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Appendicitis
If you're experiencing persistent abdominal pain, low fever, or nausea, appendicitis may be to blame. At GastroDoxs in Houston, Dr. Scott provides prompt diagnosis and personalized treatment plans-ranging from medication to minimally invasive surgery-to ensure fast recovery and lasting peace.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Blockage of the appendix opening by hardened stool (fecalith)
Bacterial or viral infections in the digestive tract
Family history of appendicitis
Age between 10 and 30 years
Low-fiber, high-processed food diet
Signs and Symptoms
Initial dull ache around the belly button
Pain shifting to and intensifying in the lower right abdomen
Loss of appetite
Nausea or vomiting
Low-grade fever and chills
Abdominal swelling or bloating
Pain that may come and go in early stages
How Dr. Scott Diagnoses Appendicitis?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptom timeline-often epigastric or periumbilical pain that migrates to the lower right abdomen-along with appetite changes, nausea/vomiting, and any family history of appendicitis. A focused exam checks for rebound tenderness, guarding, and signs like the Rovsing or psoas maneuver.
Blood Tests
We obtain a complete blood count to look for elevated white blood cells and measure C-reactive protein (CRP) to gauge inflammation.
Imaging Studies
Abdominal ultrasound to visualize an enlarged, noncompressible appendix and assess for fluid collections.
Contrast-enhanced CT scan when the ultrasound is inconclusive or the presentation is atypical.
Advanced Testing (if needed)
In rare or equivocal cases, a diagnostic laparoscopy may be performed. This minimally invasive procedure lets Dr. Scott directly inspect the appendix and often treat it in the same setting.
Treatment
Our Team offers a full range of care for appendicitis.
1. Lifestyle and Diet Support
Start with clear fluids like broth and water
Slowly add fiber-rich foods as tolerated
Avoid heavy, greasy, or hard-to-digest meals
Maintain adequate hydration by drinking plenty of water
2. Medications
Antibiotics to fight or prevent infection
Pain relievers to reduce discomfort
IV fluids if you are dehydrated or need rapid rehydration
3. Minimally Invasive or Advanced Procedures
Laparoscopic appendectomy using small incisions for faster recovery
Open appendectomy for more complex or advanced cases
Enhanced recovery protocols to help you heal quickly and return home sooner
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What are the four stages of appendicitis?
They include early inflammation, increasing pain, tissue damage, and possible rupture.
What does appendicitis feel like?
It often starts as a dull ache near the belly button that becomes sharp in the lower right abdomen.
Can food cause appendicitis?
Not directly, but a low-fiber, high-processed food diet may increase your risk.
Can the pain come and go?
Yes. Early on, the discomfort may be intermittent before becoming constant and severe.
When should I see a doctor?
If you experience lower-right abdominal pain, nausea, vomiting, or fever, seek medical attention immediately.
Is surgery always required?
Most patients undergo appendectomy-often laparoscopic-to remove the inflamed appendix.
How long is recovery after surgery?
Typically, patients go home in 1-2 days and return to normal activities within 1-2 weeks.
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