Appendicitis

Appendicitis

Appendicitis is a common surgical emergency in children and adolescents. It occurs when the appendix — a small, finger-shaped pouch attached to the large intestine — becomes inflamed and infected. If not treated promptly, the appendix can rupture, leading to serious complications. Early diagnosis and timely surgical care are essential for a safe recovery.

What Causes Appendicitis?

Appendicitis usually develops when the opening of the appendix becomes blocked. This blockage may be caused by:

  • Hard stool (fecalith)

  • Swollen lymph tissue

  • Infection

  • Rarely, parasites or foreign material

Once blocked, bacteria multiply inside the appendix, causing swelling, pain, and infection.

Signs and Symptoms

Symptoms of appendicitis may vary depending on the child’s age. Common signs include:

  • Pain starting around the belly button and shifting to the lower right side of the abdomen

  • Loss of appetite

  • Nausea or vomiting

  • Fever

  • Abdominal swelling

  • Pain that worsens with movement, coughing, or walking

Younger children may have less typical symptoms, making early evaluation important.

Diagnosis

Diagnosis is based on:

  • Detailed clinical examination

  • Blood tests to check for infection

  • Ultrasound or other imaging tests, if required

Prompt evaluation helps prevent rupture and complications.

Treatment for Appendicitis

Surgical removal of the appendix (appendectomy) is the standard treatment. The procedure can be performed using:

  • Laparoscopic (minimally invasive) surgery – Small incisions, less pain, faster recovery

  • Open surgery – Used in certain complicated cases

If the appendix has already ruptured, additional treatment such as antibiotics and a longer hospital stay may be necessary.

What Parents Can Expect

Before Surgery

The child will undergo necessary investigations and receive intravenous fluids and antibiotics. Parents will be informed about the procedure and recovery process.

During Surgery

The surgery is performed under general anesthesia in a fully equipped pediatric surgical facility following strict safety standards.

After Surgery

Most children recover quickly and can resume normal activities within 1–2 weeks, depending on the severity of the condition. Pain is usually mild and managed effectively with medication. Follow-up visits ensure proper healing.

When to Seek Immediate Medical Attention

Consult a doctor urgently if your child experiences:

  • Persistent abdominal pain, especially in the lower right side

  • Fever with abdominal pain

  • Repeated vomiting

  • Sudden worsening of pain

Early treatment greatly reduces the risk of complications.

Our Commitment to Pediatric Care

Our pediatric surgical team provides prompt diagnosis, safe surgical treatment, and compassionate care for children with appendicitis. With advanced techniques and a child-friendly approach, we ensure effective treatment and a smooth recovery while keeping parents informed and reassured throughout the process.