Appendicitis - early signs, causes and differentiation from acute appendicitis

Irritation of the appendix causes mild discomfort in the lower right abdomen and can be a harbinger of appendicitis. Find out here which symptoms are typical and which measures can help.

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Irritation of the appendix causes mild discomfort in the lower right abdomen and can be a harbinger of appendicitis. Find out here which symptoms are typical and which measures can help.

An irritation of the appendix is a nonspecific, incipient irritation of the vermiform appendix, which is located at the beginning of the large intestine in the right lower abdomen. It is considered a precursor or milder form of appendicitis and can be reversible if measures are taken in good time. The symptoms are often non-specific, but can herald serious progressions and should therefore not be ignored.

In contrast to acute , appendicitis is usually mild, without fever or severe pain, and can be positively influenced in the early stages by observation, rest, and naturopathic support. Common causes are irritation caused by digestible residues, faecal blockages, lymphatic tissue reactions during infections or increased gas accumulation. Disrupted intestinal flora or a high stress level can also put a strain on the right lower abdomen in sensitive people.

To relieve an irritated appendix, we recommend a light diet, sufficient fluid intake and warmth as well as rest. However, in the event of persistent discomfort, increasing pain or accompanying symptoms such as fever or nausea, a doctor should be consulted immediately to determine whether acute appendicitis is developing. In naturopathy, antispasmodic plant substances, intestinal regulation and anti-inflammatory measures such as compresses or teas are used.

Typical symptoms of appendicitis:

Pressure or pulling sensation in the right lower abdomen
Mild, alternating abdominal pain
Discomfort, flatulence or bloating
Slight loss of appetite
Nausea without vomiting
No or only slightly increased fever

Possible causes:

Constipation, lack of fibre
Intestinal infections or viral infections with lymphatic reaction
Irritable bowel syndrome with localisation in the right lower abdomen
Disorders of the microbiota
Stress-related gastrointestinal reactions

Recommended measures (early and supportive):

Warming applications (e.g. hot water bottle)
Rest, rest and light exercise
Herbal support: camomile, lemon balm, fennel
Gentle intestinal relief with psyllium or linseed
Observation of the course over 24-48 hours
Medical clarification in case of deterioration

Literature references:

Gorter, R. R. et al. (2016). "Diagnosing appendicitis: scoring systems vs imaging." Journal of Pediatric Surgery.
German Society of Gastroenterology (DGVS) (2022). Guideline on acute appendicitis.
Römer, A. (2020). "Naturopathic adjunctive therapy for visceral complaints." In: Naturopathy Journal.