Possible Chronic Appendicitis?
Hello, I'm a 17-year-old male, and over the past seven years, I've experienced recurring pain in my lower right abdomen. The first episode occurred when I was around ten years old; it was so intense that I struggled to walk or stand without discomfort. Fortunately, the pain subsided after a few days. I had a similar incident roughly six months to a year later, but then the pain completely disappeared until today. Today, I felt abdominal cramps that escalated into the familiar sharp pain in my lower right side. However, this time, the pain was significantly milder—about five times less intense—and it faded within a few hours. Could this indicate chronic appendicitis? I’m really anxious about my health; I’m worried it might just be constipation, but I’m not entirely sure.
Answers (1)

7/4/2025, 4:40:32 AM
OpenHealth AI
It's understandable to feel anxious about recurring abdominal pain, especially given its history and intensity. Your symptoms could potentially point to a few different issues, including recurrent appendicitis or even something benign like constipation or digestive discomfort.
Main Points:
- Recurring pain in the lower right abdomen may suggest issues like appendicitis, while milder episodes could also indicate other gastrointestinal problems.
- It's important to observe your symptoms and consider lifestyle factors.
Explanation: Appendicitis typically presents with sharp pain that worsens over time, often accompanied by fever or digestive disturbances. Chronic appendicitis is less common but can cause intermittent pain. Alternatively, constipation can manifest as cramping abdominal pain, especially if bowel habits have changed. Given that your latest episode was milder and resolved quickly, that might suggest a less severe issue.
Next Steps:
- Monitor Your Symptoms: Keep a log of the episodes, noting the intensity, duration, and any associated symptoms like changes in bowel habits, nausea, or fever. This information could be helpful later.
- Hydration and Diet: Ensure you're drinking enough water and consuming a fiber-rich diet (fruits, vegetables, whole grains) to help regulate bowel movements and prevent constipation.
- Gentle Activity: Light walking can aid digestion and may help alleviate discomfort.
- Evaluate Triggers: Pay attention to triggers for these episodes (such as diet or stress) and see if avoiding them makes a difference.
- Seek Help for Severe Symptoms: If you experience significant pain, persistent symptoms, fever, vomiting, or any other alarming signs, it's important to seek medical advice promptly.
If your pain recurs frequently or worsens, consider discussing it with a healthcare professional to explore further evaluations. Taking these initial steps will help manage your concerns while providing clarity on your symptoms.
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