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Appendicitis

Appendicitis acuta · Zánět slepého střeva (apendicitida)

What it is

The appendix blocks, swells and can burst within 48 hours.

Symptoms & signs

  • Pain starting centrally then moving to the right lower quadrant
  • nausea
  • fever
  • pain on releasing pressure
  • loss of appetite

🚩 Get help if…

  • call 112 / 911 now Pain moving to the lower right belly and getting worse
  • call 112 / 911 now Belly pain worse on moving, coughing or with a hard belly
  • call 112 / 911 now Sudden easing of pain then fever and spreading pain
  • see a doctor soon Belly pain with fever and vomiting in a child

Where it strikes

Medical treatment

  • Laparoscopic appendicectomy
  • antibiotics alone in selected uncomplicated cases
  • drainage of abscess

Natural & lifestyle

  • None — this is a hospital problem, do not treat at home

Emerging & experimental

  • Antibiotics-first protocols (CODA trial)
  • MRI-first pathways in pregnancy

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Antibiotics instead of surgery for uncomplicated cases (CODA trial) — works for about seven in ten at 90 days trials support
  • Home remedies (castor oil, laxatives, heat packs) — can make a rupture more likely; this belongs in hospital anecdotal / traditional

ICD codes