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. Tests and procedures used to diagnose appendicitis include: Physical exam to assess your pain. Your doctor may apply gentle pressure on the painful area.
Severity
A panel of acute care surgery experts reviewed the literature and developed a DSS for acute appendicitis as follows:
- Grade 1: inflamed
- Grade 2: gangrenous
- Grade 3: perforated with localized free fluid
- Grade 4: perforated with a regional abscess and
- Grade 5: perforated with diffuse peritonitis.
Risks and complications
- A ruptured appendix. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity.
- A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for about two weeks, and you're given antibiotics to clear the infection.
During the surgery
- Reaction of anaesthesia: Before performing an appendix removal surgery, a person might be put under the influence of anaesthesia in order to eliminate the pain which would likely expose them to complications like difficulty in breathing during the surgery, depending upon how their body reacts to it.
- Bleeding: If a person is suffering from severe appendicitis, it is possible that the appendix might lead to massive rectal bleeding which can be caused by severe gastrointestinal hemorrhage from an appendicle stump. However, such cases are considered to be extremely rare.
- Inflammation caused by bursting of appendix: During an appendectomy, the appendix may burst, causing inflammation followed by redness or infection around the abdominal area.
- Bowel Obstruction: Following an abdominal surgery, there might be subsequent bowel obstruction due to the formation of adhesions around the appendix.
- Infection of the wound: As cuts or incisions are made in the skin while performing a surgery, it might lead to an infection around the area of the wound, causing symptoms like redness, swelling or bleeding, followed by pain and fever.
-Injury to the nearby organs: Although least likely, a surgical procedure might cause damage to the nearby organs and tissues which can also lead to the development of a scar tissue and can possibly cause bowel obstruction.
If left untreated
If appendicitis is not treated, the appendix can burst and cause potentially life-threatening infections.
Prevention
There's no proven way to prevent appendicitis. Eating a high-fiber diet with lots of whole grains and fresh fruits and vegetables may help, although experts can't explain why.
Non-surgical
Patients admitted to Emergency Department with Lower Abdominal and suspicion of Acute Appendicitis not needing immediate surgery, are requested by informed consent to undergo observation and non-operative treatment with antibiotic therapy (Amoxicillin and Clavulanic Acid).
Surgical
Keyhole surgery (laparoscopy) is usually the preferred method of removing the appendix because the recovery tends to be quicker than with open surgery. The operation involves making 3 or 4 small cuts (incisions) in your tummy (abdomen).
Types of surgeries
- Open appendectomy: This is one of the surgical procedures carried out in order to remove an appendix where the surgeon makes a single, large cut/incision of about 5-10 centimeters in the lower-right abdominal area. After making the cut, the abdominal muscles will be separated, making an opening through the lower-right area of the abdomen and the appendix will be completely removed before closing the wound with stitches. In case there is a complication like bursting or rupture of the appendix the doctor will wash out there pus or infected bacteria from the abdominal cavity using saline or salt water. A small tube might be inserted through the incision to drain out fluids before closing the lining of your abdomen and the abdominal muscles with stitches.
- Surgery preparation
You'll need to avoid eating and drinking for at least eight hours before the appendectomy. It's also important to tell your doctor about any prescription or over-the-counter medications you're taking. Your doctor will tell you how they should be used before and after the procedure.
- What to except during the surgery
A cut or incision will be made in the lower right part of your belly. Your abdominal muscles will be separated and the abdominal area will be opened. Your appendix will be tied off with stitches and removed. If your appendix has burst or ruptured, your abdomen will be washed out with salt water (saline).
- After the surgery
Most people leave the hospital in 1 to 2 days after surgery.You can go back to your normal activities within 2 to 4 weeks after leaving the hospital. If you had laparoscopic surgery, you will likely recover quickly. Recovery is slower and more complicated if your appendix has broken open or an abscess has formed.
Cost of laparoscopic appendix removal surgery in India with Doktors
The cost of an appendix removal surgery in India with Doktors can range anywhere from ₹45,000 to ₹55,000. However, this cost is not to be considered as an absolute as it may vary from person to person depending on multiple factors like:
If the appendix is safely removed before rupturing or developing into a complicated stage, the results of a laparoscopic appendectomy wouldn’t take much time to show up. The post-operative complication will be minimal and the results of the treatment will be immediate. The treatment will certainly ease the painful and discomforting symptoms.
Recovery rate
Your recovery time depends on the type of surgery you had. If you had laparoscopic surgery, you will probably be able to return to work or a normal routine 1 to 3 weeks after surgery. If you had an open surgery, it may take 2 to 4 weeks. If your appendix ruptured, you may have a drain in your incision.
Long term outlook treatment of appendicitis
If chronic appendicitis is diagnosed, the doctor may prescribe antibiotics or may advise draining the pus that has formed around the appendix due to the infection. The most common treatment, however, is to have the appendix removed altogether. This surgery is called an appendectomy.
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While in the case of surgery the caretaker should be mentioned to patient who takes care in every moment in the whole surgery.
Delayed treatment may aggravate piles and may lead to complications. Surgery is advised in case of
Severe pain
Prolonged bleeding
Large haemorrhoids
Alteration in bowel movements
Alteration in bowel movements
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
The appendix is a narrow, finger-shaped pouch that projects out from the colon.Appendicitis occurs when the appendix becomes inflamed and filled with pus. Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen.
Stump appendicitis is a rare condition beside the other common post-operative complications of appendectomy which are wound infection, bleeding, and intestinal obstruction. Stump appendicitis is inflammation of remnant appendix tissue due to incomplete removal of the appendix
If not treated it can burst (rupture). This can happen as soon as 48 to 72 hours after you have symptoms. Because of this, appendicitis is a medical emergency. If you have symptoms, see a doctor right away to avoid more infection, which can be life-threatening.
Appendicitis during pregnancy is a condition in which the appendix becomes inflamed and infected. Its treatment consists of emergent surgery for the removal of the appendix.
There's no way of knowing when or if appendicitis will occur, so you can't prevent it. However, you can avoid a rupture if appendicitis is treated right away. The key is to be aware of the symptoms of appendicitis. If you develop them, seek medical attention immediately.
Ø Allow yourself to rest.
Ø Follow your doctor's instructions.
Ø Manage your pain.
Ø Increase your activities gradually.
Ø Know the signs of infection.
Ø Ease back into regular life.
Some patients may also become constipated or develop severe diarrhea. Can jumping around or exercising after eating give you appendicitis? The straight answer is: No!
In humans, the appendix does not perform any important function and removing it does not cause any long-term problems.
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