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Started By
Message
Brother has appendicitis. Question
Posted on 1/24/23 at 7:32 am
Posted on 1/24/23 at 7:32 am
My brother was diagnosed with appendicitis yesterday. They gave him antibiotics and told him to rest. They arent going to remove it. Why wouldnt they just take it out?? I had mine removed 5 years ago. If it ruptures, it could be real bad right?
19
Posted on 1/24/23 at 7:34 am to Tic44
Please see the appendix of the Anatomy textbook for answers.
Posted on 1/24/23 at 7:34 am to Tic44
quote:
If it ruptures, it could be real bad right?
Yeah it can be. If you catch it early it's typically an outpatient procedure. I almost died from a ruptured appendix when I was a kid.
Posted on 1/24/23 at 7:36 am to Tic44
I asked this question and was told by a doctor years ago that surgery is required for any appendicitis diagnosis.
Posted on 1/24/23 at 7:36 am to Tic44
Not sure why they didnt remove it but mine became infected and they removed it
Posted on 1/24/23 at 7:37 am to USMEagles
quote:
I asked this question and was told by a doctor years ago that surgery is required for any appendicitis diagnosis.
That was exactly my thought
Posted on 1/24/23 at 7:38 am to Tic44
I’ve never heard of anyone getting that diagnosis and not having it removed. Odd. But maybe if they catch it super early you don’t need to remove it? I just don’t think many people catch it early, it’s one of those things that once it hits you it is too late.
Posted on 1/24/23 at 7:51 am to Tic44
That doesn't make sense. My son had stomach pains for a couple days. Like a good dad, I told him to suck it up. It got worse and we went to the ER. His appendix was infected and wrapping around the back of his large intestine. He was having surgery a couple hours later. I'd get a second opinion. One of my employees had her appendix burst and it nearly killed her.
Posted on 1/24/23 at 7:53 am to Tic44
some can be treated with antibiotics and improve. if it doesn't improve they will take it out.
Posted on 1/24/23 at 7:56 am to Tic44
Yep, it could be bad.
For years now, some surgeons may choose not to remove based on certain factors. I thought it was crazy the first time I heard it too.
For years now, some surgeons may choose not to remove based on certain factors. I thought it was crazy the first time I heard it too.
Posted on 1/24/23 at 7:58 am to PTBob
Yeah, it can be treated with antibiotics, and there’s a criteria in the literature, but I usually just take them out with the laparoscope technique and be done with it, as they are usually back in 3-6 months with another bout after treating them conservatively the first time. I give the patient the options though…
Posted on 1/24/23 at 7:59 am to Tic44
How was he diagnosed? Usually it's due to extreme pain, followed by immediate surgery. If it ruptures and he becomes septic it will likely be a bad outcome. I think your brother has a surgery in his not too distant future.
Posted on 1/24/23 at 8:12 am to CamdenTiger
Usually, if they have a CT scan and if the appendiceal width is over 1 centimeter, or if they have a fecalith( ball of stool, blocking the drainage of the appendiceal mucous back to the cecum) we are talking surgery only. If < 1 cm and minimal fat stranding and no fecalith, then the conservative approach with just antibiotics and observation with be given as an option.
Posted on 1/24/23 at 8:14 am to Tic44
New research, particularly in adults, is leaning towards medical management over surgical in the initial stages as long as it isn’t a severe case.
Risk stratification.
Risk stratification.
Posted on 1/24/23 at 8:19 am to Scruffy
Surgery is still the most common treatment but treating with antibiotics only is becoming more common.
Posted on 1/24/23 at 8:21 am to Tic44
Hell, the doc removed mine because he said it was larger than normal. Usually genera surgeons look for any reason to cut you open. 
Posted on 1/24/23 at 8:24 am to fallguy_1978
Mine ruptured on Easter Sunday a few years ago and they didn’t remove it until Tuesday. I was in the hospital for a week on high doses of antibiotics. Fun times.
Posted on 1/24/23 at 8:25 am to Tic44
Just like a couple of guys I knew in High School, I always hoped I'd get appendicitis and get some time off from school. Never happened. I didn't even get a day off from work. I'm retired now and still have my wonderful appendix.
Posted on 1/24/23 at 8:28 am to pdubya76
quote:
Mine ruptured on Easter Sunday a few years ago and they didn’t remove it until Tuesday. I was in the hospital for a week on high doses of antibiotics. Fun times.
Mine was ruptured for 2 weeks and was misdiagnosed. I spent several months in the hospital.
Posted on 1/24/23 at 8:28 am to Tic44
weird. When I had mine the Dr. said infection showed up in urine. He told me " If I open you up, and it's not the appendix, I'm cutting it out any way."
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