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Appendectomy and Appendicitis

An appendectomy is the surgical removal of the vermiform appendix and is the only effective treatment for acute appendicitis. Acute means it starts suddenly. Appendicitis usually develops without warning over a period of 6-12 hours. An appendectomy is usually performed to prevent rupture of an inflamed appendix, and is often done as emergency surgery. Emergency surgeries are urgent and life saving. If the appendix bursts, there is an overwhelming risk of infection and complications. If there is no evidence of rupture, most appendectomies are done laparoscopically. Before going further, let’s first understand the vermiform appendix and appendicitis.

The Appendix

Labeled structures in the abdomen The appendix, located in the right lower quadrant, is a 3-6 inch long, worm shaped process projecting from the end of the cecum and lined with a mucus membrane. The appendix is of no potential use to the functioning of the human body. The appendix is closed at one end and the other end is attached to the large intestine. The function of the large intestine is to move the waste from the body through the anus and absorb water. The appendix can get blocked with stool or bacteria causing it to produce mucus, which eventually thickens and blocks the appendix. When the appendix gets blocked, it gets swollen, inflamed and filled with pus. This condition is called appendicitis.

It is unclear whether appendicitis is hereditary but having a family history of the condition is an indicator that it might be.


Symptoms of Appendicitis

The first symptoms of appendicitis are on and off pain in right side of the abdomen, which gradually increases to a sharp and persistent pain in and around the bellybutton. The pain may move towards the right lower quadrant of the abdomen and gets worse with moving, taking a deep breath, coughing, sneezing, walking or being touched. Other symptoms include:
• fever (follows other symptoms) of 100°F to 101°F
• nausea, vomiting, loss of appetite
• frequent and/or painful urination
• diarrhea
• constipation, and can’t pass gas
• abdominal swelling in the later stages

Blood tests will show an elevated white blood count. Sometimes appendicitis can be hard to diagnose because many other illnesses cause sudden abdominal pain and similar symptoms. Early diagnosis is important to prevent rupture (when your appendix bursts) and complications.

If untreated, appendicitis can be fatal. When the infected appendix bursts, the contents of the lower gastrointestinal tract enters the abdominal cavity, and infects the entire peritoneal cavity. When this happens, the patient gets a high fever and the pain may suddenly stop.

Appendicitis is more common in men, occurs between the ages of 10 and 20, and rarely occurs after age 50. Acute appendicitis is an emergency and the appendix should be removed right away. There is no specific prevention for appendicitis.

Complications of Appendicitis

Complications of appendicitis include blocking of the intestine. When the appendix gets inflamed it can block the intestine and interferes with the function of the intestinal wall. This prevents passing of liquids and gas causing nausea and vomiting.

An infected appendix can rupture or burst within 24 hours after symptoms begin. This may cause abscesses, that is, pus-filled boils around the appendix; or diffuse peritonitis, that is, infection of the abdominal cavity which is a potentially life-threatening. Symptoms of peritonitis include mild to moderate abdominal pain, fever, change in bowel habits and feeling as if you don’t have enough energy to do your daily activities.

Appendicitis can also spread bacteria causing an infection in the blood stream—a life threatening illness called septicemia.

Diagnosis of Appendicitis

The initial diagnosis of appendicitis is done by a complete history and physical examination. The physical examination looks for signs of appendicitis like increased temperature, tenderness in the right lower part of the abdomen, especially when the doctor presses on the area, there is a sharp increase in pain when the pressure is removed—rebound tenderness. To confirm the diagnosis of appendicitis, the doctor may order some or all the following tests:

White Blood Count (WBC): The white blood cell count is usually elevated when an infection is present. An elevated WBC count helps confirm appendicitis. However, a WBC alone cannot determine appendicitis since a WBC increases in any kind of infection.

Urinalysis: This is the microscopic examination of the urine to determine the presence of red blood cells, white blood cells, or bacteria. An abnormal urinalysis means inflammation or kidney stones. The inflammation could be from the appendix since it is situated very close to the ureter and bladder.

Xray: Xray of the abdominal area can show an intestinal blockage. Stool may become hard and block the opening of the appendix which can be seen on xray.

Ultrasound: Ultrasound is a procedure that uses sound waves to examine various organs in the body. Ultrasound helps determine an enlarged appendix or abscess. Ultrasound also helps eliminate other health conditions that have symptoms similar to appendicitis, mostly in women, like complications of the ovaries or fallopian tubes.

