How is Appendicitis Diagnosed?
If you are experiencing pain in your lower right abdomen, there is a good chance you may have appendicitis. Appendicitis is typically diagnosed based on a history of symptoms and a physical exam. While there is no one definitive test for appendicitis, doctors will often use a combination of tests to make a diagnosis. Tests that may be used to help diagnose appendicitis include blood tests, imaging scans, and an examination of the rectum and anus. In some cases, your doctor may also perform a laparoscopy to get a closer look at the appendix. If you are experiencing any of the symptoms of appendicitis, it is important to see a doctor as soon as possible to get a prompt diagnosis. (5)
Medical history
One of the first steps in diagnosing appendicitis is reviewing a patient’s medical history. This can help doctors rule out other potential causes of pain, such as gallstones or a stomach ulcer. If a person has a family history of appendicitis, that can also be a clue as to the cause of their current symptoms.
Physical examination
Appendicitis is diagnosed through a physical examination and by ruling out other conditions that can cause similar symptoms. The physical examination includes checking for tenderness in the lower right abdomen and for signs of inflammation such as fever and swollen lymph nodes. Laboratory tests may also be done to help rule out other conditions.
Blood tests
Blood tests are often used to help diagnose appendicitis. One common blood test used to help diagnose appendicitis is a C-reactive protein (CRP) test. A high level of CRP in the blood can be a sign of inflammation, which can be a sign of appendicitis. Other tests that may be used to help diagnose appendicitis include a white blood cell count (WBC) and an erythrocyte sedimentation rate (ESR).
Imaging scans
While diagnosis of appendicitis typically involves a physical examination and review of symptoms, imaging scans can be used to help confirm a diagnosis. Common imaging scans used to diagnose appendicitis include ultrasound and computed tomography (CT) scan. These tests can be used as a diagnostic tool for appendicitis. The imaging scans will show an enlarged appendix and fluid around the appendix. They can also help to determine if the appendix is ruptured.
Laparoscopy
Traditionally, diagnosis of appendicitis has been made through physical examination and by reviewing the patient’s medical history. However, these methods can be inaccurate in some cases. In recent years, laparoscopy has emerged as a valuable tool for diagnosing appendicitis.
Laparoscopy is a minimally-invasive surgical intervention that allows a doctor to see inside the abdomen. During this procedure, a small incision is made in the navel and a thin tube with a camera at one end is inserted into the abdomen. This allows the doctor to view the organs inside the abdomen and to determine if there is any evidence of appendicitis.
Laparoscopy is often used when there is doubt about whether or not a patient has appendicitis.