What to pay attention to with appendicitis

Written by Ren Zheng Xin
Gastroenterology
Updated on January 06, 2025
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Patients with appendicitis should pay attention to diet adjustments and regular routines, as well as choosing the correct treatment method. Diet should be lighter, consume more vegetables, ensure smooth bowel movements, eat less raw, cold, and spicy foods, rest more, and avoid excessive fatigue, especially staying up late. Additionally, pay attention to active and effective treatments. Currently, surgical treatment is the main approach, and laparoscopic appendectomy can be chosen. This surgical method involves less bleeding during the operation and a faster postoperative recovery, requiring a rest period of two weeks post-surgery.

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Can appendicitis cause vomiting?

Some patients with appendicitis may experience symptoms such as nausea and vomiting. This is because the appendix is located in the lower right abdomen near the ileocecal area, and the appendix cavity is connected to the cecum. The appendix is an independent organ of the human digestive tract. When inflamed, the inflammation can easily irritate the surrounding intestines, causing intestinal spasms and contractions, leading to nausea and vomiting. A typical manifestation of appendicitis is referred pain in the lower right abdomen. Once appendicitis is diagnosed, it is advisable to promptly start anti-inflammatory treatment and, if necessary, proceed with surgical treatment. Appendicitis can range from acute simple appendicitis, which responds well to conservative anti-inflammatory treatment, to acute suppurative or even perforated appendicitis. In these severe cases, it is recommended to perform surgery as soon as possible to remove the appendix and clear the inflammatory secretions, alongside anti-inflammatory treatment.

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How long after appendicitis can one have intercourse?

Regarding how long after appendectomy one can engage in sexual activities, it mainly depends on the treatment method used and the healing status after the surgery. Most cases of appendicitis can be treated with minimally invasive techniques, which not only cause less trauma and allow for quicker recovery but also reduce postoperative complications. The abdomen typically has two to three small puncture holes, each about one centimeter in length, and most patients can achieve sufficient strength to engage in sexual activities about a month after surgery. However, for traditional open surgery, the abdominal incision is usually longer, which may lead to incision infection and poor healing of the incision, and it generally takes about three months to achieve sufficient strength. For acute appendicitis, minimally invasive treatment is generally recommended, provided the patient's condition permits.

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Does chronic appendicitis cause fever?

Chronic appendicitis typically presents clinically as recurring pain and discomfort in the lower right abdomen. Usually, there are no signs of fever with chronic appendicitis. Only when the inflammation of chronic appendicitis is uncontrolled might a low-grade fever occur. Sometimes, when chronic appendicitis undergoes an acute episode and becomes a purulent infection, high fever can occur. In such cases of chronic appendicitis with high fever, complications like appendix perforation, diffuse peritonitis, and septicemia can arise. Therefore, if fever occurs in chronic appendicitis, timely anti-infection treatment should be administered. If the infection is not well-controlled, timely surgical treatment is recommended.

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Does appendicitis surgery hurt?

Appendectomy is performed under either epidural or general anesthesia, so the procedure is completely painless. However, postoperatively, as the anesthesia wears off, there may be slight pain at the incision site. Painkillers can be taken if the pain is intolerable. Additionally, close monitoring of vital signs is important postoperatively. Regular dressing changes at the surgical site and dietary control are required. For the first one to two days after surgery, a semi-liquid diet is recommended. From the third to the fifth day, patients can gradually transition to a normal diet. Furthermore, consuming high-protein foods can enhance nutrition and promote healing of the incision.

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What should I do about chronic appendicitis?

Most cases of chronic appendicitis are transformed from treated acute appendicitis. Clinically, chronic appendicitis mainly presents as recurrent pain or dull pain in the lower right abdomen. When diagnosed with chronic appendicitis, active surgical treatment is recommended. Currently, the surgical options include traditional open appendectomy and laparoscopic appendectomy, which is referred to as minimally invasive surgery. Minimally invasive surgery causes less trauma and allows for quicker recovery.