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Suggest Treatment For Chronic Appendicitis

Posted on Mon, 2 Jun 2014

Question: I have been to the ER four times now with abdominal pain, nausea, dizziness and headache. They suspected appendicitis. The appendix never showed through CT scan, ultrasound and x-ray. I have had the above symptoms constantly for over two weeks. I go to ER went symptoms get worse to the point where I cannot get out of bed. I feel unwell and weak. The pain is in the rt lower quadrant but at times radiates up my sternum and through my chest. I think I may have chronic appendicitis. My very first symptoms started about three months ago. Twice I woke up in the middle of the night and vomited. On two other occasions I suddenly felt like I was going to faint, once I was in bed, the other I had just finished breakfast. It usually takes about 20 mins before I feel well enough to get up. What do you think, please?

I have never felt as I'll as I did when I went to the ER last Wednesday night.

Answered by Dr. Dr.Albana Sejdini (1 hour later)

Brief Answer:
Possible chronic appendicitis,surgery advised...

Detailed Answer:
Hi,

I have gone through your medical history and feel sorry for the situation you are in.

It is difficult to catch inflamed/infected appendix through Ct-Scan, ultrasound or X-ray. Usually, the diagnosis is based on the clinical evaluation and lab test findings:
- complete blood work (including leukocyte formula)
- CRP, erythrosedimentation rate and fibrinogen level
- urine analysis (to exclude urinary tract infection)
- vaginal swab testing (to exclude genital problems)]
- liver/kidney function tests

To my impression, it might be chronic appendicitis, however, should run blood work to get the final diagnosis.

The only and permanent treatment of appendicitis (acute or chronic) is surgical removal. In chronic appendicitis, I usually prescribe antibiotics to my patients prior to surgery.

You can discuss these issues further with your GI specialist and general surgeon.

Wish fast recovery!
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Albana Sejdini (1 hour later)

I had blood work done but do not know if it included what you mention. Is what you mention routinely done? The CRP, ERYTHROSEDIMENTATION AND THE FIBRONOGEN LEVEL ARE THEY PART OF THE BLOOD WORK?

Answered by Dr. Dr.Albana Sejdini (13 minutes later)

Brief Answer:
Yes, they should be included...

Detailed Answer:
Hi back,

Thank you for following up.

Yes, usually, the tests I mentioned earlier are prescribed to run in cases similar to yours. You can upload the tests reports to me to get them analyzed myself.

All these tests are necessary to understand if any changes in your blood profile that can make us suspect it is from appendicitis.

Looking forward to have your lab tests reports in!
Wishing health!
Dr.Albana

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar