
What is Appendicitis? Stages, Symptoms & Treatment | Habilite Clinics
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Comprehensive guide to appendicitis including its 4 stages, symptoms, diagnosis, and modern laparoscopic treatment options.
What is Appendicitis? Stages, Symptoms & Treatment | Habilite Clinics
Have you ever had pain in your belly that wouldn't just go away? Sometimes, it can cost heavy to ignore even small stomach aches that may lead to some more serious consequences-like appendicitis. If left untreated for a prolonged period, it can become dangerous.
In this blog, you will explore different stages of appendicitis, associated complications and related treatment options.
What Exactly Is Appendicitis?
The appendix is a small, tube-like structure which is attached to the large intestine, situated in the lower right part of the abdomen. Its exact function in the body is still not understood, yet it plays a minor role in assisting your health by maintaining adequate bacterial count.
Appendicitis is a condition causing inflammation of the appendix, mostly due to blockage caused by stool, infection or other form of debris. This inflammation can instantly grow up, resulting in pain and other discomforts.
When not treated timely, it may rupture and cause bacteria to spread through the entire abdominal cavity. It is a serious condition called peritonitis. Due to risk involved, appendicitis is regarded as a medical emergency and needs prompt surgical treatment, named appendectomy.
4 Stages of Appendicitis
As per the medical breakdown, appendicitis is categorized into four main stages. It depends upon its seriousness and associated problems. Sooner it is treated, better are the chances of mitigating further complications.
Stage 1: Simple (Early) Appendicitis
This is the initiating point. At this stage, the appendix gets blocked and starts to swell. The other names for this stage of appendicitis are "simple" and "catarrhal" appendicitis. At this stage, things are pretty mild and manageable. You will notice no major infection and the appendix has not burst yet. It is the best time to treat it on time, before it gets worse.
Common Symptoms:
Mild pain near the belly button Slight fever Nausea Abdominal pain shifting to the lower right abdomen Pain worsens with movement or coughing
This stage of appendicitis usually lasts for a few hours, its symptoms become noticeable gradually. Its early treatment involves antibiotics or laparoscopic appendectomy; thus, you can resolve the condition proficiently.
Stage 2: Supportive (Phlegmonous) Appendicitis
When the blockage is still not clear, things can get worse. The appendix gets swollen and irritated. Bacteria residing inside the appendix also start growing rapidly. It can lead to build-up of pus and a local infection. The condition is quite uncomfortable and risky, when not treated well on time.
Common Symptoms:
Sharp pain in the lower right abdomen Higher fever Constipation Vomiting Increased abdominal tenderness
This stage may need a patient to get hospitalized. It requires instant surgical removal of the appendix (appendectomy). Any further delay in the treatment at this point can result in further complications.
Stage 3: Gangrenous Appendicitis
At this state of appendicitis, the blood flow to the appendix is blocked. Due to a lack of blood supply, tissues start dying. This condition is known as necrosis. The appendix can turn into dark color, and the infection may start spreading to the nearby parts of the abdomen, thus making it more riskier and dangerous.
Common Symptoms:
Severe abdominal pain High fever Fast heart rate Vomiting Fatigue or confusion in older adults
At this stage of appendicitis, immediate surgery is required. Any further delay can result in a rupture and may further spread the infection, causing risks of peritonitis (infection of the abdominal lining).
Stage 4: Perforated (Ruptured) Appendicitis
It is one of the most serious stages of appendicitis, in which the appendix may actually burst. When it occurs, it may lead to outflow of pus and spread bacteria into your belly. It can further result in dangerous infection and the scariest thing is that it can occur quickly.
Common Symptoms:
Temporary pain relief followed by severe pain High fever and chills Fast heartbeat Abdominal swelling or rigidity Confusion or weakness Low blood pressure
This state of appendicitis can result in complications such as peritonitis, sepsis, or abscesses. This is just a surgical emergency in which appendix removal is essential and also drainage of the infected fluids along with managing strong antibiotics.
Types of Appendicitis
There are different types of appendicitis that can vary on the basis of its severity and appearance. Here's a quick breakdown-
1. Acute Appendicitis
Acute Appendicitis is the most common type. It starts instantly with pain that moves towards the lower right abdomen. This requires urgent surgery.
2. Uncomplicated Appendicitis
The appendix is inflamed at this stage and yet not burst. It can be treated gently with antibiotics, still surgery is considered a better option to avoid recurrence.
