What should I do if I have appendicitis during my menstrual period?

Appendicitis during menstruation should be managed through prompt medical evaluation, appropriate medication use, prioritization of surgical treatment, adjustment of menstrual care, and close monitoring of the condition. Symptoms of appendicitis during menstruation can easily be confused with dysmenorrhea, so professional differentiation is essential to avoid delayed treatment. If persistent right lower abdominal pain, fever, nausea, or vomiting occurs, immediate medical attention is recommended.

1. Emergency Medical Evaluation: Seek timely hospital care. Blood tests and abdominal ultrasound can help differentiate appendicitis from menstrual cramps. Doctors will assess the condition considering physiological characteristics of the menstrual cycle to prevent misdiagnosis due to similar symptoms, thus providing an accurate basis for further treatment.

2. Appropriate Medication Use: After diagnosis, if surgery is not immediately performed, antibiotics should be used under medical guidance to control infection. Pain relievers should be used cautiously when pain is severe to avoid masking disease progression. Additionally, mild menstrual care medications may be used as prescribed to balance infection control and relief of menstrual discomfort.

3. Prioritize Surgical Treatment: If surgical indications are met, appendectomy should be performed as early as possible. Menstruation is not a contraindication for surgery; delaying surgery may lead to complications such as appendiceal perforation. Surgeons will take measures during and after the operation to minimize impact on the menstrual cycle.

4. Adjust Menstrual Care: During recovery or treatment, frequently change sanitary products to maintain external genital hygiene. Avoid strenuous activities that may worsen abdominal discomfort. Opt for warm, easily digestible foods to reduce gastrointestinal and systemic irritation, supporting faster recovery.

5. Close Monitoring of Condition: Monitor changes in abdominal pain, body temperature, and menstrual bleeding throughout treatment. If worsening pain, persistent fever, or abnormal menstrual bleeding occurs, promptly inform the doctor to prevent concealed disease progression due to increased bodily sensitivity during menstruation.

During menstruation, maintain dietary hygiene by avoiding raw, cold, or spicy foods. Follow a regular sleep schedule to enhance immunity. When experiencing unusual abdominal pain, do not automatically assume it is dysmenorrhea—seek timely medical evaluation to rule out abnormalities and protect overall health.