www.fgks.org   »   [go: up one dir, main page]

Appendicitis 

Introduction 

Appendicitis animation

Viewing video content in NHS Choices

If you do not have a version of the Flash Player you can download the free Adobe Flash Player from Adobe Systems Incorporated.

Appendicitis is a swelling of the appendix, which causes pain in the abdomen. Watch this animation to learn about the causes and treatment of appendicitis.

What is an appendix?

The appendix is a small pouch, normally about 5 to 10 cm long (2 to 4 ins) and quite thin. It's connected to the large intestine, where faeces are formed.

No one knows exactly why we have an appendix. It appears to have no purpose, therefore removing it is not harmful.

Appendicitis is a painful swelling of the appendix, a finger-like pouch connected to the large intestine.

It's located in the lower right-hand side of the abdomen (tummy).

The condition starts as a pain in the centre of the abdomen. It then travels to the lower right-hand side and gradually gets worse.

Appendicitis is a medical emergency that usually requires urgent surgery to remove the appendix. If left untreated, the appendix can burst and cause potentially life-threatening infections.

It's not exactly clear what the causes of appendicitis are, although it's thought to occur when something, usually a small piece of faeces, blocks the entrance of the appendix, causing it to swell.

Appendicitis symptoms

Appendicitis typically starts with a pain in the middle of your abdomen (tummy) that may come and go. Within hours the pain travels to the lower right-hand side, where the appendix lies, and becomes constant and severe.

Pressing on the appendix area, coughing or walking, may all make the pain worse. You may lose your appetite, feel sick and suffer from constipation or diarrhoea.

Read more information about the symptoms of appendicitis.

When to get help

See your GP or contact your local out-of-hours service if you're having abdominal pain that's getting worse.

Diagnosing appendicitis can be tricky as it can easily be confused with other conditions, such as a bladder or urine infection.

Call 999 for an ambulance if you get a pain that suddenly gets much worse and spreads across your abdomen. These are signs that your appendix may have burst.

Read more information about the complications of appendicitis.

Treating appendicitis

In most cases of appendicitis, the appendix will have to be surgically removed. Removal of the appendix is one of the most common operations in the UK, and its success rate is excellent.

Surgery is most commonly performed as keyhole surgery (laparoscopy), consisting of three small cuts. Open surgery (a single large cut over the appendix area) is usually carried out if the appendix has burst.

The medical name for this type of surgery is an appendectomy.

Read more information about treating appendicitis.

Who's affected?

Appendicitis is a common condition. About 7% of people in the UK will get appendicitis at some point in their life.

The condition is more common in men than in women. It normally occurs in people between 10 and 20 years old.

Although there's no guaranteed way of preventing appendicitis, it's thought to be less common among people who eat a high-fibre diet.

Last reviewed: 11/04/2012

Next review due: 11/04/2014

Ratings

How helpful is this page?

Average rating

Based on 160 ratings

All ratings

Add your rating

Comments are personal views. Any information they give has not been checked and may not be accurate.

kmcgiveron said on 27 January 2013

i stared having pain on christmas eve , it stared in the middle of my abdomin but in days its moved more to the right i was constantly bein sick i went to my gp who reffered me to the hosp ended up bein on a drip but got fobed off with pain killeres was in even more pain pain by the weekend so went to a different hosp spent the weekend there had a ultra sound but coz of my bloods were normal they didnt do nuffing , so went back to the gps as this pain was unbearable by now and they sent me back to the hospital and this was nearly 2weeks after the painstarted they addmitted me to the surgical ward on a drip my bloods were still normal but the next day i had surgery to have a look inside they removed my appendix on 6/01/13 they discharged me the next day eventhou i was very sore and still ill , i went to my partners house and by the next morning could hardly move couldnt lie down so the gp came to see me i had a very high temp , the gp said to go to the hospital asap, by the time i got there i felt paraylzed couldnt even move my fingers , my blood showed infection and i had blood poisoning and was rushed into surgery this time it was open surgery not key hole , where they had removed my appendix where they stitched the gap in my bowl the stitches had came away and everything in my intestine infected my blood i had part of my bowl removed and had my inides cleared out after that spent 9 days in hospital due to infection they said i was lucky to even be here and i was lucky not to get septicemia i finally got out on 19/01/13

if anyone goes throu this pain and bloods are normal dont get fobbed off as it can be fatal and if you have been discharged after a operation dont be scared of going back because if i didnt go back i would have died through the night im only 19 and this was not the start of the year i wanted

Report this content as offensive or unsuitable

ESR said on 09 October 2012

I had my appendix removed on the 1st oct 2012.

I started getting pains in my tummy on the 29th sep, tea time. they were like cramps and shooting pains on and off. I was still having pains all day sunday the 30th, they started getting worse as the night got on I took pain killers and they didnt do anything. 11:30pm on the 30th sep I got myself to hospital to be told it looked like my appendix.

