Can appendicitis recur after intravenous treatment?

Nov 14, 2025 Source: Cainiu Health
Dr. Huang Yuhong
Introduction
If appendicitis is a simple inflammation without abscess formation or perforation of the appendix, timely administration of adequate intravenous antibiotics can lead to complete resolution of the inflammation, and appendix function gradually returns to normal. With regular diet and avoidance of strenuous exercise, the recurrence rate after intravenous treatment is low, and most patients can remain stable for a long period.

Generally, if appendicitis is diagnosed as a simple inflammation and thoroughly treated with intravenous therapy, the likelihood of recurrence in the short term is relatively low. However, if the appendicitis has progressed to suppurative or gangrenous forms, merely controlling the inflammation through IV treatment significantly increases the risk of recurrence. If there are any concerns, it is recommended to seek medical advice promptly. Detailed analysis is as follows:

If the appendicitis is limited to a simple inflammation without abscess formation or perforation, timely administration of adequate antibiotic therapy via intravenous infusion can completely resolve the inflammation. The appendix gradually returns to normal function, and with regular dietary habits and avoidance of strenuous physical activity, the probability of recurrence after IV treatment is low, and most patients can remain stable for a long period.

If appendicitis has progressed to the suppurative or gangrenous stage, with pus accumulation or tissue necrosis within the appendix, intravenous therapy can only temporarily control the spread of infection but cannot eliminate the pathological focus entirely. The inflammation may recur when immunity decreases, due to improper diet, or physical exhaustion, and could even lead to more severe complications. In such cases, the risk of recurrence after IV treatment is considerably higher, warranting caution.

After receiving IV treatment for appendicitis, patients should regularly monitor abdominal symptoms and avoid overeating or consuming cold, spicy, or irritating foods. If symptoms such as right lower abdominal pain or fever reappear, immediate medical evaluation is necessary.

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