Emergency Appendectomy at 47 Years Old
I am a 47-year-old woman, standing at 5 feet 5 inches and weighing 125 pounds, generally in good health. Recently, I experienced intense abdominal discomfort alongside fever and frequent loose stools, which confined me to bed for the weekend. As part of my responsibilities as a military officer, I had to check in for medical evaluation. Following this, I was promptly sent for a CT scan with contrast, which confirmed the diagnosis of appendicitis. I received outstanding care during the surgical procedure, which was performed laparoscopically, and I am relieved to report that it went smoothly. However, I was taken aback during my follow-up visit with my primary care doctor when I was informed that I need to undergo a colonoscopy as soon as possible. It appears that such occurrences at my age are not typical. Does anyone have any thoughts or experiences related to this?
Answers (1)

6/18/2025, 10:50:37 PM
OpenHealth AI
It's understandable to feel concerned after receiving a recommendation for a colonoscopy following an appendectomy, especially given your age and the sudden health challenge you faced. The main points here are: your surgery was successful, but your follow-up requires further investigation through a colonoscopy.
Explanation
Appendicitis can occur at any age, but the follow-up recommendation for a colonoscopy is often precautionary, mainly due to your age (47 years old) and the symptoms you experienced (intense discomfort, fever, and loose stools). Colonoscopy can help rule out other gastrointestinal issues, including conditions like inflammatory bowel disease or polyps, which can sometimes be detected during these evaluations. Early detection of any potential problems is crucial for effective management.
Next Steps
-
Schedule Your Colonoscopy: Contact your healthcare provider to arrange this procedure. Document any preparations you need to understand what to expect, which may include dietary adjustments or bowel preparation.
-
Monitor Your Symptoms: Keep track of any gastrointestinal symptoms you may experience, such as changes in bowel habits, persistent pain, or unusual changes in weight. Note the frequency and severity to discuss with your healthcare provider.
-
Maintain Communication with Your Doctor: Don’t hesitate to ask your doctor about the reasons for the colonoscopy. Understanding the purpose and addressing any concerns you have can reassure you and help you make informed decisions.
-
Take Care of Yourself: Ensure you are recovering well from your appendectomy by focusing on a balanced diet, staying hydrated, and following any post-operative care instructions.
Conclusion
It's natural to have questions and concerns after such an experience. The recommended colonoscopy is a precautionary measure and an opportunity for proactive health care. Monitoring your health and following through with medical advice is a positive approach to ensuring your well-being.
Related Questions
Could This Stiffness Indicate Tetanus?
32 years old, female. Last week, while moving, I stepped outside to offer our moving team some snacks I had purchased. The weather was rainy, causing my shoes to become drenched, so I opted not to wear them. As I hurried outside, I felt something underfoot in the puddles. After delivering the snacks, I returned indoors and discovered two very shallow cuts on my foot, which were hardly bleeding, just a slight redness beneath the skin. I dried off my foot and meticulously cleansed it with alcohol wipes. Utilizing a pair of disinfected tweezers from my first aid kit, which I had also sterilized with alcohol, I removed any visible dirt. Following that, I applied a layer of Neosporin, covered it with a bandage, and secured it with gauze to keep it dry. Despite quite a bit of pain initially, the discomfort gradually subsided. Over the next few days, I noticed some swelling, but that too reduced. I routinely changed the bandages and reapplied Neosporin every few hours until the area began to look well on the mend. Currently, the pain has dissipated. However, today around noon, I started to notice stiffness in my neck. Given that my job involves sitting at a desk for extended periods, stiffness isn’t entirely unusual for me, though this onset felt abrupt. I'm not experiencing additional symptoms, and it could just be due to maintaining an awkward position for too long. However, I can't help but wonder about the risk of tetanus. To my surprise, after researching, I learned about the necessity of booster shots, and I’m unsure when I received my last one—it's been over 15 years. Any insights would be appreciated; I'm quite anxious about this.
Unusual Sensations and Clumsiness: Could It Be Drug-Related?
A 19-year-old female, standing at 5'10" and weighing 110 pounds, reveals a history of cocaine and Adderall misuse, though she is currently abstaining. Additionally, she takes Xanax sporadically for her panic attacks. For the past two weeks, she has been experiencing strange physical sensations, including numbness in both her hands and feet. Alongside this troubling symptom, she describes an increase in clumsiness, frequently bumping into furniture and tripping over her own feet—behavior that is markedly unlike her norm. Her body is now covered in bruises, likely a result of her newfound lack of coordination. Furthermore, she reports persistent headaches located at the back of her head. Her roommate, lacking medical knowledge, has speculated that her symptoms might indicate a brain tumor. This concern leads her to question if her past drug use could have potentially caused harm to her brain, especially since these sensations have arisen several months after her cessation of substance use. Is it plausible for these issues to emerge long after stopping the use of these drugs?
Potential Vascular or Dermatological Concern?
Since the beginning of January, I've noticed a patch on my foot that appears either reddish or brownish. Initially, I didn’t pay much attention to it as it didn’t come with any discomfort—just some odd coloration. However, during my shower earlier today, I observed a new area of hyperpigmentation that seems to align with a vein on my foot. Despite these changes, I feel perfectly healthy and don’t have any symptoms to report. Yesterday, I engaged in a workout session where I used 20-pound dumbbells for the first time—I'm uncertain if that might be relevant to this situation. Could this possibly indicate venous pooling or be connected to capillary issues? I’m curious whether this discoloration will resolve on its own and if it warrants any concern.
Concerns After Incorrect Methylprednisolone Dosing
As a 28-year-old male, I have been experiencing an unusual itchiness over my entire body for the past week, which has disrupted my sleep at night. Seeking relief, I reached out to my physician, who prescribed a 6-day course of methylprednisolone, with each pill containing 4 mg. In my haste, I overlooked the dosing instructions and inadvertently consumed all 6 pills at once on the first day (I felt perfectly normal throughout the day) during a meal, and then repeated the same mistake today by taking all 5 pills at once around noon, also with food. Following this, I started to develop flu-like symptoms including body aches, chills, abdominal discomfort, and mild nausea – all of which are recognized side effects of this medication. Should I be concerned enough to seek urgent care for hydration, or is it advisable to wait it out? I did speak with a pharmacist regarding my situation, and they appeared unconcerned; they simply advised me to continue taking the medication, but to adjust the dosing schedule to space it out over the day starting tomorrow. I'm looking for any additional insights or guidance on this matter.
Am I to Blame for PID Treatment Issues?
Age: 29 Nationality: Indian American Height: 5'3" Weight: 128 lbs For the past year, I've been grappling with a pelvic infection. Initially, I was prescribed doxycycline for one week, which successfully eliminated the CT and Ureaplasma bacteria. In the following three months, I underwent testing on three different occasions and received negative results across the board. Despite that, I continued to deal with troubling symptoms, including an excessive watery discharge and persistent pelvic pain. Despite my pleas for treatment for pelvic inflammatory disease (PID), my requests were declined due to the negative lab results. Eventually, someone who was empathetic to my situation prescribed me a course of doxycycline for two weeks, along with a week’s supply of metronidazole. I also utilized an additional week of metronidazole that was repeatedly offered to me, even though my bacterial vaginosis tests continued to come back negative. During the PID treatment, I did engage in sexual activity, but both my partner and I tested negative for any infections. Could having sex during the treatment have hindered its effectiveness? I am still facing discomfort during intercourse, experience pain during ovulation (which is a new symptom for me), and occasionally feel strange pulling sensations in my pelvic area.