When a ‘Stomachache’ Isn’t Just a Stomachache
Let’s face it — we’ve all brushed off abdominal pain now and then. Maybe it’s something you ate, perhaps it’s stress… or maybe it’s something far more urgent. Appendicitis can strike fast and spiral out of control if ignored.
In Singapore, where access to expert medical care is world-class, recognising the early signs of appendicitis and getting prompt treatment can make all the difference. Whether it’s a dull ache that turns sharp or a fever that doesn’t feel right, understanding when to act could save your life — or at the very least, your appendix.
Understanding Appendicitis: The Trouble with That Tiny Organ
What is appendicitis?
Appendicitis is the inflammation of the appendix, a small pouch attached to the large intestine. It’s a bit of a medical mystery — we’re not quite sure why we have it, and we only really think about it when it causes trouble.
The appendix becomes inflamed when it gets blocked (often by stool, mucus, or an infection). If left untreated, it can burst, spreading infection throughout your abdomen — a serious, potentially life-threatening condition known as peritonitis.
Causes and risk factors
The usual suspects behind appendicitis include:
- Blockages (from hardened stool, tumours, or infections)
- Gastrointestinal infections
- Inflammatory bowel conditions
- Trauma to the abdomen
Appendicitis doesn’t play favourites — it can affect anyone, but it’s most common in people between 10 and 30 years old.
How common is appendicitis in Singapore?
In Singapore, appendicitis is one of the most common causes of emergency abdominal surgery. While exact statistics vary, Singapore General Hospital states that appendicitis affects 5% to 7% of the general population across all age groups.
Appendicitis Symptoms: How to Spot the Red Flags
Early warning signs
Appendicitis can be tricky to diagnose in the early stages. At first, it might feel like a harmless stomachache or gas. But it doesn’t take long for things to escalate.
Common symptoms
- Pain around your belly button that shifts to the lower right abdomen
- Loss of appetite
- Nausea or vomiting
- Low-grade fever
- Constipation or diarrhoea
- Bloating or inability to pass gas
The pain usually becomes more intense over a few hours and worsens with movement, coughing, or deep breaths.
When should you seek medical attention?
If you experience persistent or worsening abdominal pain, especially in the lower right side, don’t wait it out. Delaying Appendicitis treatment increases the risk of a burst appendix — and trust us, you don’t want that.
Even if you’re not sure it’s appendicitis, it’s always better to err on the side of caution and see a doctor. Better safe than septic.
Diagnosis and Treatment: How Singapore Handles Appendicitis
How is appendicitis diagnosed?
Doctors in Singapore take a thorough approach to diagnosing appendicitis. Expect:
- Physical examination – checking for tenderness, especially in the lower right abdomen
- Blood tests – to look for signs of infection
- Urine tests – to rule out kidney issues
- Ultrasound or CT scan – to confirm inflammation or rupture
Because the symptoms can overlap with other conditions (like urinary tract infections or gynaecological issues), imaging tests are beneficial.
Treatment options: surgery vs. antibiotics?
In some mild cases, antibiotics may be used to treat appendicitis — but this approach carries a high risk of recurrence. That’s why surgery remains the gold standard, especially if there’s any risk of rupture.
Appendicitis Surgery in Singapore: What You Need to Know
Laparoscopic vs open appendectomy
There are two main types of appendicitis surgery in Singapore:
Laparoscopic appendectomy | Open appendectomy |
Minimally invasive, using small incisions and a camera. This method typically means quicker recovery, less scarring, and less post-op pain. | Involves a single larger incision. Often used if the appendix has ruptured or complications are present. |
What happens during the procedure?
You’ll be under general anaesthesia. The surgeon removes the inflamed appendix, and if necessary, cleans out any infection in the abdominal cavity. The entire procedure usually takes about 30 to 60 minutes.
After the Operation: What Recovery Looks Like
- How long will you stay in the hospital?
- Most patients stay 1 to 2 days in hospital.
Tips for a smooth recovery:
- Rest, but start walking gently as soon as possible to prevent blood clots
- Avoid heavy lifting for a few weeks
- Stick to bland, easy-to-digest foods at first
- Follow all wound care instructions
- Take your prescribed antibiotics or painkillers as directed
Most patients can return to work or school within 1 to 2 weeks, depending on the surgery type and recovery pace.
What complications should you watch for?
Though rare, complications may include:
- Wound infection
- Internal abscess
- Bowel obstruction
- Adhesions
If you notice increasing pain, fever, or signs of infection, don’t wait — contact your surgeon immediately.
Choosing the Right Surgeon and Clinic in Singapore
When it comes to appendicitis, experience matters. Here’s what to look for:
What makes a good appendicitis surgeon?
- Specialist in general surgery
- Experience with minimally invasive techniques
- Clear communication and a patient-first approach
Why Aelius Surgical Centre?
At Aelius Surgical Centre, appendicitis isn’t just “another case”. We provide rapid assessment, and personalised care.
Conclusion: Don’t Wait Until It Bursts
Appendicitis is unpredictable. It can start as a mild discomfort and escalate quickly — which is why knowing the signs and acting fast is so important.
If you’re experiencing persistent abdominal pain, especially with other symptoms like nausea or fever, don’t risk it. Get checked early. The faster it’s diagnosed, the easier and safer it is to treat!
👉 Think it could be appendicitis? Visit Aelius Surgical Centre to learn more or book a consultation with a trusted expert.