The next morning 1st oct 2012, I had it removed and was also told that it was lucky I got in when I did as it was that bad it could have burst. I was in hospital for a week due to some infected fluid being left behind I was very ill for 5day before I could go home.
My advice if the pain killers do not do anything, get yourself to hospital before it goes too far!

Take care.

Report this content as offensive or unsuitable

LittleGlitter said on 27 September 2012

In June I started with pain, nausea and malaise. I went to bed to attempt to sleep it off and was awake again with in hours continually vomiting. I dialled NHS Direct who said it sounded like a GI bug, I tried to remain hydrated to no avail. By 4pm I was dehydrated, fed up and in agony. I phoned my out of hours service who sent an ambulance straight away. In hospital I was given pain relief, anti-sickness & fluids and kept in overnight, by the morning I was fine and was discharged.

Six weeks later whilst out at the cinema I started with indigestion which quickly progressed to the same feeling as before. By the time I got home I could hardly stand up. Attempting to use the toilet for either elimination was uncomfortable & impossible. The tearing pain on my right side was growing in intensity. However having been told it was more than likely a GI bug last time, I was reluctant to phone 999 and waste resources again. I visited my GP in the morning who sent me straight to hospital. Low & behold I had appendicitis, and a very nasty case of it caused by the GI bug I'd had before & obviously not gotten rid of. It was so bad that they'd had to resort to open surgery as opposed to the preferred laprascopic.

The hospital were brilliant. Although I had to wait awhile for my surgery I was made completely comfortable and felt very safe. There was continuity in my care and the staff dealt with me wonderfully. I couldn't thank them more.

Report this content as offensive or unsuitable

neil2k50 said on 16 February 2012

I need to say sorry with my last comment. I have not been in hospital before and I never knew what goes on behind the scenes. I was moaning that nothing was being done....well by Wednesday evening my appendix was out and here I am Thursday feeling good and waiting to go home tomorrow. I also now understand how hard nursing staff work, they never stop. And even when they have difficult patients they remain calm and professional. Believe it or not there were much more difficult patients than me. I think I was in so much pain I was feeling sorry for myself.

Report this content as offensive or unsuitable

neil2k50 said on 15 February 2012

I had very bad, I mean very bad, pains Monday morning. I called my GP at 8.00 and within 10 minutes I was in an ambulance on my way to hospital. Trouble is when I got here time has stood still and they have done very little for 2 days. Im told they are waiting to see if it gets better by itself???? I have had some x rays and they say I will have a scan tomorrow (sometime) and they will then decide what to do. I am in agony. I was in agony when I was blue'd and two'd here on Monday and here we are Wednesday and nothing has happened apart from popping me an anti sickness pill and some pain killers. It seams to me they are faffing about and will remove the appendix eventually so why not do it now?

Report this content as offensive or unsuitable

aerialmeg said on 19 November 2011

Thank you for providing such clear information. After checking my symptoms, I attended an out of hours doctor's surgery where I was immediately admitted to hospital with suspected appendicitis. By 6pm the next day I had had open surgery and two days later was released.
Initially, I felt that surgery was a drastic measure when there was no confirmation that it was appendicitis, but don't delay if you have any of the symptoms - if the appendix bursts, the chances of sepsis and peritonitis are dramatically increased, and the recovery time is significantly longer. After my twenty minute surgery I felt vindicated to find that I did have appendicitis - at least I never will again.
From self-diagnosis via NHS Direct all the way through to surgery, the NHS staff were extraordinary, and I can't thank them enough.

Report this content as offensive or unsuitable

tykeontour said on 14 October 2011

I've just had my appendix removed this week. I'd had three previous episodes of pain associated with appendicitis 3 times over the last 6 months. This time I was finally able to make it to my GP during an 'episode'. He immediately sent me up to my local hospital and got me a bed sorted. I had the operation to remove the appendix later the same day. I would say make sure you get to your GP/local hosp as soon as possible when experiencing pain. I'd previously had an ultrasound and a CT scan following these episodes which showed all was normal. However by getting to hospital in time another CT scan showed an inflamed appendix. Clearly some conditions only show up on tests if done at the exact right time not the next day or day after. Men tend to delay going to the GP, for someting like this don't delay!!! Don't underestimate the condition.

Report this content as offensive or unsuitable

george roberts2 said on 21 January 2011

My concerns for my partner who seems to have this condition, alarmingly, suddenly, are somewhat eased by reading the facts. thanks. George.

Report this content as offensive or unsuitable

baochau105 said on 30 March 2010

how can i download this video

Report this content as offensive or unsuitable

Eight tips for healthy eating

Get started on the way to a healthy diet with these practical food and nutrition tips

Your child's hospital stay

How to prepare your child for a stay in hospital.