Appendectomy

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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Why is there an abdominal pain 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 »


Answer: Hello, Welcome to icliniq.com. 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 pain. ...  Read Full »

My stomach gurgles all the time, which has increased over the last week. Why?

Query: Hello doctor, Why does my stomach gurgle all the time? I have noticed my stomach has been gurgling louder than it used to within the past couple of weeks. I had my appendix removed six weeks ago, and I am not sure if that has anything to do with it. Kindly help. Thank you.   Read Full »


Answer: Hello,Welcome to icliniq.com.Firstly the removal of the appendix has nothing to do with gurgles. It looks like gastritis, which could be due to any of the following reasons:Excessive consumption of oily and spicy foods.Smoking and overconsumption of alcohol, tea, or coffee.Lack of physical activity....  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 t...  Read Full »


Answer: Hi, Welcome to icliniq.com. 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 sp...  Read Full »

I have constant abdominal pain despite an appendectomy. Why?

Query: Hi doctor,A week ago, I had right lower abdominal pain. This resulted in an appendectomy. The appendix was inflamed when taken out. I now have right lower abdominal and central pain a week after the appendectomy. This started maybe a day or two after surgery. It is subsiding, but it still hurts quit...  Read Full »


Answer: Hi, Welcome to icliniq.com. I understand your concern. As a pulse, blood pressure is normal. It seems to be due to gastritis. Take very simple and light foods for five days. Take the capsule Pan D (Pantoprazole) on an empty stomach for five days. Send me a follow-up after three days. Also monito...  Read Full »

Do I need an appendectomy without appendicitis symptoms?

Query: Hello doctor, I underwent a CT scan 17 months ago for a non-related issue (kidney stone). A 0.27 inch 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 recent...  Read Full »


Answer: Hello, Welcome to icliniq.com. 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 since you ar...  Read Full »

Why am I having pain after eating pulse post appendix surgery?

Query: Hello doctor, My appendix was operated (open surgery) five months ago. I ate pulse one week ago and I feel little pain in this area. Can this wound be cured?  Read Full »


Answer: Hello, Welcome to icliniq.com. A pulse or legume, that has a specific kind of sugar called oligosaccharide which cannot be broken down by the human body on its own. For breaking of these oligosaccharides, bacteria in intestines come into action and break these sugars by fermentation and as a result,...  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 - pas...  Read Full »


Answer: Hello, Welcome to icliniq.com. 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 app...  Read Full »

Is the sharp pain in my stomach normal after an appendectomy?

Query: Hello doctor, I had an appendectomy about two weeks ago with no complications, but since then I have been having sharp pains in my stomach similar to how the appendicitis felt. Both on the lower right and left. My back has also been sore and I have been severely constipated with sometimes green or y...  Read Full »


Answer: Hello, Welcome to icliniq.com. These can happen occasionally for two to three weeks. If you do not have any fever, then it is alright. Have soft feeds and lots of water daily. Avoid constipating foods like maize-based foods, bakery foods, etc. Take some mild analgesics like Buscop...  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 »


Answer: Hi, Welcome to icliniq.com. The fleshy lumps you are feeling in the incision area are granulomas due to the body's 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 1...  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 bel...  Read Full »


Answer: Hi, Welcome to icliniq.com. 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 prescr...  Read Full »

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