What is it?
Appendicitis is inflammation of the appendix, a small pouch attached to the large intestine. It needs prompt attention because a delay can lead to rupture.
Common symptoms
- Pain starting around the navel and moving to the lower right tummy
- Loss of appetite, nausea or vomiting
- Low-grade fever
- Pain worse on walking, coughing or bumps during travel
Causes
Usually a blockage of the appendix opening, leading to infection and swelling.
When should parents consult a surgeon?
- • Tummy pain lasting more than a few hours and getting worse
- • Pain with vomiting, fever or refusal to walk upright
- • Any severe or localised right-sided abdominal pain
How is it diagnosed?
Clinical examination along with blood tests and an ultrasound. A CT scan is rarely needed in children.
Treatment options
- Surgical removal of the appendix (appendicectomy) in most cases
- Laparoscopic surgery where suitable
- Antibiotics and drainage first if an abscess has formed
When surgery may be required
As soon as the diagnosis is confirmed, to avoid rupture and serious infection.
What happens during surgery
Through three tiny keyhole incisions, the appendix is removed under general anaesthesia. The operation usually takes under an hour.
Recovery
Most children eat the next day and go home in one to two days after simple appendicitis. School restarts in about a week; sports after two to three weeks.
Frequently asked questions
Can appendicitis be treated with medicine alone?
Selected mild cases may be managed with antibiotics, but surgery remains the standard and most reliable treatment.
What if the appendix has already burst?
It is still treatable. Recovery takes longer and involves a course of antibiotics and sometimes drainage.
This page is general information for parents and does not replace a consultation. Every child is different — please have your child examined before deciding on treatment.