Hi, appendicitis as such is more of a clinical diagnosis. In chronic appendicitis what we see may just be thickening of the bowel wall or appendix on a CT scan. But usually the image findings are correlated with clinical symptoms and blood tests. If an acute infection the neutrophils are raised and if due to tuberculosis, the lymphocytes are raised in blood counts.
This classic pattern of migratory pain is the most reliable symptom of acute appendicitis. Vomiting may then occur, in contrast to the repeated bouts of vomiting that typically accompany viral gastroenteritis or small bowel obstruction. Fever then usually occurs, followed by the development of an elevated white blood cell count. Of course not all patients present this way. For example, not all patients lose their appetite.
I have recently been experiencing right side pain and mentioned it to my GP. He sent me for a CT which confirmed mild appendicitis. Don't have typical appendicitis symptoms other than pain and some nausea. My doc says to get it taken out. I went for a consult with a general surgeon and he said he isn't 100% that's my appendix since I don't have all the acute symptoms. He said there is no such thing as chronic appendicitis and my doc says "oh yes there is". UGH...
A calcified concretion in the appendix visible on an abdominal radiograph; considered diagnostic of appendicitis in the acute abdomen.
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Stedman's Medical Dictionary. Copyright © 2006 Lippincott Williams & Wilkins. All rights reserved.
s will be somewhere from 9-11, not high enough to indicate an acute form of appendicitis but a chronic form of it. Another indicator is, if you lay on your back and push on the appendix area, hold it in for a second or two, let go, if you occassionly feel a "springing pain" (you will know what I mean if you feel it) it's your appendix. And if the ER doctors keep thinking it's your appendix until they run their tests and rule it out then you are most likely right.
Both that I did find indicated a fairly high frequency of appendicitis within 18 months of gallbladder removal. Hopefully, they are wrong, I have about 6 months to go.
You are correct that this is not an acute appendicitis, but there is a possibility that this is a chronic appendicitis. This is almost surely not an ulcer of the rectum as you don't have any of the same symptoms.
According to WebMD diagnosing appendicitis can be tricky:
"Symptoms of appendicitis are frequently vague or extremely similar to other ailments, including gallbladder problems, bladder or urinary tract infection, Crohn's disease, gastritis, intestinal infection, and ovary problems.
The following tests are usually used to make the diagnosis.
If pulse is more than 80 and blood shows high TLC counts, is suggestive of appendicitis. In case of ureter stone, urine usually shows infection and ultrasound is diagnostic, pain is usually radiating in nature.
Well colon pain is colicky or dull in nature, do you have recent history of diarrhea?
Hey just had Acute appendicitis and had to have emergency surgery to remove appendix. Now I had a lump under my skin just above my elbow that is below my skin. it seems as though it is attached to my vein or just by the muscle. It does not hurt but I am worried sick it could be something serious.
now i am developing the same pain again after about 20 hours, so i want to ask can it be appendicitis even if ultrasound doesnt show it? one of my friend got operated last month, she was having the same pain but ultrasound didnt show anything even then she got operated n now is fine!
When I had appendecitis I woke up in pain with a lot of abdominal pressure and was admitted for surgery that day. It felt like I was really constipated or something (sorry TMI), and was nauseous. It sounds like the pain you are having is more likely related to the pcos. I have had ovarian cysts in the past and it felt a lot like what you are describing. I'm not an expert, just my personal experience.
I took plan B on the last day of my period which was december 25th and starting on the 29th i had soreness in what seems like right above the ovaries, a pain on each side of my abdomen. I also have this pulsating around my belly button and it will shoot down to the right side then give me back pain. I also have headaches and have gotten easily hot and overheated during the night. I know im not pregnant because ive testes and JUST came off my period and it was normal. Could this be my apendix?
Last night I started having a dull pain on the right side of my abdomen, across from my belly button, it went away today but came back around lunch time. It went away again and now at 2am it has come back. I pressed on my stomach a bit and it send a shooting pain through my belly button area. Its not SUPER painful, just more of a discomfort. I've also started urinating WAY more in the past hour and I'm not sure if its related but my knees began aching REALLY bad out of nowhere.
I had something like that done this morning n was cuz of kidney stone surgery but was Lazer they also told me if I didn't have done I could go on previous labor at my 19 wks as whether wait to pass the stones by myself cuz of the pain n medicine
I felt much better outside of mild abdominal discomfort from gas still. Now the next day my lower right stomach is pretty tender, nowhere else, just lower right side. Should I be worried about appendicitis? Could it be tender from extreme gas and bloating?
Thoughts?
The pain in appendicitis generally starts around the umbilicus and moves to the lower right quadrant of the abdomen. The other symptoms for Appendicitis are fever, nausea, vomiting and malaise. The other causes for pain could be urinary tract infection, pelvic infections, renal colic and sometimes bowel infections. Please discuss this with your doctor am sure he will provide further assistance. Regards.
Cramps change in nature from time to time. The other possibility is your appendix. Google appendicitis symptoms (chronic and not acute) and see if that sounds familiar. If you think it's your appendix, of course it's time to see the doc.
Actually, there was a large study done and there is about a 3% chance of getting it because of familial background. If you have no symptoms I wouldn't worry about it. 3% is pretty low. Consider the age they got it and keep up your annual physicals. Have them check your complete blood counts and unless you have no symptoms I wouldn't worry too much. We all have a hereditary risk to some degree of getting something.
I have all if the appendicitis symptoms ( bloating, diarrhea, constipation, severe abdominal pain followed by vomiting) but aren't these all pregnancy things to? I'm 41/2 weeks.
I have been to the doctors for tests for appendicitis when I had severe pain in my lower abdomen. They ran a few tests, try these
Raise one leg at a time, keep the other flat, if you get pain in the lower right area you are more likely to have appendicitis.
The best test for it is to push down hard on the area of pain, if you get severepain when you let go, that is bad and I recommend you visit your doctor.
If by chance you were actually able to figure out that your pain was from an inflammed appendix your delay in seeking medical attention would have resulted in the appendix becoming gangrenous and perforating usully after about 4 hours of symptoms. I agee that, in the absence of other signs / symptoms of an inflammatory process simple constipation would be the most likely diagnosis.
I have had 3 blood tests this year, which all came back normal (except for the liver values), which is part of what makes me wonder about sub-acute appendicitis, as I know that often people have normal labs but only discover post-appendectomy that that was indeed the problem.
I'm not sure if I can get an 'elective' appendectomy - in any case, I'm relatively sure insurance won't cover it if it's not ordered by a doctor.
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