The surgical removal of the appendix is called appendectomy. The appendix is removed if it becomes painful and inflamed (appendicitis). Appendix if not removed right away in acute cases of appendicitis, it can burst and infect the abdominal cavity.

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I have a hernia and an appendicolith without any symptoms of appendicitis. Should I get an appendicectomy?

Query: Hello doctor, I underwent a CT scan 17 months ago for a non-related issue (kidney stone). A 7 mm linear calcified appendicolith was found on the scan within the proximal appendix without evidence of inflammation. I have no prior history of appendicitis and have had no related symptoms. I recently c...  Read Full »

Dr. Rahul Ramakrishnan

Answer: Hello, Welcome to As per your medical history, I understand your confusion about what to do. I have gone through the reports (attachment removed to protect the patient's identity). The CT (computed tomography) finding for your appendix does not per se require surgery. But si...  Read Full »

Would antibiotics affect birth control?

Query: Hi doctor, I had an appendectomy last week and they have started me on antibiotics, Flagyl, through an IV. Would this affect my birth control? Should I be using other protection?  Read Full »

Dr. Kamalpreet Kaur Nagpal

Answer: Hi, Welcome to Flagyl (Metronidazole) as such has no effect on birth control. You need not take any extra precautions for the sake of Flagyl itself. But, if you were on pills earlier and had to discontinue due to surgery, then, of course, you need other protection. To know the metho...  Read Full »

I have pain and diarrhea after appendectomy. Please help.

Query: Hi doctor, My ten-year-old daughter had an appendectomy two days back. She was in horrible pain after that. They wished to send her home, but they decided to keep her in hospital since the pain could not be controlled with Tylenol or Ibuprofen. Then the following day, she had terrible diarrhea. She...  Read Full »

Dr. Nadiminty Raghuvamsi

Answer: Hi, Welcome to Having severe pain and diarrhea post-surgery is a point of concern. From your description, there are two possibilities. Firstly, it may be a complication from surgery that needs to be clinically examined by the operating surgeon, evaluated, and managed accordingly....  Read Full »

Does an appendectomy change bowel movements?

Query: Hi doctor, I am having trouble going to the bathroom. The stool is usually small, and I feel I am unable to push everything out. Often have to push hard and strain hard to get a small amount of stool out. I am constantly bloated, and it can be quite uncomfortable at times. This has been going on fo...  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to I can understand you must be very concerned about this ongoing problem. Well, the appendix operation may have started all this. The abdominal cavity is opened via any surgery. It always probes the bowel (small and large bowel) to respond differently in some because h...  Read Full »

Are neuroendocrine tumors common in appendectomy?

Query: Hi doctor, I am a 50-year-old female. I had an emergency appendectomy, and my pathology report came back. Is there no need to follow-up with my doctor as soon as possible since the tumor is small? I do have an appointment scheduled in four weeks, but I am wondering if I should ask them move up - pa...  Read Full »

Dr. Utkarsh Sharma

Answer: Hello, Welcome to You do not need to be apprehensive about this. Neuroendocrine tumors (NETs) of the appendix (formerly 'carcinoids') are rare and are usually detected incidentally (as in your case) in 1% of appendectomy specimens. They are preferentially located at the tip of the ap...  Read Full »

My daughter has abdominal pain post appendectomy surgery with constipation. Please help.

Query: Hello doctor, My daughter is 17 years old. She had an appendectomy a week ago and has been recovering nicely at home. I have minimal pain, no fevers, no swelling, and drain working normally. Today she woke up with severe cramping on her right side. She has not had a bowel movement yet today but has...  Read Full »

Dr. Naveed Ahmed Khan

Answer: Hello, Welcome to You have not mentioned whether your daughter had an open or a laparoscopic appendicectomy. From the history you gave, I can imagine the appendix must have been severely infected as the doctor has kept a drain postoperatively which is quite helpful to drain any remai...  Read Full »

What causes fleshy growth over the appendicectomy stitches?

Query: Hi doctor, Four years ago, I had an appendicitis surgery. There is a flesh like growth¬†where the stitches are placed. What should I do now? How to get it removed?  Read Full »

Dr. Eriol Braholli

Answer: Hi, Welcome to The fleshy lumps you are feeling in the incision area are granulomas due to the body reaction against the material of the stitches. Sometimes, they go away using anti-inflammatory drugs and antibiotics. So, I would suggest Clarithromycin and Ibuprofen twice daily for 10 d...  Read Full »

What is the treatment for headache and vomiting post appendectomy surgery?

Query: Hello doctor, My MIL is 60 years old. She just had an appendectomy and is having some complications, including a severe headache and vomiting. The first day she ate some food and was fine. Today, she tried to drink some milk and vomited repeatedly several times. We live in a developing country and ...  Read Full »

Dr. Ashwin Kumar Chidambaram

Answer: Hi, Welcome to It would have been nice if you mentioned how many days over after the surgery. There are many causes for your symptoms but this would depend on the indication for which surgery was done and intraoperative findings. Some common causes and management I will explain. Post...  Read Full »

Why is there pain in the rigth lower abdomen even after appendicitis surgery?

Query: Hello doctor, I had my appendix removal surgery before twenty days via laparoscopy. I am having pain in the right lower abdomen for the past three to four days. Ultrasound shows mild post-operation fluid build-up. I have enclosed my USG report. Is this serious? What does this mean? Please advise ...  Read Full »

Dr. Ahmad Saeed Ahmad Meleha

Answer: Hello, Welcome to I have seen the reports. (attachment removed to protect patient identity). When anybody has an intra-abdominal inflammation, there will be inflammatory fluids, which is described as a fluid collection. This inflammatory fluid irritates the abdomen and develops a pai...  Read Full »

USG shows appendicitis. Do I need surgery?

Query: Hello doctor, I am a 28 year old female. Whenever I have indigestion and gas formation in my stomach, I feel pain in the right side of my stomach. So, I did a whole abdomen USG. It shows appendicitis. I did blood ESR test also. Attached are the reports. As per my doctor's suggestion, I am having be...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to I had seen your report (attachment removed to protect patient identity) and CBC (complete blood count) is not showing any shift to the left or high total count. You have mild appendicitis infection. For that, medical management will be beneficial. You have been prescribed...  Read Full »

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