CT Scan: A computerized tomography (CT) scan is very useful in case of pregnancy to identify appendicitis or other abscesses attached to the appendix and/or eliminate other diseases causing similar symptoms.

Treatment of Appendicitis

Appendicitis is treated surgically with an appendectomy.

Preparing for an Appendectomy

Preparations include the usual pre-surgery tests, including:
• complete blood count
• blood clotting tests
• urinalysis
• chest Xray

The anesthesiologist will want to know how long it’s been since you had something to eat or drink. General anesthesia can only be done on an empty stomach because of the risks of throwing up while sedated.


Surgery can be done with either general anesthesia or spinal anesthesia.

The Appendectomy Procedure

Appendectomy or removal of the appendix can be done in two ways—the traditional open surgery or the newer technique called laparoscopic surgery. The procedure takes about an hour.

In an open appendectomy, a two- to three-inch incision is made in the skin of the abdomen and underlying layer of fat. The muscles and organs are separated and the peritoneum is cut to reveal the cecum (part of the colon). The appendix and other abscesses, if any, are identified and cut away from the colon. Any fluid or pus from the infected appendix is suctioned away. Sometimes a drain is left in place for a few days. The colon is sutured and blood vessels are tied off; the abdominal cavity is closed, followed by suturing or stapling the incision made on the skin of the abdomen. Stitches or staples are usually removed 7-10 days after surgery.

Laparoscopy - shows instruments in the abdomen

Laparoscopy – shows instruments in the abdomen

In a laparoscopic appendectomy, there are no large skin incisions, only a few small puncture wounds. The laparoscope, which is a thin tube with a video camera attached at one end, is inserted through one of these puncture wounds. The doctor is able to see inside the abdomen on a TV monitor that is attached to the video camera. The camera allows the surgeon to verify the diagnosis before removing the appendix. The appendix is removed with instruments inserted through one of the other puncture wounds on the abdomen. Laparoscopy is better for the patient than open surgery because there is less postoperative pain and less chance of complications. If you have a laparoscopy, you will most likely go home on the day of your surgery.

Sometimes the surgeon is unable to identify the appendix with the laparoscope or unable to remove the appendix due to scar tissue from prior abdominal surgery. In this case, the surgeon will have to do an open surgery. Depending on what he finds, the surgeon may do the open surgery immediately or he may close the punctures and schedule the open surgery for a later date.

In some cases, the surgeon may find the appendix to be normal with no signs of appendicitis. The surgeon may decide to remove the normal appendix since it’s better to remove the appendix than to have appendicitis later.

After surgery you will go to the recovery for room about an hour. If you had an open appendectomy you will be up and walking around within 6 hours. If there are no complications you will go home in a day or two.

Complications of an Appendectomy

As with all surgery, an appendectomy has possible complications. Complications may be due to anesthesia, breathing problems, bowel obstruction, side effects to medicines or the surgery.

The possible complications from surgery are excessive bleeding or infection of the incision site. Infection can range from mild to moderate to severe. In mild infections, there is mild tenderness and redness in the area. Moderate infections can be treated with antibiotics; severe infections may need surgical procedures in addition to antibiotics. Infections are rare with laparoscopic procedures.

An appendectomy that was performed for a ruptured appendix can have other complications requiring a longer hospital stay.

In very rare cases, appendectomy can have long-term effects such as increasing the risks for other diseases like Crohn’s disease.

Recovering From an Appendectomy

After an uncomplicated appendectomy, you will be released from the hospital within three days and can resume normal activities in about 2-3 weeks. Returning to normal activities can be a little longer if the appendectomy was done for a ruptured appendix or there were complications. Care during the healing process includes:

Eating and Drinking:

Start with a liquid diet if you have nausea and to allow your intestines to return to normal function. You can slowly resume your regular diet. It’s important to eat a balanced diet to speed up the healing process. You may need a stool softener to prevent constipation from pain medicine and the anesthesia.

Incision Care

The incision should be kept clean and dry as prescribed by your surgeon. Do not get your incision wet in a tub or shower until your surgeon says it’s OK. If you think you have a fever take your temperature. Check your incision every day for signs of infection like increased redness, swelling, pain in the incision site, drainage, or fever above 101.5°F. Call your surgeon right away:
• if you notice any signs of infection, bleeding or discharge at the incision site(s)
• if you have abdominal swelling
• if you have vomiting or diarrhea

If you had open surgery, you will have a short scar; if your surgery was done laparoscopically, you will have 3-4 scars about a half inch long where the instruments were inserted into the abdomen.

Returning to Normal Activities:

In most cases, you’ll be allowed to resume regular activities within two to three weeks after surgery. Your surgeon may give you certain restrictions to follow to avoid complications. Restrictions can include avoiding heavy lifting, not going to the gym, playing sports, running or jogging, or doing any heavy physical activities for 6 weeks. Avoid driving for 2 weeks.


  1. Ademola charles says

    Was recently operated for appendix and i still feel weak ,i have regular hiccups although am still on admission..

  2. Can food mixed with tiny bits of plastic cause infection or attribute to appendicitis ?

  3. I recently had appendectomy done 3 weeks ago as well as myomectomy via s/p exploratory laparotomy, after being turned my first ER visit by the doctor swearing that “hey good news, you dont have appendicitis!” Two days earlier. I was at work when my body went to shock and had a coworker drive me to the hospital. I had an amazing team of doctors that oversaw every single step and care. Though I was septic after the third day in the hospital before the surgery, I still agree with the planning of the surgery until the right people were available.
    I stayed in the hospital for an 10 days with the JP drain that wasn’t removed until I was discharged. I went home with an 8 inch incision and 2 meds for pain management. I stopped taking one of them 6 days ago for better bowel movements. I still have an enlarged abdomen though some swelling has gone. My legs get restless if I am on my feet too much. I also have pain to left of my incision with mild cramping. I’m just hoping that the swelling goes down and the pain minimizes by the time I go back to work.

  4. Ana Maria Antunes says

    My appendicitis erupted on Aug.14.18.Stayed on the hospital fr 5 days to treat the infection.I was on Iv antibiotics and pain killers.On the 6thday was discharge with a draining to flush the pus.Two months later still waiting fr the surgery.Today I had a Ctscan to see if I’m ready fr the surgery!!The results of today’s cat scan show that is tickenning the tissue!!Should I be concern??

  5. This was a very huge eye opener for me. I had six hours before going septic when my appendix ruptured. Had a drain in for three days. Once I was discharged an abscess grew in my pouch of Douglas and had to be hospitalized again for five days. Anyone who has gone through a complicated surgery like this, I feel for you
    I am not mentally the same or physically. It doesn’t feel normal to urinate or release my bowel anymore. Still discomfort. I’m super drained and sick from my weak immune system
    Never experienced such emotional and physical pain in my life

  6. Had appendix pain , went to hospital, x- rayed and found that I needed to have it removed. While there my appendix burst on removal. Had 6″ of colon removed and intestines too. It has been 4 months and if I turn over onto my stomach it hurts. I also had some infection (leakage, so he removed one of the staples). It still scabs in one spot and I am swollen. How long does this continue (normal?)?

  7. My brother did the operation for a ruptured appendix but after few weeks the incition is bringing pus little area of the incition is bringing small pus, please what do I do

  8. hi my brothers incison remove he had a middle incision which is ruptured apendix then the tissue recovery is slow what to do?

  9. Lillian Naidoo says

    Hi I am a 53 year old femaile. Had a laproscopic ependectomy 3 weeks ago. Was fine the day after but the following day I was sick to my tummy. Could not breath properly. Was told I developed septicemia. Doc told me that he could not understand ow this happend as the appendix was not gangrenous. However on my visit to remove stitches I was told that the appendix was inflamed and close to rupturing. I asked for the report from the lab and the diagnoses is Appendix Vermiformis- Axcute appendicitis & Peritonitis. I still feel sick to my tummy.

  10. Pauline Lang says

    I had a ruptured appendix a year ago.. The surgery took 7 hrs. and was on mega doses of antibiotics and had a bag to drain the poison for a few days after. My problem is I have been left with huge stomach and weight gain. It hurts to bend over still on the right side and feel like I am going to explode all the time. I know I’m lucky to have come this far.. but what is causing this huge stomach and weight gain and tired all the time! I am spring but would like to know if there is something that can be done? Thank you

  11. Just wanted to add my story. Started with stomach pains at the end of April 2017. Feeling bloated more than anything. Couldn’t eat, felt nausea all the time. Have no health insurance so went to a walk in clinic was told I had a bladder infection. Was put on antibiotics. Still wasn’t better. Never will forget on May 1st 2017. A coworker told me my skin was gray and my lips were turning white. There is something Seriousy wrong with you. Finally went to the ER had a cat scan you have a burst appendix you need emergency surgery now. After 2 hours in surgery. I was in the hospital for a week,my white blood cells were off the charts. After tons of antibiotics and a drain coming out of my tummy. I finally got to go home. 3 weeks out of work. Doctor kept telling my family that I waited to long. I didn’t know according to the worthless clinic I had a bladder infection. Long story short don’t wait on this. I’m glad to be alive. Don’t wish this on anyone. It’s bin 7 weeks and I feel great.

  12. My friend han an appendix opperation a week ago but he is complaining of sever pain and high fever ..liquid is also comming out from the operated part …is it normal

  13. Hi, my sister had an appendetomy on a ruptured appendix three months ago and now she is complaining of severe pain anytime she urinates and stools. We had gone to the hospital where she did xray and urinalysis but no problem was found. She has being taken pain killers since then to ease the pain. We are scared and don’t know what to do. Please any advice

  14. I AM 22, I think am having a ruptured appendix for days now but my doctor keeps on giving me antibiotic saying that my abdominal pain is likely not to be it, what do i do now the temperature of my lower stomach seems very high.

  15. Mary Lally says

    I had my all appendix removed 13 days ago. Had a bad infection, drains and abcess. I am having trouble with diahreia. Feel weak and tired all the time.

  16. Hello, I have a favor to ask the community. My brother is just coming off surgery for his appendix and is absolutely wiggling out. His breathing is really bothering him and mentally he is not the same. He can barley speak and when he dose speak it’s not like his normal self. He says he feels worried that he might stay this way as much as I try to reassure him that it’s only temporary and it’s due to his surgery. I ask if anyone ever had these same symptoms to help me with advise. Thank kindly.

  17. Hi Cushla,

    I hope your son is making good progress. I wonder if you can help me because my son had his appendix out 4 weeks ago, he is 10 years old, and he was making quite good progress but then he was in a lot of pain. I was told he had a collection of fluid near his bladder (33ml) but they have decided to leave it and have sent him home hoping his body will absorb the fluid. I believe your child had a similar problem with fluid may I ask how the doctors progressed with it?

  18. My 10 year old son had a nasty episode of appendicitis. Last week we took him back to A&E because he was in pain, we were told he has a collection of fluid approx. 33ml close to his bladder because of proximity to bladder they do not want to risk extracting fluid with a needle so they have sent him home hoping the body will naturally absorb the fluid. He was making good progress but today seemed to get pain after eating. Any advice greatly received. I am concerned about the fluid.

  19. My appendix had bursted on February 2016. I had to stay in the hospital for a whole week and antibiotics and also had to stay for the fluid to drain from the area of surgery. I was told by the doctor to stay home and recover for 3 months and that I would be fully healed in 4 months. Now it’s 6 months and I’m work at a fast food place as maintenance, what I do is lift heavy loades, and now it’s bothering me and I can’t work comfortably. I don’t know if it’s normal and don’t have to worry about it or if I have to go get checked. I want to know if it’s an issue with my body and I have to rest again for recovery.

  20. I had ruptured appendics beginning of January & had emergency operation. My tummy is really bloated since & seems to be getting worse. I have got bad pains in my tummy and lower back. Is this all to do with my operation.

  21. I just had my appendix removed about a week ago. It hadn’t burst, amd there were no complications to my knowledge, except that it really hurts whenever I go number 2 (the hole hurts like someone has cut it), and my stools are very small and watery. It’s kind of been freaking me out, so I was just wondering if this was normal.

  22. My son had an operation to remove his burst appendix, they said it was a very messy 1 like a bomb had gone off!! He stayed in hospital for a week on antibiotics and stayed home for a week after that on antibiotics. The day after he stopped taking the antibiotics his pain became stronger and 2days later he had very high temperatures so I took him back to hospital. They put him back on antibiotics and did an ultrasound and found a 4cm abscess close to the bowel. They did a CT scan with hopes of putting a drain in but unfortunately it was too deep inside. Due to the fact that his surgery was done over 2weeks ago they are saying he is too sticky inside for surgery. At this stage they said he has a 20-30% chance of the antibiotics clearing it up, they have also spoken to a bowel surgeon who said going through the bowel wasn’t an option. They have sent his scans off too ladies cilento hospital for their help. Another possibility was to go through his back to put a drain in. Does anyone else have any ideas or has this happened to you, my son is in hospital now and we are just waiting????? He is on iv antibiotics and comfortable at the moment but I’m worried about this problem not being fixed!!!

  23. My appendix burst a couple of years ago. I thought it was just stomach ache and it was 3 days before I saw a doctor and 5 days before surgery. There were complications and I was in surgery 7 hours. I don’t know much about the complications, all I know is they were considering transferring me to another hospital to complete the surgery. It was 3 days after the operation before I even found out I had a burst appendix! The doctors weren’t great at explaining what happened. I had a lot of internal infection and I spent a week on IV antibiotics, then a week on oral antibiotics, then a further week on oral antibiotics after more pain.
    Since a couple of months after surgery my stomach has been very bloated. I look 8 months pregnant! The bloating is from the bottom to the top and it feels like my diaphragm has constant pressure on it from the inside. It feels tight and painful, not massively painful, but then I thought a ruptured appendix was stomach ache and planned to go to work that day after the doctor sent me to the hospital. I think you could say I have a high pain threshold. I have also started to put on weight. A feat I could never manage before. At 5’6 I have never been heavier than 7 stone, even when pregnant. Now I am fluctuating between 9 and 10.5 stone, with weekly weight fluctuations of up to a stone. This is just not right. Could this be due to the infection, the surgery, scaring, bowel issues? I hoped these issues would resolve but they seem to be getting worse not better.

  24. Elma Garza says

    I had a appendicitis when I was 9 it burst infected my intestine had part of it removed..then it infected
    My ovaries and uterus ..had them removed by the time I was 14 …now I’m 48 and I always have stomach that normal? Does the fact that I had my intestines removed require that I should be on a special Diet.?

  25. Mary Blackard says

    My great-granddaughter, who is ten years old, has a burst appendix and is in the hospital. The doctor said they cannot remove the appendix because of the infection caused by the burst appendix, that they will have to treat her with antibiotics and wait for at least eight weeks. I do not know how serious the risk is to her life, she is small and only weighs 61 pounds. I know that antibiotics themselves can have an adverse affect on one’s body, that some people have a very bad reaction. How serious is the risk to her survival caused by the burst appendix and the treatment being provided? Her mother is six months pregnant and I am concerned about both of them.

  26. Thallia S. Alvior says

    6 years ago,I was 12 years old then when i had a ruptured appendicitis. it was monday afternoon when my right abdomen is aching.Later that night I’m not feeling well..I vomit every aunt,thinking that I have an ulcer,gave me kremil-s..but still i vomit again and day.i didn’t go to school..later that evening.i was ready to go to bed,,i suddenly shivered..but i’m not freezing..and thats the time that my parents brought me hospital..there,,i was diagnosed of appendicitis..sad to that hospital there was no doctor available for the they refer me to another hospital…it was so painful at that time,2:00 am,but there were so many patients …i’d like to lie in bed but i can’’s already 4 am when we went to the ward..and when i lie down ,,,i really heard a very loud bang in my right burst…..after that i was unconscious…the doctor said that he can’t handle the surgery if i have still a fever but until the other day,still i have a fever.they just give amtibiotics .it was thursday night when they did the surgery..but the scar is very big,..different from others…but my problem now is…during my grade school years..i was a very good student…but after the surgery….it’s very difficult for me to comprehend all my really changed seems…my mind is always loading and loading..and my vocabulary is very limited… until now..i’m wondering what happen to me,to my’m in college now and it really bothers me a lot..

  27. Kimberly says

    I had appendectomy 2 weeks ago. Diagnosis was difficult as I had a left ovarian cyst rupture at the same time so I had pain on both sides. My blood tests all came back normal. It wasn’t until I had an ultrasound that they realized it was my appendix. Since having it removed I get sharp stabbing pains in my upper stomach, right side and lower abdomen. My left side is fine. The pain has increased to the point it takes my breath away and I get really light headed and have to lie on the ground. I feel so nauseated. I had bloods taken again to see if the pseudomonas had spread and once again my bloods are normal. Not sure I trust them as they were normal prior to surgery. Dr has no idea what is wrong and just says it must be adhesions. The pain is unbearable and debilitating. Guess it is something I need to learn to live with.

  28. michaelm says

    my apendix had ruptured for over 2 to 3 weeks before i had it removed. i had gangrene and my large intestine had to be cut because of infection. i went to the er because i thought i had pulled a muscle and was having pain when i stood up straight. i had one fever and that was when i went to the hospital. the doctors dont know how i didnt notice something was seriously wrong since apendix ruptures are exrtremely painfull. he also told me that i was lucky to be alive since the infection didnt spread to any bone, its been one month since the operation and i still have abdominal pain, and sometimes my stomach feels like its burning, i imagine acid flowing through my intestine i also feel like the incision on my stomach is going to open. i take around 6 percocets a day ‘for pain. the percocet really helps, i feel no pain at all.

  29. I just had an appendectomy 16 days ago. Three days earlier I was diagnosed with appendicitis. I asked to be put on antibiotics to treat and the surgeon wanted to refuse. Made me sign a paper saying I am going against medical advice then refuses to hospitalize me or give me IV antibiotics. He sent me home with augmentin and was done. The normal procedure is IV antibiotics for 24 hours then oral antibiotics usually two I don’t have the names now. I tried calling everywhere to find a doctor to do the treatment correctly. Finally I went back in on three days later because of increasing pain and found a doctor at the ER that did treat appendicitis with antibiotics and had done it many times. Only by the time I arrived she had to contact a surgeon who scared me into the appendectomy. Well it was a very painful procedure and has only made me worse. Now I am 16 days post op with increasing lower left quadrant pain and can not eat. Having bouts of vomiting and diarrhea after sever constipation. I cannot get help from my surgeon who says he doesn’t know what the pain is both him and my family doctor refuse to send me to another surgeon for a second opinion and refuse to give me a referral to a gastrologist. I feel like I am dying the pain is debillitating. The ER doctor sends me back to my surgeon who says he doesn’t know what’s wrong and sends me to my family doctor who sends me back to the same surgeon. Do not ever get an appendectomy. I cannot live like this any longer.

  30. My son had is appendix out in January. he was not feeling well and had pains in his side…little did we know his appendx had ruptured… he spend a couple weeks in hospital. Lately he’s having trouble with his bum being sore everytime he moves his bowels and finds is side. What is up with that?

  31. I had an emergency appendectomy 7 years ago. Two months prior my Dr dismissed the pain as a UTI possibly… Then when I had acute attack and had surgery I needed blood transfusions when my lab values shown I was bleeding internally. I came home 5 days after surgery and had low grade fever when stitches were removed. I hada slow recovery. Now I am having pain to RLQ again. The ER physician said the CT scan shows a 8_mm spot where appendix site was. I have appt with my doc to be referred out to specialists to possibly have exploratory surgery to find out the problem. My appt is tomorrow.

  32. When I was 10 years old a sickness struck me with a hallucinating fever and abdominal pain . Laying down ,standing up,even eating was painful . finally some family concerned with my condition mention the lower right-side of the abdoman in pain. She said it could be Appendicitis. The Doctor inside the emergency room said an Appendectomy must be done that night. I was in the hospital for 10 days after that recovering still not eating . lost alitof weight and painfully re-learning how to walk again due to the painful affects of the surgery
    . basic tasks were painful

  33. In 1968 I was 12 my appendix was miss diagnosed as flu and 3 days later ruptured…. I was hospitalized for 30 days and had 2 surgeries …. I had gangrene Peritonitis….. I remember my parents telling me I may never have kids ….. Didn’t think much about and nothing more said I had 3 children

  34. Patty Hernandez says

    In 1968 I was 12 my appendix was miss diagnosed as flu and 3 days later ruptured…. I was hospitalized for 30 days and had 2 surgeries …. I had gangrene peritonitis my parents told me I may never have kids …. Didn’t think much about and nothing more said I had 3 children

  35. I was diagnosed with acute appendicitis recently and had my surgery done about two weeks ago. My wound has a slight swell on it at both ends. No fluids of any sort have come out but I am a bit worried because im scared of any infections.if any one here has had the same experience I would like to know or is there something I should do or just see my doctor. I would appreciate a reply. Thank you so much.

  36. Sam van den Berg says

    When I was about sixteen, I had three extremely severe attacks of vomiting and pain in the middle of the night which left me feeling very ill for about three days afterwards. The third attack was less severe, but when it occurred I mentioned to my parents how painful the previous two attacks had been and they summoned our gp. He diagnosed chronic appendicitis and advised that if the symptoms recurred, I should be taken to hospital for an immediate appendectomy. I recall that round about the same time I had two strings of lymph(?) glands the size of small marbles in my groin — left and right. (I thought this was normal but it obviously was not, because they later disappeared). But this was more than sixty years ago so I have no clear memory of whether this happened before, during or after the three attacks.

    About twenty years later I complained of discomfort on my right side (turned out most likely to be irritable bowel problem. When I mentioned the “chronic appendicitis” of twenty years before, I was pumped full of barium, X-rayed in every possible position (even upside down) and then examined with a sonar device. No sign at all of any appendix or remnant (“the case of the missing appendix” the specialist quipped.)

    Did the appendix seal itself in stages, and was it then simply reabsorbed; did my immune system overcome peritonitis or other infections; or is there some other explanation?

  37. hi . also hard appendix removed seven months ago, but usually get recurrent abdominal pain that may take a week and pains increase after riding a motorbike to work.this pain usually extends to the whole back and right thigh since surgery, and have one or two swollen l.nodes. am worried are there chances of developing like cancers or other complication

  38. My 8 year old daughter had appendix out approx a year ago . She had been grumpy for a year complaining of stomach aches .
    Doctor 6 months ago said there is still fluid in her around that area .. Had another scan and fluid is now double .. Apparently 2cm ..
    She is being booked into royal children’s ..I’m worried the fluid can affect her ovary as when the surgeon finished the op told us he checked organs around he appendix and they where ok including ovary . Now tabs at time of op.. It’s been a year she had had fluid in around that spot .. I’m concerned .. Any thoughts

  39. worriedmum says


    My son had his appendix removed about 7-8weeks ago. He is now very lethargic complain of aches and pains everywhere. His colour is also off could this be related to his op?

  40. I had burst appendix in jan followed by an absess I was quite poorly 6 month on and I’m still so bloated I look 8 months pregnant and have so much pressure in my stomach curvix area if I didn’t know better I would think I was about to have a baby. I’m not pregnant……….. I have checked. I have cysts on my ovarys wi
    Hich I’m having out and the surgeon said she doesn’t think its not the cysts that are causing the swollen stomach….. What could it be? I’m very upset about it as I’ve never looked so awful an nothing fits me.

  41. chir chong lin says

    I have a 13 years old son who was active in track and field since 9 years of age then last year end of October he got a acute appendicitis and had been removed… do he still can run or play basketball or any other activities? what are the activities he needs to avoid? because he want to be back and play again in the track…hoping for your help…thank you in advanced..God Bless..

  42. Recovered very well following my appendectomy late May 2013. No complications and caught before any danger. However, I now seem to suffer a great great deal with unpleasant flatulence. Any tips on reducing this would be welcome.

    My diet contains very little processed food as I normally cook from scratch.

  43. My ex husband had a ruptured appendix while out of town and had emergency surgery A subsequent CT showed part of the appendix is still there. Surgeon said this is normal and it will not be a problem. Now, a couple months after he is a local hospital being treated for “diverticulitis”.. he also recently had a colonoscopy and was not told he he even had diverticulosis.
    I am concerned that the real problem is the piece of appendix left behind because years ago they would go back in and remove it to prevent further problems? Is it okay for a piece of the appendix to be left behind?

  44. Media Partners says

    It could be from a nerve. I have a similar issue with my c-section scar and they said a nerve may have gotten a stitch in it at that spot. Mine only bothers me in certain positions or if I bump against something so there is pressure on the skin there.

  45. jack charge says

    I’m 16 and I had my appendix out last year some time it ruptured in surgery as they were taking it out ,and so I got back to the hosptal bed and my stomach was bubbling and in really bad pain and twisted bowlls so I had another opp and 2 enams and a caphata , and now I still get like a stingy sort of feeling in my scar have any idea what that is?

  46. Hi Neil
    I have read your question about your moms situation and struck me because I just had the same diagnosis of ruptured appendicitis, treated with antibiotic for 2 days in the hospital then released for 7-10days on oral antibiotics. Today, I am returned for a follow-up visit.

    The doctor told me upon discharge, I may never need a surgery if I am better, due to high level of antibiotic, ruptured appendix may all be healed and the chances of reoccurance is only 8-15%. So why take a chance on operation if not needed.

    And after 10 days on antibiotics, I am really feeling normal and much better. However, I do have one question, “where does all the murky liquids from the ruptured appendix bacteria go?

    I will probably get the answer today.
    If anybody knows or have similar experience, let me know.

  47. Hi,
    My mother in law has been in hospital for over a week with abdominal pains. She has been on an IV anti biotic. She had a scan 2 days ago and she says that she has been told that her appendix has burst. She also says that she has been told that there is no need for surgery.

