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Appendicitis

WHAT YOU SHOULD KNOW

Appendicitis (uh-pen-dih-SIGH-tis) is an inflammation of the appendix that affects about 1 in 500 people each year. It is most common in young adults 15 to 25 years old.

Causes

If the appendix is blocked, an infection occurs. An infected appendix becomes swollen, reddened, and filled with pus.

Signs/Symptoms

Abdominal pain (usually in the right lower side of the belly), fever, nausea, and vomiting.

Care

It may be hard for the doctor to decide whether you have appendicitis. You will probably need some blood tests, plus an examination called abdominal ultrasound. You may have surgery to remove your appendix right away, or the operation may occur later. If your signs and symptoms get worse, you will need to see your doctor immediately.

Risks

You can die from untreated appendicitis. But the risks of serious illness or death are small if you follow your doctor's advice.

WHAT YOU SHOULD DO

Call Your Doctor If...

  • You have a high temperature.
  • Your stomach pain gets worse or you are vomiting.
  • You faint, are dizzy, or have a headache.
  • You have blood in your stool or in your vomit.

Seek Care Immediately If...

  • You feel dizzy or confused, are urinating less, or have a dry mouth and tongue. These are signs of dehydration.

IF YOU'RE HEADING FOR THE HOSPITAL...

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Abdominal Ultrasound: This painless test is done while you are lying down. A dab of a jelly-like lotion is placed on your stomach. The person doing the test will gently move a small handle through the lotion and across the skin. A TV-like screen is attached to the handle.
  • Medicines:
    • Antibiotic medicine may be given to fight infection.
    • Pain medicine will also be prescribed. If the pain does not go away or comes back, tell a doctor right away.
    • These medicines may be given in your IV, as a shot, or by mouth.
  • Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Pulse Oximeter: You may be hooked up to a pulse oximeter (ox-IM-uh-ter). It is placed on your ear, finger, or toe and is connected to a machine that measures the oxygen in your blood.
  • Activity: You will be asked to stay in bed before surgery except to go to the bathroom. After surgery, you will be encouraged to get out of bed with help. As you feel better, you can walk more.
  • IV: A tube placed in your vein for giving medicine or liquids. It will be capped or have tubing connected to it.
  • Blood: Usually taken from a vein in your hand or from the bend in your elbow. Tests will be done on the blood.
  • Chest X-ray: As a precaution, a picture of your lungs and heart will be taken before surgery.
  • After Surgery:
    • You will be returned to your hospital room when you awake. Ask for medicine if you are having pain. You may want to have someone stay with you to give comfort and support.
    • You will go home as soon as you are able to eat, drink, and care for yourself.

After You Leave

  • Always take your medicine as directed by your doctor. If you feel it is not helping, call your doctor. Do not quit taking it on your own.
  • If you are taking antibiotics, continue to take them until they are all gone--even if you feel well.
  • You will need to take your temperature frequently.
  • Do not take a laxative (medicine to help you move your bowels) or an enema.
  • Do not take pain or fever medicine, such as aspirin, acetaminophen, or ibuprofen.
  • Follow your doctor's advice about resting, eating, or drinking liquids.

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