Appendicitis is a medical emergency that occurs when the appendix becomes inflamed and swollen. If left untreated, it can rupture and lead to serious complications such as peritonitis or abscess formation. Prompt medical attention is crucial, and understanding the different treatment options available can help you make an informed decision together with your doctor.
Appendicitis treatment may involve either surgical removal of the appendix or, in selected cases, non-surgical management using antibiotics. In this article, we explain both approaches, including what to expect, recovery times, and when surgery is necessary.
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Understanding Appendicitis
Appendicitis usually occurs when the appendix becomes blocked by stool, a foreign body, or an infection. Common symptoms include:
- Sudden pain in the lower right abdomen.
- Nausea or vomiting.
- Loss of appetite.
- Fever.
- Abdominal bloating.
If these symptoms occur, seek medical care immediately. Doctors will typically perform physical examinations, blood tests, and imaging scans (such as an ultrasound or CT scan) to confirm the diagnosis.
Surgical Treatment for Appendicitis
Appendectomy, the surgical removal of the appendix, is the standard treatment for most cases of appendicitis. It is considered the most reliable and effective method to prevent recurrence or complications.
Types of Appendectomy
- Laparoscopic Appendectomy (Keyhole Surgery)
- Performed using small incisions and a camera.
- Results in faster recovery, less pain, and minimal scarring.
- Most patients can return home within one to two days.
- Open Appendectomy
- Recommended when the appendix has ruptured or when infection has spread.
- Involves a larger incision to clean the abdominal area.
- Requires a longer hospital stay for monitoring and recovery.
Both procedures are generally safe and are performed by qualified general surgeons in hospitals or accredited medical centres.
Non-Surgical Appendicitis Treatment
In mild or early cases, particularly when the appendix has not ruptured, doctors may recommend antibiotic therapy as an alternative to surgery.
This approach involves intravenous antibiotics followed by oral medication to reduce inflammation and infection. However, there is a risk that the condition may return in the future, and surgery might still be required.
Non-surgical treatment is usually considered only after careful evaluation by a general surgeon or specialist, based on the patient’s condition, age, and overall health.
Recovery and Aftercare
Recovery depends on the type of treatment received:
- After Laparoscopic Appendectomy: Most patients resume normal activities within one to two weeks.
- After Open Surgery: Recovery may take up to four weeks.
- After Non-Surgical Treatment: Follow-up visits are important to monitor recurrence or complications.
Patients are advised to avoid strenuous activities and heavy lifting during recovery. A balanced diet, adequate hydration, and wound care are also important for optimal healing.
Cost of Appendicitis Treatment in Singapore and Malaysia
The cost of appendicitis treatment varies depending on the hospital, procedure type, and whether there are complications.
Learn more: Appendectomy Cost: Understanding Surgical Expenses in Singapore and Malaysia
Many insurance plans may cover appendectomy and hospitalisation expenses, but patients are encouraged to check with their insurer before treatment.
When to See a General Surgeon
You should consult a general surgeon if you experience persistent abdominal pain, fever, or nausea that worsens over several hours. Early assessment can prevent complications and improve recovery outcomes.
General Surgeons You May Consider
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Contact us for an introduction to a trusted general surgeon experienced in appendicitis management.
Frequently Asked Questions (FAQs)
1. Can appendicitis go away without surgery?
In some mild cases, antibiotics may help control inflammation, but there is a chance the condition can return. Surgery remains the most definitive treatment.
2. How long does recovery take after an appendectomy?
Most patients recover within one to two weeks after laparoscopic surgery, while open surgery may require up to four weeks.
3. Is appendicitis dangerous if left untreated?
Yes. Untreated appendicitis can lead to a ruptured appendix, causing severe infection or sepsis, which can be life-threatening.
4. How do doctors diagnose appendicitis?
Doctors use a combination of physical examination, blood tests, and imaging scans such as ultrasound or CT to confirm the diagnosis.
5. When should I go to the hospital for abdominal pain?
If you have persistent or severe pain in the lower right abdomen accompanied by fever, nausea, or vomiting, go to the nearest emergency department immediately.
Disclaimer: 365Asia aims to provide accurate and up-to-date information, our contents do not constitute medical or any professional advice. If medical advice is required, please consult a licensed healthcare professional. Patient stories are for general reading. They are based on third-party information and have not been independently verified.