A person can survive after a burst appendix for 4-5 days or more.

As soon as the appendix rupture the

omentum in the abdomen immediately surrounds the appendix and arrest further spread in the abdomen. It will
than form an appendicular abscess which has to be drain out with an operation. The best treatment is
immediate operation before the burst if already burst generalised peritonitis may or may not happen(if yes
unlucky but still manageable). Before the antibiotic the omentum usually keep the appendix surrounded making
other organs in the abdomen safe. Nowadays people dont usually dies of burst appendicitis.
Appendicitis - Antibiotics Often Viable
Alternative To Surgery
Saturday 7 April 2012 - 12am PST
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Appendicitis - Antibiotics %&ten 'iable Alternati(e To Surgery
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Surgery need not be te &irst line o& treatment &or acute uncomplicated appendicitis* researcers
&rom +ottingam ,igesti(e ,iseases #entre +IH- .iomedical -esearc /nit* !ngland* reported in
te BMJ (British Medical Journal)0 %&ten* te use o& antibiotics may be a sa&e and (iable
alternati(e* te autors e1plained0
As bac2ground in&ormation* te researcers e1plained tat since 1334* appendicectomy - surgically
remo(ing te in&lamed appendi1 - as been te standard treatment &or acute appendicitis0 ,octors
a(e assumed tat te ris2 o& complications* suc as in&ection or per&oration* are too ig 5itout
surgery0
According to recent studies* o5e(er* antibiotic terapy results in &e5er problems and
complications tan surgery &or patients 5it uncomplicated appendicitis0 Ho5e(er* te studies a(e
not ad compelling enoug e(idence eiter 5ay* te researcers 5rote0
Te autors set out to determine o5 sa&e and e&&ecti(e antibiotic terapy migt be* compared to
surgery* as an initial treatment &or uncomplicated acute appendicitis0
Tey gatered data &rom &our randomi6ed* controlled uman studies 5ic included 400 adults7
tey ad all been diagnosed 5it uncomplicated acute appendicitis0 870 o& tem 5ere randomly
selected to recei(e antibiotics* 5ile 890 ad teir appendi1es remo(ed surgically0
In order to minimi6e bias* study design and :uality (ariations 5ere ta2en into account0
Antibiotic terapy 5as lin2ed to a ;9< success rate at t5el(e monts* and a 91< relati(e reduction
in complications0
Te autors &ound tat tere 5as a signi&icant reduction in complications =94<>* compared to
surgery* a&ter e1cluding tose in one study 5o crossed o(er &rom antibiotics to surgery0
;3 patients in te antibiotics groups 5ere readmitted to ospital 5it recurring symptoms* o& 5ic
8 ad normal appendi1 and 19 complicated appendicitis0 Tree o& tem 5ere success&ully treated
5it &urter antibiotic terapy0
?engts o& ospital stays* and appendicitis complications ris2 5ere similar in bot te antibiotic and
surgery groups =5en all studies 5ere ta2en into account>0
Instructions
1
Consult a naturopath at the first signs of appendicitis symptoms . Many
naturopaths have successfully treated appendicitis through proper application of a natural
medicinal fast, so their expertise and advice is necessary to administer this treatment
properly. A naturopath can also offer other herbal and homeopathic treatments to help
relieve the pain.
2
Begin fasting as soon as your symptoms appear. Because the appendix works to help clear
toxins from the bowes , it is important that you don't give it any work to do while it
recuperates. ou may drink water, but only in very small amounts, taking sips every half an
hour or so.
