Introduction

Many people are familiar with acute appendicitis, a sudden and severe condition requiring emergency surgery. However, chronic appendicitis is a lesser-known, persistent form of appendicitis that causes recurring abdominal pain and discomfort. Although not as urgent as acute appendicitis, it still requires medical attention to prevent complications.

What is Chronic Appendicitis?

Chronic appendicitis is a long-term inflammation of the appendix, leading to intermittent pain and digestive issues. Unlike acute appendicitis, which progresses rapidly and often requires immediate surgery, chronic appendicitis develops slowly, with symptoms that come and go over weeks, months, or even years.

Causes of Chronic Appendicitis

Several factors can contribute to chronic appendicitis, including:

• Partial blockage of the appendix by stool, foreign objects, or tumors

• Low-grade infections that persist over time

• Previous episodes of appendicitis that did not fully resolve

• Inflammatory bowel diseases (IBD), such as Crohn’s disease

• Scarring or narrowing of the appendix from past infections

Common Symptoms of Chronic Appendicitis

1. Recurring Abdominal Pain

Mild to moderate pain in the lower right abdomen that flares up periodically.

2. Nausea and Digestive Discomfort

Frequent nausea, bloating, and a feeling of fullness after eating.

3. Changes in Bowel Movements

Chronic constipation or diarrhea may be linked to appendix inflammation.

4. Low-Grade Fever

Mild fever that persists over time can be a sign of underlying infection.

5. Fatigue and General Discomfort

Ongoing inflammation may cause general weakness and tiredness.

Diagnosis of Chronic Appendicitis

1. Physical Examination

Doctors assess tenderness in the lower right abdomen.

2. Blood Tests

Elevated white blood cell count may indicate infection.

3. Imaging Tests

• Ultrasound: Helps detect inflammation in the appendix.

• CT Scan: Provides a detailed image of the appendix.

• MRI: Used to confirm the diagnosis when other tests are inconclusive.

Treatment Options

1. Antibiotics

In mild cases, antibiotics may help reduce inflammation.

2. Surgery (Appendectomy)

A laparoscopic appendectomy is the most effective way to prevent recurrent episodes.

3. Lifestyle Changes

• Eating a fiber-rich diet

• Staying hydrated

• Managing digestive health with probiotics

When to Seek Medical Help

Visit ER of Coppell immediately if you experience:

• Sudden and severe abdominal pain

• A high fever

• Vomiting and loss of appetite

• Worsening symptoms over time

FAQs

1. How long can chronic appendicitis last?

It can persist for months or even years with recurring symptoms.

2. Can chronic appendicitis turn into acute appendicitis?

Yes, a chronic case can develop into an emergency situation.

3. Is surgery always required for chronic appendicitis?

Not always, but it is the most effective long-term treatment.

4. Can chronic appendicitis be misdiagnosed?

Yes, it is often mistaken for IBS, Crohn’s disease, or other digestive disorders.

5. Does diet affect chronic appendicitis?

A healthy diet may help manage symptoms but does not cure the condition.