What is chronic appendicitis?

Chronic appendicitis is a disorder caused by inflammation of the appendix that extends over a period of time. There is controversy as to whether this actually represents a true disease, since acute appendicitis is the typical manifestation of an inflamed appendix. Some postulate that intermittent bouts of obstruction and inflammation are the root cause. Chronic appendicitis may cause symptoms related to abdominal discomfort or more generalized symptoms.

Chronic appendicitis may appear with mild abdominal tenderness, pain, and malaise or lethargy. Often, individuals with chronic appendicitis are undiagnosed until an acute episode of appendicitis occurs, resulting in symptoms that progress in severity.

Diagnosing chronic appendicitis can be difficult because the symptoms are mild, and individuals with chronic appendicitis often become used to the abdominal pain and discomfort. In addition, the diagnosis is sometimes missed or delayed because the symptoms of chronic appendicitis can be similar to those occurring with other conditions, including gastrointestinal disorders such as constipation or diarrhea.

Most people affected with chronic appendicitis require medical treatment to reduce the severity of their symptoms. Surgical removal of the appendix (appendectomy) can be performed to prevent complications such as acute appendicitis or perforated appendix. Surgical treatment (appendectomy) effectively alleviates the source of chronic appendicitis.

Left untreated, chronic appendicitis can lead to life-threatening complications such as a ruptured appendix and infection that spreads to other parts of the body. Seek immediate medical care (call 911) for serious symptoms such as high fever (higher than 101 degrees Fahrenheit), severe abdominal pain, abdominal swelling, or nausea with or without vomiting. Seek prompt medical care if you are being treated for chronic appendicitis but mild symptoms recur or are persistent.

SYMPTOMS

What are the symptoms of chronic appendicitis?

Chronic appendicitis causes irritation and inflammation of the appendix that may result in a number of symptoms. The symptoms can vary in intensity among individuals.

Common symptoms of chronic appendicitis

You may experience chronic appendicitis symptoms daily or just once in a while. At times any of these common symptoms can be severe:

CAUSES

What causes chronic appendicitis?

The cause of chronic appendicitis is not fully known, but it may be associated with fecal impaction of the intestines (coprostasis). Chronic appendicitis commonly may cause scarring of the appendix due to prolonged inflammation.

What are the risk factors for chronic appendicitis?

A number of factors increase the risk of developing chronic appendicitis. Not all people wi... Read more about chronic appendicitiscauses

TREATMENTS

How is chronic appendicitis treated?

Your health care provider can develop a treatment plan tailored specifically to your needs. It is important that you follow your treatment plan for chronic appendicitis precisely to help minimize your symptoms and decrease the chance of your symptoms recurring over time.

Your doctor may prescribe analgesic medications for symptom relief. If chronic appendicitis is diagnosed, the m... Read more about chronic appendicitistreatments

Medical Reviewer: William C. Lloyd III, MD, FACS Last Annual Review Date: Aug 9, 2013 Copyright: © Copyright 2014 Health Grades, Inc. All rights reserved. May not be reproduced or reprinted without permission from Health Grades, Inc. Use of this information is governed by the HealthGrades User Agreement.

This Article is Filed Under: Digestive System


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