Right lower abdomen excruciating pain, appendicitis...We need to operate within 36 hours of the outbreak

Apr 07, 2025

Right lower abdomen excruciating pain, appendicitis...We need to operate within 36 hours of the outbreak
Photo source=DeepAI



Kim, an office worker in his 30s, suddenly began to feel pain in his solar plexus. At first, I thought I had an indigestion, so I bought and took the medicine at a pharmacy, but the abdominal pain did not go away, and it got worse and I also had a slight fever. I felt stuffy as if I had an indigestion, but after a few hours, the pain was transferred to my lower right abdomen and I felt pain that I had never experienced before, so I went to the hospital. Kim was eventually identified as appendicitis and underwent emergency surgery.

appendicitis refers to inflammation occurring in the appendix 6 to 9 cm long located at the end of the cecum.

Jeon Byeong-gun, director of surgery at Bundang Jesaeng Hospital, said "The symptom that can suspect appendicitis is extreme pain in the right lower abdomen. This is because the appendix is located between the right pelvis and the navel. If the pain gets worse when this position is pressed, you can suspect appendicitis. In the early stages of symptoms, pain is felt in the upper abdomen around the solar plexus or navel, and it feels stuffy as if you have an indigestion, but after a few hours, the pain moves to the lower right abdomen, and the pain intensifies as time passes, and if the tenderness is greatly felt when the area is pressed, it is likely to be appendicitis.'




In addition, Director Jeon Byung-gun said, `It is easy to confuse appendicitis with other diseases with similar symptoms such as ovulation pain and pelvic inflammation, and if left unattended, the appendix can burst and lead to peritonitis, so if you have pain in the lower right abdomen that you have not experienced before, it is recommended to visit a hospital for a quick examination," he stressed.

The cause of appendicitis is that the opening of the appendix protrusion is blocked due to a hard fecal mass, foreign matter, or inflammatory stenosis. As a result, symptoms of abdominal pain, loss of appetite, nausea, vomiting, fever, right lower abdominal tenderness, constipation, or diarrhea appear.

Chief Jeon Byung-gun said, `The main treatment for appendicitis is to remove the appendix through surgery. Recently, most of them are laparoscopic surgery, and it is important to operate within 36 hours of the outbreak, and if not treated at an appropriate time, serious complications such as peritonitis, intraperitoneal abscess, and intestinal obstruction can occur, so early diagnosis and quick treatment are very important."




Infected appendix can burst within 36 hours of onset, and rupture of the appendix can cause peritonitis or life-threatening sepsis due to bacteria infecting the bloodstream, so it is important to operate as soon as possible if appendicitis is found, and 8 hours of fasting is required for safe anesthesia and surgery.

Right lower abdomen excruciating pain, appendicitis...We need to operate within 36 hours of the outbreak
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This article was translated by Naver AI translator.