Read more: http://www.ehow.com/how_2122626_treat-appendcts-natura-
medcne.htm#xzz2mkf152z
Antibiotics instead of surgery safe for some with
appendicitis
P%ST!, AP-I? 11* 2012* 9)10 P@
Patrick J Skerrett! "#ecutive "ditor! Harvard Health
Since te late 1300s* doctors a(e turned to surgery to treat appendicitis* e(en toug an in&lamed
appendi1 sometimes gets better on its o5n0 A ne5 report suggests tat trying intra(enous antibiotics
&irst 5or2s as 5ell as surgery &or some people0
Te appendi1 is a small pouc tat angs o&& te large intestine0 It usually sits in te lo5er abdomen
Aust abo(e te rigt ip bone0 +o one really 2no5s 5at te appendi1 does* i& anyting0 It may be a
oldo(er &rom our e(olutionary past0 It may also arbor bene&icial bacteria* or be involved in fetal
develop$ent or te immune system0
+o matter 5at its role* te appendi1 can become in&lamed0 Tis condition* 2no5n as appendicitis*
is one o& te most common causes o& se(ere abdominal pain0 I& an in&lamed appendi1 brea2s open
and spills bacteria into te abdomen* it can trigger peritonitis* a potentially dangerous in&ection o&
te tissue tat lines te inner 5all o& te abdomen and co(ers most o& te abdominal organs0
-emo(ing an in&lamed appendi1 is one 5ay to ma2e sure it 5onBt cause peritonitisCor any &uture
problems* &or tat matter0 Tan2s to laparoscopic =D2eyoleE> surgery* remo(ing an appendi1 is a
relati(ely simple procedure0
,octors a(e 2no5n &or years* and #T scans a(e pro(ed* tat appendicitis o&ten doesnBt lead to a
burst appendi10 Some pysicians a(e used antibiotics as an alternati(e to immediate surgery 5en
appendicitis is uncomplicated* meaning te appendi1 is s5ollen but asnBt burst0
To see o5 5ell tis 5or2s* researcers &rom +ottingam /ni(ersity Hospitals in !ngland
compiled te results o& &our randomi6ed clinical trials tat compared antibiotics and surgery &or
uncomplicated appendicitis0 HereBs 5at tey &ound)
Antibiotics alone success&ully treated appendicitis ;9< o& te time
People 5o recei(ed antibiotics instead o& surgery 5ere 94< less li2ely tan tose 5o
under5ent surgery to a(e de(eloped complications suc as a per&orated appendi1*
peritonitis* or in&ection around te appendectomy incision0
About 20< o& tose treated 5it antibiotics ad a return o& pain or oter symptoms and
needed to go bac2 te ospital7 some o& tese ad serious in&ections bre5ing0
Te 5or2 5as publised in te British Medical Journal =.@$>0
%ot a ga$e c&anger
Te autors concluded tat administering antibiotics early Dmerits consideration as te initial
treatment option &or uncomplicated appendicitis0E .ut teir 5or2 isnBt li2ely to immediately cange
te 5ay appendicitis is treated in te /nited States0
For one ting* researcers 5ould need to &ind simple* solid 5ays to identi&y 5o 5ouldCand 5o
5ouldnBtCbe candidates &or antibiotic terapy0
DAntibiotics &irst certainly 5ouldnBt be a one-si6e-&its-all approac*E said ,r0 Andre5 ?0 Garsa5*
surgeon-in-cie& emeritus at @assacusetts General Hospital and pro&essor o& surgery at Har(ard
@edical Scool0 For older people* tose 5it oter ealt problems* and tose at ig ris2 &or
de(eloping peritonitis* surgery &irst may be a sa&er option0
It 5ould also be important to tally up te total costs o& gi(ing antibiotics and per&orming surgery*
including te cost o& treating complications and te cost o& reospitali6ation0
For no5* most doctors 5ill probably continue to recommend surgery to treat an in&lamed appendi10
.ut i& you &ind yoursel& 5it appendicitis and your doctor suggests trying antibiotics &irst* e or se
isnBt cra6y and it Aust migt 5or20
Appendix Burst Did Not Have Surgery
Fi(e years ago i 5as ospitali6ed &or a burst appendi10
Te omentum* a seet o& &atty tissue* o&ten 5raps itsel& around te in&lamed appendi1* and an
e1udate tat normally de(elops in te areas o& in&lammation bea(es li2e glue and seals o&& te
appendi1 &rom000
Tis is 5at te ,octors e1plained ad appened to me0 For te ne1t &i(e days i 5as &ed antibiotics
and discarged 5it a clean bill o& ealt0
I recently a(e come across material tat says i still sould a(e ad my abdominal ca(ity cleaned
and te appendi1 remo(ed0 ,oes tis sound rigtH I 2no5 it"s been &i(e years but can I a(e &uture
problemsH ,oes tis mean my appendi1 is still tereH
Re: Appendix Burst Did Not Have Surgery
I ad te same situation appen to me0 About 9 1/2 years ago I ad se(ere abdominal pain so I 5ent
to te doctor0 I ad a &e(er* &elt tired* lost my appetite0 It really &elt li2e te ango(er &rom IIII0 @y
doctor pused on my lo5er abdomen and I yelled out in pain0 %&& to te !- I 5ent0 In te !- I ad
a #T Scan to (eri&y tat it 5as appendicitis0 Te !- doc came bac2 and told me my appendi1 ad
already ruptured0 Te plan 5as to stabili6e me =oo2ed up to I'"s> and ten drain te appendi10
A&ter tat I 5ould be operated on and appendi1 remo(ed0
,uring te second day in te ospital I ad anoter #T scan to cec2 te status o& my appendi10
-esults came bac2 tat my appendi1 ad started to scar o(er and in&lammation ad gone do5n0 I
stayed in te ospital &or anoter 2 days be&ore I 5as released -- appendi1 still inside me0
T5o 5ee2s a&ter my incident I 5ent bac2 to my doctor a&ter I ad anoter #T scan0 @y appendi1
ad ealed and tere 5as no in&lammation0 @y doctor recommended tat I do not a(e surgery to
remo(e te appendi10 In &act* e said as te number o& years pass* te less li2ely I 5ill a(e anoter
attac2 o& appendicitis0
?igting stri2es again0 $ust a little o(er 8 5ee2s ago I ad te same mysterious lo5er rigt abdomen
pain0 Te pain 5as no5ere near as bad as it 5as 9 1/2 years ago0 I 5as torn 5eter or not to go to
te doctor considering I ad no oter symptoms =nausea* loss o& appetite* &e(er* etc>0 A&ter a a
couple days o& debate* I decided to go to te doctors0 I 5ent to te doctor and e ordered up some
tests0 I ad a #T scan but te results came bac2 tat it 5asn"t appendicitis0 Apparently my scar tissue
in my appendi1 ad become irritated0 Te pain 5as really only present &or t5o 5ee2s0 @y doctor
once again as suggested not to a(e surgery0
I"(e struggled a lot on 5eter or not to a(e te surgery0 I"(e &ound (ery
Gi2ipedia states tat burst appendi1 could lead to deat* a&ter recei(ing septis* but probably in te
13
t
century it 5ere te treatments tat 5ere doing tis
|ust when you thought that there are
some medca treatments whch w
never change, aong comes some
new research whch bows the status
quo away.