    Can this be correct?

  48. Thank you very much for the reply but I had an appendetomy and my cut is quite big because the appendix was so close to burst. Doctor said it was a fat one.

  49. Media Partners says

    If you had it done lapracopically, they pump air into the abdominal cavity so they can see. It doesn’t take long for the air to be absorbed and your abdomen to go down. It takes 4-6 weeks to heal, including soreness from having your insides moved around to get to your appendix.

  50. Good day
    I am 23 years old and had Acute Appendicitis and was removed on Friday. I am recovering well but my stomach is still very bloated. How long will it tale fpr my stomach to go down to its normal size and when is the inside of my stomach fully healed?
    Kind regards

  51. Media Partners says

    There is a great book that the trainer at my fitness club uses – Delavier’s Core Training Anatomy. It’s available at Amazon for $15. He should make sure he gets approval from his surgeon before he begins any exercise that uses muscles in the area where he had surgery or could have been affected by the abscess.

  52. no, he’s a bit overweight and was hoping if he lost the little belly bulge, his gut would even out. I just don’t know which excercises to recommend to regain his core. Any idea?

  53. Media Partners says

    I know exactly what you’re talking about! My stomach looked like that after a c-section. It took plastic surgery to correct mine. Has he seen a plastic surgeon?

  54. my 21 year old son’s appendix burst and he had an abcess formation. He had an open abdominal incision and a picc line post surgery. He has now healed completely but his belly looks like a butt. Is there anything we can do?

  55. Media Partners says

    We don’t need our appendix so there isn’t anything your appendix was doing that it isn’t doing now that it’s gone. For instance, people that have their gallbladder out sometimes have trouble with fatty meals. The gas could be from a change in your eating habits—more what you eat than how much. Maybe you are eating healthier foods that is causing the gas? I had my appendix out when I was 8, a long, long time ago. I had an abscess and it almost burst. Years later when I had abdominal surgery, the surgeon mentioned that I had a lot of scar tissue in my abdomen and it was probably from the infection from the appendix. I too have those sharp pains on the lower right side, and have been told it is likely from adhesions (scar tissue) that grows to stuff in inside the abdomen and it pulls when I move a certain way. Sometimes it can just about take my breath away. I just try to avoid ever moving in a way that will pull that area. Have you been back to the surgeon who did the appendectomy? Sometimes they will want to see you after a year especially if you are having a problem. We don’t offer medical advice, just try to help educate so you can talk with your doctors. We do have an Ask-A-Doctor page where you can ask a doctor your question online. They are not expensive and are actually very good. Especially if you want some peace of mind about what to do.

  56. what are other long-term effects of an appendetomy?
    I had this procedure at age 25. I went on a diet and started exercising after my surgery, and now a year later, my stomach seems like it gets easily bloated after eating and my gas is bad. I sometimes get a sharp pain in the lower abdomen area. Can a stomach shrink after time from eating smaller portions? Something doesnt seem right. And no, I do not have a personal doctor.

    Michael A.

  57. Media Partners says

    Have you asked his regular doctor to refer him to a pulmonary specialist (lung and respiratory system specialist)?

  58. Thank you for the information.His copd has gotten much worse since this happened.His regular doctor takes this lightly., as he has never ordered any type of xray . i will be consulting a lung doctor. Is tthere a blood test that will determine other organs this could have effected? and lung xray of a different type?


  59. Media Partners says

    Shirley, just having surgery is hard to come back from—the anesthesia, surgical pain and pain medicine can make you feel awful. Recovery takes time and everyone is different. Especially for someone that has an underlying health condition like COPD. A burst appendix is pretty serious, and his body is using all of its energy to heal and fight the infection. He should get as much rest as he can so his body can use the energy to heal. Have you told his doctors how he is doing an asked if there is anything your husband can do to speed healing? Maybe diet? Give him lots of support and be an advocate for his health. Hope he gets better soon.

  60. Since my husbands appendix burst,and were removed,he has loss energy,has a cough and pain in his right side (back) and has loss weight. he suffers from chronic COPD,and takes medication for this over 4 years.The surgeon said, the infection was in behind his intestines,they put him on Ciprofloxacin.He was off work for 6 weeks,has returned to work.He does not look well,and now tells me he has not been half of what he was before this,Is there a side effect he suffers from his appendix’s? I’m very concerned.He is 63 yrs. old Thank you,

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