Spotlight Video | Is it Appendicitis or Diverticulitis? | Sharona B. Ross MD, FACS
Sharona B. Ross, MD is an Advanced Foregut and HPB Surgeon with over 9 years of diverse experience in her field and specific expertise in advanced gastrointestinal/hepatobiliary, robotic and minimally invasive surgery. She currently works at Florida Hospital Tampa and she has additionally engaged in local, national and... more
Gut Guesswork: Is it Appendicitis or Diverticulitis?
Abdominal pain is often a perplexing ailment, leading us to question its origin. Two common medical conditions, which can often be confused due to similar symptoms, are Appendicitis and Diverticulitis. It's essential to understand the key differences between these two conditions.
Appendicitis and Diverticulitis: Separate Entities
Appendicitis and Diverticulitis are not directly linked. They are distinct conditions, each with its own causes, symptoms, and treatment.
Appendicitis: Understanding the Enemy
Appendicitis typically starts with pain near the navel, which then shifts to the lower right side. It can be caused by blockages resulting from trauma, stool, infections, or tumors. This condition is most common among individuals aged 10-30, with males at a slightly higher risk. Diagnosis relies on symptoms like fever, nausea, localized pain, and abdominal swelling. Appendicitis treatment primarily involves an appendectomy, which is often done laparoscopically.
Diverticulitis: A Different Culprit
Diverticulitis is the inflammation of pouches, called diverticula, in the large intestine. Pain from Diverticulitis typically emerges in the lower left abdomen and worsens over days. Factors like a low-fiber diet, obesity, and genetics can increase the risk of Diverticulitis. Treatment for mild cases includes antibiotics, painkillers, and dietary adjustments, while severe Diverticulitis might necessitate hospitalization or surgery.
Distinguishing the Pain
To distinguish between bowel pain caused by Appendicitis and Diverticulitis, consider the location, intensity, and progression. Appendicitis pain intensifies within hours, while Diverticulitis pain takes days to worsen. Gastroenteritis involves the stomach and intestines but doesn't have localized pain like Appendicitis. Diagnoses rely on symptoms, testing, and the progression of the condition.
Regular Check-Ups for a Healthy Life
Regular check-ups are crucial. They can help catch and treat both Appendicitis and Diverticulitis before complications arise. With proper management, Diverticulitis can lead to a healthy, symptom-free life. After an appendectomy for Appendicitis, many individuals can resume regular activities without significant lifestyle changes.
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