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Does my ultrasound diagnosis of appendicitis need surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's 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 also did a blood ESR test. Attached are the reports. As per my doctor's suggestion, I am having the following medicines for one week:

  1. Folcovit (once a day).
  2. Tibrolin (thrice a day).
  3. Pan D (once a day).
  4. Zocef CV 500 (twice a day).

So, I want to ask whether these medicines are sufficient or if I need to have surgery?

Please suggest.

Hi,

Welcome to icliniq.com.

I had seen your report (attachment removed to protect patient identity), and the CBC (complete blood count) is not showing any shift to the left or high total count.

You have a mild appendicitis infection. For that, medical management will be beneficial.

You have been prescribed an antibiotic course, a probiotic, and an antacid. Complete the course of prescribed medicines. Your prescription is correct as per the mentioned history and report.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I did a USG and blood test after completing the medicine course previously specified by my doctor. Attached are the reports for the same. Now my doctor has prescribed the following medicines for the next week: Pan D, Folcovit, Cifran 500 (twice a day), Ubisure F (twice a day for a month). Could you please let me know your advice regarding this?

Hello,

Welcome back to icliniq.com.

I have seen your attached report here (the attachments were removed to protect the patient's identity). CBC does not show any abnormality. Total WBC count and differential count are also within the limit, and no shift to the left is present.

You have been given a Ciprofloxacin antibiotic course this time. If full clinical improvement is not present, take a further antibiotic course. As far as medicines prescribed, antioxidants and vitamins are the other tablets that can be taken.

Let me know whether you have recovered fully. Is there any pain or tenderness in the right lower abdomen because of appendicitis?

I hope you will find this helpful.

Thank you.

Patient's Query

Thank you, doctor.

There is very little pain besides the naval area, not all the time, only if gas is formed. In the right lower abdomen, slight pain that is very, very less frequent.

Hello,

Welcome back to icliniq.com.

You have improved well clinically. You can take prescribed medication for a week.

To prevent gas formation and to prevent bloating, take the following measures:

  1. Include more fiber in the diet, such as whole grains, wheat bran, fruits, green leafy vegetables, etc.
  2. Non-veg food is restricted.
  3. Eat slowly.
  4. Avoid excess carbonated drinks.
  5. Avoid smoking and alcohol if you have a habit.
  6. Drink more water.
  7. Excess stress avoided.

I hope this helps.

Thank you.

Medically reviewed byDr. K. Shobana

Published At June 19, 2018
Reviewed AtFebruary 27, 2026

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