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Appendicitis

Diagnosis, symptoms, and treatment methods.

General Information About Appendicitis

Appendicitis is the severe inflammation of the appendix, a small, worm-shaped, blind-ended organ located at the beginning of the large intestine (in the lower right corner of the abdomen), usually caused by a blockage from a hardened piece of stool (fecalith) or a swollen lymph node. It is one of the most well-known conditions in medicine that requires emergency surgery. It is characterized by severe pain that starts right in the middle of the abdomen (around the belly button) and settles in the lower right corner of the abdomen within hours, causing the patient to double over, accompanied by nausea and loss of appetite. If left untreated, the appendix bursts, spreading the infection throughout the abdominal cavity (Peritonitis), which can be fatal. In our General Surgery units, appendicitis, instantly diagnosed with ultrasound or tomography, is removed in minutes through Laparoscopic (closed and stitchless) surgery, restoring the patient to health.

Disease Details and Frequently Asked Questions

You can find detailed information about the condition under the headings below.
What is Appendicitis?

It is the blockage, infection, and filling with pus of the small tubular organ called the cecum appendix, causing it to swell like a balloon to the point of bursting.

What Causes It? Does Eating Seeds Cause Appendicitis?

In most cases, the cause is petrified, hard pieces of stool called 'Fecaliths' blocking the opening of this narrow tube. Sometimes, severe infections (flu, etc.) can also block the duct by swelling the lymph nodes.
Myth: The belief that swallowing lemon or watermelon seeds blocks the appendix occurs very rarely (less than 1%); the main culprit is fecal stones.

What are the Symptoms? Where Does the Pain Start?

There is a very typical history of relocation. The pain first starts as a dull stomach ache right in the middle of the abdomen (around the belly button). Within 6-8 hours, this pain gradually shifts to the LOWER RIGHT CORNER of the abdomen (above the groin) and stabs there like a knife. The patient walks by pulling their right leg towards their abdomen. Appetite is completely lost, nausea and a slight fever begin.

What is a Burst Appendix? What is the Danger?

When the blocked organ fills with pus, pressure increases, and its wall decays and tears. The inflammation and stool spill into the abdominal cavity (Peritonitis). The moment it bursts, the patient feels relieved, saying 'My pain suddenly went away', but within hours, the abdomen becomes hard as a board, fever spikes to 40 degrees, and the patient may be lost to blood poisoning (sepsis).

How is it Diagnosed?

When the doctor presses on the lower right corner of the abdomen (McBurney's point) and suddenly releases it, the patient feels enough pain to jump into the air (Rebound sign). White blood cells (WBC/Leukocytes) rise in the blood. A definitive diagnosis is made with an Abdominal Ultrasound or CT (Tomography) showing the swollen and inflamed organ.

How is it Treated? Can it pass with medication?

There is NO treatment for appendicitis with medication or injections. The only definitive solution is EMERGENCY SURGERY (Appendectomy).
In our hospital, the Laparoscopic (Closed) Method is generally applied. Through 3 small 1-centimeter holes opened from the belly button and groin, a camera is inserted, and the swollen appendix organ is cut and removed from the body. The patient stays in the hospital for 1 night and returns home pain-free the next day.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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