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The appendix is a small, tube-shaped organ situated in the lower right side of the abdomen. While it has no established essential function, the appendix can cause serious health problems when inflamed, a condition known as appendicitis. Left untreated, appendicitis may lead to severe complications such as a ruptured appendix and peritonitis, both of which require urgent medical intervention.
What are the Symptoms of Appendicitis?
Appendicitis can present through various symptoms, which may worsen if the condition progresses. These include:
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Pain in the Lower Right Abdomen: The discomfort often begins near the belly button as a general ache and later shifts to the lower right abdomen. It becomes sharper and more pronounced, intensifying with movement, coughing, or pressure on the area. Drawing the knees toward the chest can sometimes ease the discomfort.
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Nausea and Vomiting: Persistent nausea and occasional vomiting are common. This occurs because the inflamed appendix affects normal digestive processes, leading to stomach upset.
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Loss of Appetite: A diminished desire to eat often accompanies appendicitis. This lack of appetite can appear even before abdominal pain begins, as the body prioritises dealing with inflammation over digestion.
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Fever: A mild to moderate fever, often accompanied by chills or sweating, is the body’s natural response to infection. As the infection worsens, the fever may increase.
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Changes in Bowel Movements: Constipation or diarrhoea may occur, reflecting the appendix’s impact on nearby intestines.
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Frequent Urination: The proximity of the appendix to the bladder can cause irritation, resulting in a frequent need to urinate, sometimes accompanied by mild discomfort.
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Confusion in Older Adults: In elderly patients, appendicitis might not follow typical patterns and could present as sudden confusion or disorientation due to the body’s reaction to severe infection.
What Causes Appendicitis?
Appendicitis typically occurs due to one of the following:
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Blockage of the Appendix: A blockage, often caused by hardened faeces or other debris, traps bacteria in the appendix, leading to inflammation. If untreated, this may result in a rupture and spread of infection.
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Bacterial Infections: Certain bacterial infections, such as those caused by E. coli, can inflame the appendix. Rapid treatment is crucial to prevent the infection from spreading to the abdominal cavity.
How is Appendicitis Diagnosed?
Accurate diagnosis of appendicitis involves multiple steps:
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Physical Examination: A doctor assesses the abdomen for tenderness, swelling, or pain upon pressure.
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Blood Tests: These help identify signs of infection, such as an elevated white blood cell count.
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Imaging Tests: An ultrasound or CT scan provides a clear view of the appendix, aiding in the diagnosis of inflammation or complications.
Frequently Asked Questions
Can appendicitis resolve without treatment?
Appendicitis rarely resolves on its own and typically requires immediate medical attention, often surgery.
How is appendicitis treated?
Treatment involves an appendicectomy, which may be performed through laparoscopic or open surgery. Prompt removal of the appendix prevents complications.
Can diet prevent appendicitis?
While a healthy diet promotes general well-being, no specific foods can prevent appendicitis.
When Should You Seek Medical Attention?
If you experience persistent abdominal pain, nausea, fever, or other symptoms indicative of appendicitis, it is essential to consult a healthcare professional immediately. Delaying treatment increases the risk of complications, including a ruptured appendix and widespread infection.
Book an Appointment at Pantai Hospitals
Early diagnosis and appropriate treatment of appendicitis can prevent severe complications and support a quick recovery. If you have concerns about appendicitis or wish to learn more, contact Pantai Hospitals to schedule an appointment. Our healthcare professionals are here to assist you on your journey towards better health. You may also book an appointment by downloading the MyHealth360 application available on the Google Play Store and Apple App Store.
Pantai Hospitals have been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.

