Can appendicitis be treated without hospitalization?

In general, whether hospitalization is necessary for appendicitis depends on the specific condition of the patient. If discomfort occurs—such as abdominal pain, fever, or vomiting—it is recommended to seek medical attention immediately. The detailed analysis is as follows:

For early-stage simple appendicitis with mild symptoms—such as slight abdominal pain without fever, nausea, or vomiting—and if blood tests show only a mild increase in inflammatory markers, and the patient is otherwise in good health with no underlying diseases, hospitalization may be avoided under a doctor's guidance. In such cases, it is essential to strictly follow medical advice regarding anti-infective medications, closely monitor symptom changes, and have regular follow-up visits at the hospital to ensure the inflammation does not progress.

If appendicitis presents with obvious symptoms such as severe abdominal pain, high fever, vomiting, or if examinations indicate pus formation, gangrene, or even perforation of the appendix, hospitalization is mandatory regardless of the patient’s overall health. These conditions can deteriorate rapidly and easily lead to serious complications like peritonitis. Prompt hospitalization and surgical treatment are required to prevent delays that could result in more severe outcomes.

In daily life, if abdominal pain occurs, do not self-administer painkillers, as this may mask the true condition. Regardless of whether hospitalization is required, patients should maintain a light diet and avoid strenuous activities. If opting for home observation, immediate medical care is necessary should symptoms worsen—such as increased abdominal pain, rising body temperature, or new symptoms appearing. Even if symptoms improve, patients must complete all recommended follow-up examinations as directed by their doctor to confirm complete resolution of the inflammation.