Appendectomy or remova of the
appendx has, for over hundred years, been consdered the god standard and n fact the ony
treatment for acute appendcts. A recenty pubshed study provdes evdence that there mght
be another way. Researchers dvded patents wth eary acute appendcts nto two groups: One
group underwent the usua treatment-that s surgca remova of the appendx. The other group
were treated wth antbotcs ony.
Guess what? Those patents who were treated ony wth antbotcs not ony dd not deveop
pertonts from rupture of the appendx, they aso were about 30% ess key to suffer
compcatons. Those who had the surgery had more compcatons as openng up the bey does
resut n hgher rsks of nfecton, scar tssue and pan than |ust antbotc treatment.
Ths resut goes aganst a ong hed medca dogma: Appendcts can ony be treated wth
appendectomy. Antbotcs are gven but never wthout the surgery. If some patents truy can be
managed wthout the surgery, ths woud not ony reduce compcatons, t aso woud save
beaucoup doars.
St, before manstream medcne can or shoud change ts course, severa caveats are n order.
For one, ths s a snge study and woud need to be repeated. Patents need to be carefuy
screened, as ths surgery free course, requres that there be no evdence of rupture of the
appendx or abscess formaton. Thus, a patents woud need to have a CT scan. CTs do expose
patents to qute a bt of radaton. In fact, many patents for ths reason are taken to surgery
based on utrasound resuts aone. (Utrasound has no onzng radaton).
ER Doctor
Appendcts wthout
Surgery?
Monday, |uy 23, 2012 at 7:00 by ERDoctor
Another probem s that wth ths study, about 20% of the patents gven antbotcs aone
requred appendx remova wthn one year. 20% s a ot of peope who woud need a second CT
scan and hosptazaton.
For the present, ths study w be ooked at very carefuy and f the resuts can be reproduced
there coud n the future be an aternatve to an appendectomy, at east for some patents.
Perhaps, patents mght be offered a choce of mmedate surgery or antbotcs wth a wat and
see approach.
It |ust goes to show you that, n medcne as n fe, there are ndeed no sacred cows.
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3 Comments
1.|ohn
Last nght I
had a CT-
scan and t
showed I had
an Acute
Appendcts. However, t dd not show that t was eakng. Ths took a camera n my bey
button. Ths reay saved my fe as I sncerey beeve Id be dead wth |ust p treatment whe
poson s eakng a over my organs. Antbotcs are not aways effectve for severa reasons.
Why take a chance that t w burst when the procedure s smpe and so common 1 n 15 get
one so whe I apprecate ookng to create the new whee I thnk ts more mportant to work
wth better technques and aftercare. Its cear ths s a very rough study and s nconcusve (f
20% have t done 1 year ater what s the percent 2.3.6 years ater??) |ust sayn. I wrte ths
from my hospta bed at Washngton Hospta n Fremont, CA where I have been we cared for
and had the cooest surgen ever. Better safe than sorry. Gong through the pan twce woud
suck. Pus, the doc w ook around for anythng that coud be wrong whch requres beng
Antibiotic Resistance: A Nightmare
Scenario | ER Doctor (this site)
Mailbag: What will Marin/Sonoma
Narrows look like? | Road
Warrior (Road Warrior)
What's Wrong with ood !abels? | ER
Doctor(this site)
A stor" well told: the lost art o# the
$ersonal narrati%e (Dr. David Sortino)
&old Sores | ER Doctor (this site)
Allergies' ha"#e%er and sin(sitis: is
there a link? (telfast.com.au)
Allerg" and ha"#e%er #ast
#acts (telfast.com)
)ricks #or *a%ing *ead )(rning
!egs(beautyheaven.com.au)
+log in the S$otlight: , things "o(
sho(ldn't sa" to a de$ressed $erson
-and . things that "o(
sho(ld/ (Kidspot)
0n#ertile woman gi%es birth a#ter
s(rger" in 1a$an (news.com.au)
open.
