Chronic Appendicitis: Symptoms, causes, treatment, and precautions

chronic appendicitis

Chronic appendicitis is long-lasting irritation of the appendix. Although uncommon, it may turn out to be extraordinarily painful and, in some circumstances, life-threatening.

What is chronic appendicitis?

The appendix is a small pouch formed like a finger or sausage. It’s linked to the underside of the massive gut. Appendicitis happens when the appendix turns into infected and contaminated. The primary noticeable symptom of appendicitis is often bellyaching.

Folks with continual appendicitis have appendicitis that lasts for lengthy intervals of time. This implies appendicitis that’s current for longer than every week.

Persistent appendicitis is comparatively uncommon, with simply an estimated 1.5 per cent of all appendicitis circumstances being thought-about continual appendicitis.


Chronic appendicitis could happen for a lot of completely different causes and lots of circumstances do not need a transparent trigger.

Typically, continual appendicitis happens resulting from irritation and obstruction of the appendix. Different attainable causes embody:

  • accumulation of faecal matter, which may occur if somebody is constipated.
  • calcified faecal deposits also referred to as ‘appendix stones’.
  • trauma to the stomach.
  • tumours.
  • enlarged lymph nodes and glands.
  • worms.
  • a buildup of overseas objects, equivalent to stones, marbles, or pins.


chronic appendicitis

Chronic appendicitis may be troublesome to diagnose, as signs could also be pretty gentle and simply mistaken for a distinct situation.

Many individuals expertise gentle belly ache at first, and this will likely stay as their sole symptom.

The ache is often situated on the decrease proper facet of the stomach however can unfold in the direction of the stomach button. The ache can both be uninteresting or sharp.

In addition to individuals with continual appendicitis may additionally expertise the next signs:

  • fever.
  • swelling and tenderness of the stomach.
  • feeling drained and having no vitality.
  • nausea or diarrhoea.
  • malaise or a normal feeling of being unwell.

Not all individuals with continual appendicitis may have all of those signs. Signs may additionally subside on their very own after which return, making it more difficult for medical doctors to offer a correct prognosis if an individual isn’t experiencing the signs on the time.

Nevertheless, as a result of continual appendicitis can turn out to be life-threatening, it is necessary that folks with a recurrent belly ache and the above signs search medical consideration, significantly if the signs turn out to be extra extreme.

Chronic vs. acute appendicitis

chronic appendicitis treatment

Whereas continual and acute appendicitis has comparable signs, there are essential variations between them.

Persistent appendicitis is the place an individual has signs that final for a very long time, and these signs often come and go. If continual appendicitis isn’t recognized, the individual can proceed to expertise signs for years.

Acute appendicitis is when an individual all of a sudden develops extreme signs, sometimes over the course of 24–48 hours. These signs shall be unimaginable to disregard and require quick emergency medical therapy.

The commonest symptom of acute appendicitis is bellyache that begins across the stomach button and strikes to the decrease proper facet of the stomach. This ache could begin out as gentle and uninteresting, however, is prone to intensify.

Different signs of acute appendicitis embody:

  • nausea with or without vomiting.
  • low-grade fever.
  • constipation or diarrhoea.
  • lack of urge for food.
  • incapacity to cross fuel.

Appendicitis often happens when an obstruction, equivalent to an overseas object or calcified stool, blocks the interior cavity or appendiceal lumen of the appendix.

Persistent appendicitis could happen when the appendiceal lumen is simply partially blocked. Nevertheless, the blockage is prone to worsen over time by inflicting strain to construct.

When this occurs in individuals with continual appendicitis, the strain could overcome the partial obstruction and the signs will cut back in-depth or go away altogether.

The signs will then return the subsequent time the blockage causes the appendix to turn out to be infected.

Analysis And  Treatment of Chronic appendicitis

A health care provider will initially do a bodily examination to find out whether or not the stomach is tender and the place the ache is situated. They can even ask questions concerning the signs and an individual’s medical historical past.

Usually, a health care provider will do a number of checks to rule out different medical situations which have identical signs.

The situations the physician could try to rule out embody:

  • urinary tract infection.
  • kidney an infection.
  • Crohn’s illnesses.
  • ulcerative colitis.
  • ovarian cysts.
  • pelvic inflammatory illness (PID).
  • irritable bowel syndrome (IBS).
  • different gastrointestinal problems.

The checks used to rule out these situations embody:

  • blood checks.
  • a pelvic examination.
  • a being pregnant check.
  • urinalysis or testing an individual’s urine.
  • computerised tomography (CT) scan.
  • belly ultrasound.
  • magnetic resonance imaging (MRI).

If continual appendicitis is recognized, the physician could prescribe antibiotics or could advise draining the pus that has shaped across the appendix as a result of an infection.

The most typical therapy, nonetheless, is to have the appendix eliminated altogether. This surgical procedure is known as an appendectomy.

An appendectomy is often carried out utilizing a laparoscopic surgical procedure, which is minimally invasive. Additionally, it is often known as a keyhole surgical procedure and is carried out beneath normal anaesthetic.


The most typical problems of continual appendicitis are:

  • acute appendicitis.
  • a ruptured appendix or when an individual’s appendix bursts.
  • an abscess or when a pocket of pus develops across the appendix.
  • sepsis or when chemical substances are launched into the bloodstream. inflicting the entire
  • physique to turn out to be infected.
  • peritonitis or irritation of the stomach’s lining.

The above problems are severe and require quick medical care. It is important to not ignore signs of appendicitis and to hunt medical consideration urgently.


Chronic appendicitis is a long-term situation characterised by appendicitis signs that come and go over time.It’s completely different from acute appendicitis, however, it may even have severe problems.

Whereas an individual could reside with continual appendicitis for years, it is necessary that they don’t ignore the signs. Recurring ache within the decrease stomach could be a symptom of many underlying situations, so it’s vital to get a correct prognosis.

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