Conservative treatment of appendicitis is indicated for patients with acute simple appendicitis, those with other contraindications to surgery, and those with a tendency for periappendiceal abscesses to become confined. If the patient’s symptoms subside, it means that conservative treatment temporarily controls the condition, but does not exclude the possibility of recurrence of appendicitis.
Conservative treatment of appendicitis is through rehydration, anti-inflammatory treatment, that is, the patient needs to be fasting, water fasting, and through intravenous fluids to replenish nutrients; or antibiotic treatment, such as intravenous infusion of third-generation cephalosporins, or combined with metronidazole and other antibiotics against anaerobic bacteria.
Appendicitis symptoms include: right lower abdominal pain, which is the most typical clinical manifestation of appendicitis patients, i.e., abdominal pain begins in the epigastrium and gradually shifts to the right lower abdomen; systemic symptoms, such as chills, malaise, high fever, etc.; gastrointestinal symptoms, such as diarrhea and discomfort during defecation. If the symptoms disappear, it means that the disease is temporarily controlled by conservative treatment.
Although conservative treatment can temporarily control the disease, but there is a possibility of recurrence in the future, so it is recommended that patients treated conservatively should pay attention to monitoring their own symptoms in their daily life, regular follow-up, and if necessary, implement surgical treatment.