Should you avoid certain foods if you have chronic appendicitis?

Written by Li Jin Quan
General Surgery
Updated on November 12, 2024
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The majority of chronic appendicitis is transformed from acute appendicitis after treatment. Clinically, it mainly manifests as recurrent pain and discomfort in the lower right abdomen. In cases of chronic appendicitis, it is important to pay attention to a reasonable diet, avoid overeating and the consumption of gastrointestinal irritants, including spicy foods and some hard, cold foods, as these can induce pain in the lower right abdomen. Additionally, the diet should be low in sodium, sugar, and fat. Consumable options may include liquid or semi-liquid foods, as well as foods like yogurt. It is also advisable to eat fruits and vegetables rich in vitamins and anti-inflammatory substances, such as apples, bananas, cabbage, and cauliflower.

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Written by Ren Zheng Xin
Gastroenterology
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Postoperative diet for acute appendicitis

Postoperative diet for acute appendicitis should be taken with special attention. On the day of the surgery, no food should be consumed. After waiting for anal gas to pass, which typically occurs on the first day post-surgery, a semi-liquid diet can be chosen, consisting of easily digestible foods such as rice porridge, millet congee, and vegetable soup. From the third to the fifth day post-surgery, a normal diet can be resumed, including eating eggs and meat to supplement proteins and dietary fibers, which help the incision heal. Vegetables and fruits should also be consumed to prevent constipation. Additionally, proper care should be taken of the incision site, including regular dressing changes.

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Written by Ren Zheng Xin
Gastroenterology
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Appendicitis McBurney's point location

McBurney's point is a point of tenderness on the body surface during an episode of appendicitis, located on the right side of the abdomen, specifically at the outer third of the line connecting the navel to the right anterior superior iliac spine. If the appendix is significantly swollen or suppurative, there will be intense tenderness and rebound pain at McBurney's point. The tenderness and rebound pain at McBurney's point are also important physical examination signs for the clinical diagnosis of appendicitis. Based on the tenderness at McBurney's point, a preliminary diagnosis of appendicitis can be made, and then, the state of appendiceal swelling can be examined by abdominal ultrasound to choose a systematic treatment based on the results.

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Written by Li Jin Quan
General Surgery
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The dangers of chronic appendicitis

Patients with chronic appendicitis primarily exhibit persistent, recurring pain in the lower right abdomen, which may be accompanied by abdominal bloating, loss of appetite, and indigestion. These prolonged gastrointestinal symptoms can lead to malnutrition and a weakened immune system. Additionally, chronic appendicitis can acutely flare up and become suppurative, which can lead to perforation of the appendix. Once the appendix perforates, it causes diffuse peritonitis, leading to sepsis, septic shock, and even multi-organ failure, endangering the patient's life. This outlines the dangers associated with chronic appendicitis.

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Written by Ren Zheng Xin
Gastroenterology
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Does appendicitis surgery leave a scar?

Appendectomy requires surgery, so there will be scars afterward. The scars from minimally invasive surgery are relatively small, with only three incisions on the skin surface, and possibly leaving a suture line post-recovery. In contrast, the traditional surgical approach through McBurney's point results in a larger incision and consequently, a larger scar. It is recommended to use scar removal creams during the postoperative recovery period, as they can be somewhat effective. Additionally, it is important to rest after surgery, with at least two weeks of rest recommended, and to increase protein intake to aid in wound healing.

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Written by Ren Zheng Xin
Gastroenterology
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What department should I go to for appendicitis?

Appendicitis is a common disease in general surgery, so one can register for a general surgery appointment. In clinical practice, the diagnosis of appendicitis is mainly based on clinical manifestations. Typical symptoms include abdominal pain, vomiting, and fever. The abdominal pain starts around the navel and then moves to the lower right abdomen after several hours, where the pain becomes localized. Once diagnosed with appendicitis, surgery is often required. Currently, laparoscopic appendectomy is commonly used. This surgical method requires general anesthesia and is relatively complex, but recovery is quicker, and patients typically can be discharged after a routine 3-day hospital stay.