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Appendicitis Treatment

Appendicitis is inflammation of the appendix which requires urgent and prompt treatment. Patients usually have persistent abdominal pain, vomiting or nausea and fever. It may also present with features of localized or diffuse peritonitis. Although essentially a clinical diagnosis, blood and urine parameters help as does an Ultrasound scan. CT scan however has the greater accuracy. Appendectomy by far is the only curative modality for appendicitis.

Appendicitis Treatment in KochiSigns and Symptoms of appendicitis

  • Sudden pain in the right lower abdomen - pain begins in the navel and shifts to lower abdomen
  • Walking, coughing or any jarring movements worsens pain
  • Loss of appetite
  • Nausea
  • Vomiting
  • Fever – that worsens as the illness progresses
  • Diarrhoea or constipation
  • Bloated abdomen

Causes of appendicitis

Infection due to blockage in the lining of the appendix resulting in rapid bacterial spread, leading to swelling and inflammation of the appendix with accumulation of pus


Appendicitis if not treated promptly can cause:

  • Ruptured appendix :
    • Peritonitis due to rupture and spreading of the infection throughout the abdomen
    • Life threatening condition
    • Appendix has to removed
    • Abdominal cavity has to be cleaned
  • Sac filled with pus :
    • Abscesses in the abdomen are formed due to the burst of the appendix
    • The abscess has to be drained through a tube placed in the abdominal wall
    • Once drained and infection settled, the appendix is removed

Tests and diagnosis prior to an appendectomy


Others as needed

  • Urinary 5-HIAA
  • Barium Enema study
  • Radionuclide scanning
  • MRI

Laparoscopic Appendectomy at Jacob’s Hospital

There are two options

  • Laparoscopic appendectomy
  • Advantages being less in-patient stay and early discharge from hospital
  • Less pain
  • Can examine the whole peritoneal cavity
  • Done through 2-3 very small incisions on the abdominal wall
  • Open appendectomy
    • Done via a single small incision
    • Few days of in-patient stay at the hospital

Post operative care at Jacob’s Hospital, Kochi

  • Patient can walk with appropriate pain control medication which is administered, early mobilization is encouraged
  • Advantages being less in-patient stay and early discharge from hospital
  • Diet is prescribed
  • Patient resumes normal activities
  • Office appointment with the doctor may be required in a week’s time

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