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Diagnosing Appendicitis

Reviewed By: Cynthia Haines,

SOURCES: This Video is from the WebMD Video Archive. Medical Reference from Medstar Television. www.medstar.comAmerican College of Surgeons, http://www.facs.orgNational Digestive Diseases Information Clearinghouse, http://digestive.niddk.nih.gov

© 1999-2011 Medstar Television

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Narrator:

As a chief financial officer of a busy company, Rich Werner is pretty savvy when it comes to business. But financial fixes took a backseat, following a battle with appendicitis.

Rich Werner, Appendectomy Patient:

It started out as what felt like a stomach virus and that lasted about two days, and then I recovered, felt fine.

Narrator:

Rich's recovery was short lived…

Rich Werner, Appendectomy Patient:

When I started running the fever of 103, I went to my family doc, who suspected it could be an appendicitis and ordered a CAT scan.

Narrator:

Rich was immediately rushed to the emergency room.

Rich Werner, Appendectomy Patient:

My appendix had ruptured and an abscess formed and walled around.

Narrator:

Cases like Rich's are not uncommon because diagnosing appendicitis is not always cut and dry.

Lawrence Kaplan, M.D., General Internist, Temple University Hospital:

So the course is not always classic, which is pain initially around your belly button, vague, non-specific, you don't feel like eating, you get a little nauseated, you may throw up.

Narrator:

A good indicator of appendicitis is when the pain settles to the lower, right part of the abdomen. The degree of the pain also plays a role.

Lawrence Kaplan, M.D., General Internist, Temple University Hospital:

It's not a snap your fingers kind of thing. It's something that progresses over the period of hours, and I think the differentiation is hour as opposed to days.

Narrator:

Rich's appendix was removed laporscopically… So scarring was minimal.

Rich Werner, Appendectomy Patient:

Everything was back to normal. Was able to run, play tennis, do all my normal things.

Narrator:

Including crunching the numbers. For WebMD, I'm Sandee LaMotte.

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