[38F] Experiencing severe abdominal pain near appendix with associated symptoms

Question

Did anyone else have the same symptoms that I have and what is the treatment you received?

Patient Description

A 38-year-old female is experiencing severe, sharp abdominal pain that started around the navel and shifted to the area near the appendix two days ago. The pain is constant, lasting for days, and worsens upon touching the area, as well as during walking, coughing, and sneezing. Accompanying symptoms include rebound tenderness, fever, nausea, vomiting, diarrhea, and loss of appetite. The patient has a medical history of high blood pressure (diagnosed in 2006), bipolar depression, and anxiety (both diagnosed in 2004). Current medications include daily doses of Ibuprofen 500mg, Buspar 10mg, Welbutrin SR 300mg, and Vitamin D tablets (500mu). The patient has allergies to Tregretol and Teileptal. There have been no changes in urination, and the patient does not have a known family history of appendicitis or other gastrointestinal diseases.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely diagnosis is:

  • Appendicitis: This is an inflammation of the appendix, a small tube connected to the large intestine. It's typically characterized by sharp pain that begins near the navel and then shifts to the lower right abdomen, which is exactly what you're experiencing. Other symptoms can include rebound tenderness, fever, nausea, vomiting, and loss of appetite, all of which you've reported. The pain can also become worse with movement, coughing, or sneezing, which you've also noted.
    • Treatment for appendicitis usually involves surgery to remove the inflamed appendix. Before and after surgery, you may also receive antibiotics to fight infection.

Please note that this is not a definitive diagnosis. It's important that you seek immediate medical attention, as appendicitis is a medical emergency. If left untreated, the appendix can rupture and cause serious complications.

What you can do

Given the severity and nature of your symptoms, it's important that you seek immediate medical attention. Please go to the nearest emergency department or call an ambulance.

What you should look out for

While you're on your way to the hospital, try to stay as still and comfortable as possible. Avoid eating or drinking anything, as this could cause complications if you need surgery.

If your symptoms suddenly stop, this could mean that your appendix has burst. This is a serious complication that can lead to a life-threatening infection. If you notice this or any other changes in your symptoms, let the medical staff know right away.

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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7 mo ago


People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp abdominal pain that starts near the navel and shifts to the lower right abdomen, rebound tenderness, fever, nausea, vomiting, diarrhea, and loss of appetite. The pain often worsens with movement, coughing, or sneezing.


How is appendicitis typically treated?

Appendicitis is typically treated with surgery to remove the inflamed appendix, known as an appendectomy. Before and after surgery, antibiotics may be administered to prevent or treat infection.


What should I do if I suspect I have appendicitis?

If you suspect you have appendicitis, seek immediate medical attention by going to the nearest emergency department or calling an ambulance. Avoid eating or drinking anything, as this could complicate potential surgery.


Can appendicitis be prevented or is there a way to reduce the risk?

There is no guaranteed way to prevent appendicitis, but maintaining a healthy diet high in fiber may help reduce the risk. Regular check-ups and being aware of the symptoms can also help in early detection and treatment.

1 Comments


Marty#18248

7 mo ago

My daughter had appendicitis with symptoms concerningly like yours. They did a CT to confirm in the ER and then gave antibiotics called cef- something and same-day minimally invasive appendectomy. She was so sick i think the doctors really saved her life. In just a day or two she was basically back to normal like night and day

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