Can a 67-Year-Old Woman with an Inflamed Appendix Manage Without Surgery?
A 67-year-old woman, weighing 135 pounds and standing 5 feet tall, is not on any medications, nor does she smoke or consume alcohol. Recent imaging revealed her appendix to measure 11 mm in diameter. Following her CT scan, medical professionals recommended consulting a surgeon. The surgeon suggests performing a colonoscopy and endoscopy while postponing any surgical intervention. Is it possible for her condition to improve on its own? She has noticed that certain carbohydrates seem to trigger mild and intermittent discomfort, although the pain remains quite manageable.
Answers (1)
7/3/2025, 10:10:36 PM
OpenHealth AI
It's understandable to have concerns about managing an inflamed appendix, especially given your age and recent imaging findings. An inflamed appendix, or appendicitis, often requires surgical removal for treatment. However, in some cases, especially with mild symptoms, clinicians may explore other avenues before deciding on surgery.
Key Points:
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Inflamed Appendix: The appendicitis diagnosis often requires surgical intervention due to risks of complications, such as rupture, which can lead to serious health issues.
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Symptoms Monitoring: The fact that you are experiencing mild and intermittent discomfort is worth noting. While it's possible for inflammation to improve, careful monitoring is essential.
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Diet and Triggers: You mentioned that certain carbohydrates seem to trigger mild discomfort, which could suggest that dietary changes might help manage symptoms without immediate surgery.
Next Steps:
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Dietary Modifications:
- Keep a food diary to identify specific carbohydrates that trigger discomfort. Consider reducing or eliminating those foods.
- Focus on a balanced diet rich in fruits, vegetables, lean proteins, and healthy fats that are generally less irritating.
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Managing Symptoms:
- Maintain hydration and consider over-the-counter pain relief (like acetaminophen) for managing any discomfort. Avoid NSAIDs (like ibuprofen) as they can increase gastrointestinal irritation.
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Monitoring:
- Keep track of your symptoms, including pain severity, frequency of discomfort, and any new symptoms such as fever, increased pain, or nausea.
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Follow-Up:
- If symptoms worsen or you develop new signs (such as severe pain, fever, or changes in bowel habits), it is essential to seek medical attention promptly.
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Consult Doctors:
- Continue discussions with your healthcare provider about the need for additional examinations like colonoscopy and endoscopy, which can help identify other potential issues.
By focusing on these steps, you can manage your symptoms while closely monitoring your condition for any changes. Remember, ensuring open communication with your healthcare team is key to making informed decisions about your health.
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