August 17th, 2012 10:52 pm
2. Vaseffa Fennck
Hey, came across your artce because recenty I had an appendectomy. 5 days post op I
contnuay get ncredbe heart burn, even from water and when I eat I amost nstanty fee
fu. Any thoughts
October 10th, 2013 9:03 pm
3. ERDoctor
You shoud see your surgeon, who can determne whether a postoperatve obstructon or other
compcaton s present. If the pan becomes more severe or you have fever, you shoud go to
the emergency room. I hope ths heps.
Sncerey,
Rck Tetz
Is It -eally AppendicitisH
By TARA PARKER-POPE
!n today"s #$% and &nder' column, pediatrician (r. )erri *lass
explores the murky world of appendicitis. As often as +, percent of the
time, an operation to remove an appendix turns out to be unnecessary.
-!t"s called a #negative appendectomy, she explains.. But while new C/
scans can improve diagnostic ability, it also exposes a child to
radiation. (r. *lass writes0
Appendicitis remains a source of diagnostic
complexity. After all, young children are often
unable to describe and explain their symptoms.
1teady or crampy, sharp or dull, the whole
vocabulary of pain means little to a 23year3old,
who knows only that it hurts.
/o learn more, read the full column, #/hat Middle3of3the34ight
Bellyache0 Appendicitis5,' and then please 6oin the discussion below
Guest Post by Charles A. Pilher !D "AC#P

Appendicitis is the most common acute abdominal surgical condition in
medicine, yet there is probably not a single physician in practice today who hasnt missed the diagnosis
at least once! O"ten that results in #simple$ appendicitis becoming a #ruptured$ or #per"orated$ appendi%!
& ha'e re'iewed se'eral such cases which ha'e prompted this re'iew!
The appendi% is a tubular e%tension o" the cecum, in the right lower (uadrant o" the abdomen at the
beginning o" the colon or large bowel! Because o" its structure, it acts as a #catch basin$ or blind pouch
where a 'ariety o" bacteria and mechanical obstructions can cause problems! One can thin) o"
Ellen *einstein
appendicitis as a boil or abscess! +erms get in, propagate, and cause an in"ection! &" the in"ected
appendi% is not remo'ed, it can swell to the point where pressure causes rupture, spilling the in"ection
into the abdominal ca'ity!
,iagnosing appendicitis is easy - when it presents in classical, te%tboo) "ashion, which occurs in only
about ./0 o" patients! The typical symptoms are:
1! A sense o" being ill
2! +enerali3ed abdominal discom"ort
4! 5oss o" appetite
6! 7ausea
.! Pain in the right lower (uadrant o" the abdomen
8! 9e'er
:! ;omiting
<lassically these symptoms appear o'er a period o" about 26 hours in the order listed! <ombined with
tenderness in the right lower (uadrant o" the abdomen on e%amination, "urther testing rarely changes
the diagnosis or alters the treatment, especially in children!
But when ./0 o" patients with appendicitis #dont "ollow the rules,$ the diagnosis remains one o" the
most commonly missed in medicine! 7ationally, about 4/0 o" appendicitis cases progress to
per"oration be"ore the diagnosis is made! =ometimes that is because o" delay on the part o" patients in
see)ing medical care, and other times it is because the patients symptoms do not suggest to the
physician a #surgical abdomen!$ &" the problem has not progressed to the point where surgery is
considered a reasonable option at the time o" "irst e'aluation, regardless o" the diagnosis, #watch"ul
waiting$ is o"ten the best option! The reason "or that is that there is still no #gold standard$ "or the
diagnosis! <T scans, nowadays considered our most accurate study, still "ail us, leading to both missed
diagnoses and unnecessary operations in .0 and 1/0 o" cases! The scans themsel'es are )nown to
increase the ris), though marginally, o" abdominal cancer in later li"e!
<learly, once the diagnosis is made, surgical remo'al o" the appendi% is the treatment o" choice! That
said, there are numerous reported cases where non-operati'e management has been success"ul, or
where a #healed appendi%$ was diagnosed at a subse(uent surgical procedure! This shows that its not
>ust that the diagnosis that can be obscure, but that the treatment is not as well-de"ined as we might
thin)!
Below is an algorithm by =antacroce and Ochoa "rom their chapter on appendicitis in =abiston
Te%tboo) o" =urgery
ttp)//5550ogins2i-la50com/blog/is-a-ruptured-appendi1-e(idence-o&-medical-malpractice0c&m