KABUL (SW) – Doctors in Kabul warn that appendicitis in women can have serious consequences, and in many cases, misdiagnosis can lead to infertility.
They explain that this condition can be triggered by certain foods, such as those causing stomach blockages, as well as other digestive disorders.
Appendicitis is an inflammation of the appendix, a small tube-like structure attached to the large intestine. The appendix plays a role in the body’s immune system, producing lymph and contributing to immunity.
Medad Daneshwar, an internal medicine specialist, explains the causes of appendicitis in women: “Various factors can lead to appendicitis, including the blockage of the appendix due to waste materials or external objects, such as certain fruits and vegetables like lemon and orange kernels. Additionally, tumors, infections, and certain digestive disorders can also contribute to appendicitis.”
Doctors believe that some gynecological diseases can mimic the symptoms of appendicitis. As a result, proper examination is critical for accurate diagnosis.
Sonita Bahram, a gynecologist, comments, “Some gynecological conditions, such as ovarian problems, uterine adhesions, ectopic pregnancies, and certain inflammations, can resemble appendicitis. Incorrect diagnosis can lead to unnecessary surgeries for women. To ensure a correct diagnosis, blood tests, ultrasound, and CT scans should be conducted.”
She also emphasizes that raising public awareness about health maintenance is crucial. “If women are educated about proper health practices, stay hydrated, and prevent gynecological infections, they can reduce the risk of developing such conditions. They should drink at least 2-3 liters of water daily and engage in at least 30 minutes of physical activity.”
Women who have undergone appendicitis surgery share their experiences. For example, 35-year-old Forozan says, “When I had appendicitis, I experienced fever, abdominal pain, and nausea. After visiting a doctor and undergoing tests, it was determined that I needed immediate surgery. Fortunately, the surgery was successful.”
Eighteen-year-old Hadiya shares: “I suddenly felt sharp abdominal pain, and my right leg went numb. Over time, I developed nausea. My surgery was performed at a (Kabul-based) hospital, and I am completely satisfied with the treatment and the doctor’s care. After the surgery, I had no further issues, but the anesthesia caused temporary memory loss.”
Twelve-year-old Huda from Kabul, who had a similar experience, also says, “I had no clear reason for developing this condition. I had a fever, severe abdominal pain, and nausea. The doctor recommended immediate surgery, which was successful, and it didn’t affect my daily life afterward.”
Najibullah Amarkhil, a surgical specialist, states that the appendix is an important immune organ, and its removal before inflammation is not advisable.
“Removing it lowers the body’s immunity and increases the risk of tonsil infections. The appendix is necessary for some medical issues; for example, if a part of the body is injured by a knife or gunshot wound, the appendix can be used for transplants,” he said.
He adds that 25% of appendicitis surgeries in women are misdiagnosed globally, leading to negative outcomes, especially in terms of fertility.
“In women, surgery should not be performed before the appendix becomes diseased, as it increases the risk of infertility. Removing the appendix without medical necessity can have adverse effects,” Amarkhil added.
Recent research in the United States indicates that 5-10% of people will experience appendicitis during their lifetime, with over 300,000 appendectomies performed annually. Studies suggest that factors such as diet, chronic constipation, and family history may increase the likelihood of developing appendicitis.
