After receiving intravenous fluids for appendicitis for 9 days, why am I still in pain?

Sep 27, 2023 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

Intravenous infusion, commonly known as "hanging water," is a routine treatment for appendicitis. Under normal circumstances, persistent pain after nine days of intravenous therapy may be due to normal variations, individual differences, residual infection, abscess formation, or perforation. Patients should seek medical evaluation at a qualified hospital and receive appropriate treatment based on their specific condition. In summary, if the pain continues to worsen, prompt medical attention is recommended to prevent disease progression and complications.

In general, "hanging water" refers to intravenous (IV) infusion. Under normal circumstances, if pain persists after nine days of IV infusion for appendicitis, this may be due to normal physiological responses, individual differences, residual infection, abscess formation, perforation, or other reasons. Patients should visit a正规 hospital for evaluation and receive appropriate treatment based on their specific condition. Details are as follows:

1. Normal phenomenon

Appendicitis typically requires antibiotic treatment to control infection, and it may take some time to completely eliminate the infection. After initiating treatment, it may take several days before pain significantly improves. This is generally considered a normal phenomenon and does not require special intervention.

2. Individual differences

Different individuals may respond differently to treatment. If a patient has poor drug absorption or has developed some degree of drug resistance, the aforementioned situation may occur. In such cases, patients can consult their doctor about switching to alternative medications for intravenous infusion therapy.

3. Residual infection

Symptoms of appendicitis usually include abdominal pain caused by inflammation of the appendix. If the infection is not adequately treated, persistent pain may result. It is recommended to follow medical advice and use anti-infective medications such as aztreonam for injection, amoxicillin granules, or cefixime tablets to alleviate the condition.

4. Abscess

Appendicitis may lead to abscess formation, which can cause ongoing pain, thus resulting in the aforementioned symptoms. In such cases, timely hospitalization is required, and percutaneous drainage is usually performed to relieve symptoms. If the condition is severe, appendectomy may also be necessary.

5. Perforation

Severe appendicitis may lead to perforation of the appendix, which is a serious complication. Perforation can cause intra-abdominal infection and result in persistent, severe abdominal pain. Treatment under medical guidance may include medications such as ceftriaxone sodium for injection, levofloxacin tablets, or ornidazole capsules.

In summary, if pain continues to worsen, prompt medical attention is recommended to prevent disease progression.

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Can appendicitis be cured with acupuncture?

In general, acupuncture can be used as an adjunctive treatment for appendicitis, but it is difficult to completely cure the condition with acupuncture alone, especially in cases of acute appendicitis, which require standard medical treatment as the first priority. When symptoms related to appendicitis occur, it is essential to first determine the severity of the condition before deciding whether acupuncture may be suitable as an auxiliary therapy. Maintaining regular eating habits and avoiding overeating are also important in daily life.