3. Complicated Appendicitis
The appendix has ruptured or formed an abscess. It needs immediate surgery, antibiotics and sometimes drainage.
4. Chronic Appendicitis
This type of appendicitis is rare and can lead to mild, recurring pain over the period of time. Its diagnosis is a little tricky, and surgery is the common treatment recommended.
Clinical Diagnosis of Appendicitis
Here are few essential steps for diagnosing appendicitis-
Physical Examination Lab Tests- It includes tests like- Blood test (CBC), CRP test, Urine test, Pregnancy test. Imaging Tests- It includes imaging tests like- Ultrasound, CT scan, & MRI Treatment and Recovery
The main treatment for appendicitis is surgery for appendix removal. Most doctors use laparoscopic surgery, including smaller cuts, less pain and faster healing.
When It Gets More Serious?
When the appendix has rupture or there is an abscess, treatment can take a little longer. As a treatment, doctor may need to drain the infection, provide IV antibiotics and let the patient be in hospital a little longer.
Possible Complications
When left untreated, appendicitis can result in following symptoms-
Peritonitis Sepsis Fistula formation Bowel obstruction Liver abscess or kidney swelling
Early detection and timely treatment can help in preventing the above complications.
Conclusion
Appendicitis can turn serious faster than you think. When you are dealing with ongoing pain, fever, feeling sick, or may be suddenly feeling loss of appetite, don't ignore these symptoms. It's time to see the doctor right away.
At Habilite Clinics, Dr. Kapil Agrawal and our skilled team of medical professionals, including the best appendix surgeon in Delhi, specialize in minimally invasive appendix removal. This means smaller cuts, less pain, and faster recovery.
Why Choose Us
- Best Outcomes with discharge within 24 hours.
- High-quality standards with an almost zero percent rate of infection.
- Best Post Operative Care with round-the-clock availability of team.
- A team of dedicated nutritionists to make your recovery faster.
- No hidden charges and fixed and transparent packages.
- Complete network of cashless insurance available.
- All paperwork is handled by an expert team to give you a hassle-free experience.
- Tie up with various agencies to provide you with EMI options at zero rate of interest.
- Dr Kapil Agrawal, senior consultant laparoscopic surgeon, affiliated with some of the best and finest hospitals in New Delhi.
Book an Appointment
To Book an Appointment, kindly contact us at: +91-9910024564, +91-9999456455
Dr. Kapil Agrawal
Senior Consultant at Apollo Group of Hospitals
About the Doctor

Dr. Kapil Agrawal
Senior Consultant - Laparoscopic & Robotic Surgeon
Dr. Kapil Agrawal is a leading and one of the best Robotic and Laparoscopic Surgeon in Delhi, India. He has an overall experience of 23 years and has been working as a Senior Consultant Surgeon at Apollo Group of Hospitals, New Delhi, India. He is performing advanced laparoscopic and robotic surgeries for various conditions, which include Gallbladder stones, Hernia, Appendicitis, Rectal prolapse, and pseudo-pancreatic cyst.
Qualifications
- •MBBS - Institute of Medical Sciences, BHU, Varanasi
- •MS (Surgery) - Institute of Medical Sciences, BHU, Varanasi
- •MRCS (London, U.K) - Royal College of Surgeons, London
Specializations
Why Choose Us
- •Best Outcomes with discharge within 24 hours.
- •High-quality standards with an almost zero percent rate of infection.
- •Best Post Operative Care with round-the-clock availability of team.
- •A team of dedicated nutritionists to make your recovery faster.
- •No hidden charges and fixed and transparent packages.
- •Complete network of cashless insurance available.
- •All paperwork is handled by an expert team to give you a hassle-free experience.
- •Tie up with various agencies to provide you with EMI options at zero rate of interest.
- •Dr Kapil Agrawal, senior consultant laparoscopic surgeon, affiliated with some of the best and finest hospitals in New Delhi.
Book an Appointment
Book Consultation
Schedule a consultation for Appendix Surgery with Dr. Kapil Agrawal
Dr. Kapil Agrawal
Consult with Dr. Kapil Agrawal - Senior Consultant - Laparoscopic & Robotic Surgeon at Apollo Hospitals, Delhi NCR. 23+ years experience and 7000+ advanced procedures with enhanced recovery care.