Is it possible to have chronic appendicitis without some of the classic symptoms? I have had pain in my right side for about 8 months now, 18 months after gallbladder surgery. My GP suspects chronic appendicitis but having read in depth on the internet at various symptoms, the classic symptom appears to be rebound pain. I have terrible pain when pressed on the right side, but no rebound pain. My condition felt worse this morning too, after I emptied my bladder. This happened twice and really hurt afterwards when I stood up. Is this another symptom or coincidental? I sometimes have nausea and diarrhoea but not commonly. Don't think i'm a classic example of someone with chronic appendicitis, but something is wrong. I am having appendicectomy in five weeks to see if this is the cause. My GP thinks its this but my consultant doesn't believe in such a condition as chronic appendicitis.
Thanks for the query. Chronic appendicitis is one of the rarer conditions and there are chances of it being not diagnosed as the classical signs and symptoms are not evident. It remains silent with episodes on and off. But with the help of imaging techniques like an abdominal ultrasound supported with blood investigations and a clinical picture, one may be able to make the diagnosis. It should be treated on a priority basis if confirmed, as it can lead to complications affecting the surrounding intestines.
So for now, you should consult a surgical gastroenterologist and get it confirmed.
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