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Appendicitis- treated with antibiotics as an alternative to surgery - but it wasn’t without its problems..

13 replies

appendixless · 23/08/2026 11:40

In the UK - I was diagnosed with CT confirmed uncomplicated appendicitis and wanted and expected an appendectomy as i understood that to be the most appropriate treatment for me.

The NHS surgeon refused to take my appendix out. He told me “surgery to treat appendicitis is outdated and a mistake of the past and antibiotics is better and the future of treatment”. When I continued to argue for surgery - telling him that neither he nor I knew what was causing my appendicitis nor what condition my appendix would be left in after treatment. I explained that this was important to me as I live on a remote island with no doctor and work offshore as a commercial diver so I needed a definitive cure. He replied that after treatment my appendix would “shrivel up and be cured” and that “there is a mortality associated with surgery, don’t you know” and that the reoccurrence rate of appendicitis after antibiotic treatment is “15%”. I went further - I said I ran a business and had employees so couldn’t afford to risk reoccurrence - his reply was “..the antibiotic treatment option will be like money in the bank for your business.” What he was saying seemed unsupportable to me - the surgeon seemed to me to be on a bit of a one-man-crusade to prove antibiotics was better than surgery.

The surgeon continued to resolutely refuse surgery and treated me with triple IV antibiotics and IV paracetamol - up to 15 infusions pumped into me per day - for 5 days until. The surgeon then discharged me telling me I was cured.. As I was discharged I said to the surgeon “this has all been a bit experimental”. The surgeon snorted down his nose in reply and said “you have no more chance of coming back in here with appendicitis than the average man in the street”. Well that sounded pretty emphatic - but luckily I didn’t believe a word of it….

My GP was horrified with how I had been treated and said “I don’t want you with a dodgy appendix any more than you want to have a dodgy appendix”. He referred me to a big hospital in Glasgow for a second opinion and to get my appendix out - and wrote an escalation letter shortly afterwards. However, that referral (unbeknown to me and my GP) was effectively refused and put on a one year wait list.

Eventually, 4 months later, I gave up on the NHS and borrowed money and paid a private surgeon in Glasgow to take my appendix out for me. That’s when the tumour in my appendix was found that had caused my appendicitis. As a 47 year old a tumour causing appendecitis is not that uncommon, it’s often not visable in scans, and that’s why the appendix is removed, especially in older patients.. Because it was left in me it had gone on to rupture, probably twice, so had become a stage 4 tumour (no longer contained) and appendectomy no longer considered curative..

As a wee bonus - I’ve also been diagnosed with Metronizadol nurotoxicity which was one of the IV antibiotics pumped into me in vast quantities. This has caused persistent and seemingly 2 years later permanent brain injury and possibly peripheral neuropathy.. So the antibiotics option did not work out too well for me.

I’ve subsequently found out that the real-world long-term reoccurrence rate of appendicitis after antibiotic treatment is about 50%.. The 15% the NHS surgeon quoted was hopelessly misleading. In fact it seems the surgeon was fanatical about the use of antibiotics to treat appendicitis. A experienced colorectal surgeon later told me that there is a minority of surgeons out there who are ”evangelical” about the use of antibiotic for appendicitis and in his view a danger to patent safety.

My question is - are other people out there being misinformed about the risks and being treated with antibiotics instead of surgery..? What are you being told..? I’m very, very keen to hear you experiences relating to all ages..

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DraftLovely · 23/08/2026 11:50

That is a shocking tale and I will keep it in mind for any appendix related issues. I have come up against various doctors refusing treatment and advising incorrect treatment for medical issues but not appendix related. Some, if followed, would have killed me.

I'm very sorry you were treated so badly and that you are suffering the consequences. I hope grievances are followed up for that doctor.

ManyATrueWord · 23/08/2026 12:55

Thank you for sharing. I have taken this all one board.

Soontobe60 · 23/08/2026 12:58

How come the CT scan didn’t pick up the tumour?

appendixless · 23/08/2026 13:10

Unless large, they usually can’t be seen when they cause appendicitis because the appendix is inflamed.. They are termed ‘radiologically occult’. They are usually found in pathology after appendectomy as a surprise finding in about 3% of appendectomies, but mostly in older patients. In the older patent age group (over 40) the rate is about 7%. That’s why they are normaly taken out - because the only way to find out what is causing appendicitis is down a pathologist microscope. But if they are left in - what then..? Antibiotic treatment was promoted during COVID it minimise surgical admissions as peak of the pandemic - and most surgeons/centers have gone back to taking them out.. ..but there are a few misinformed surgeons out there who think they are revolutionaries and enthusiast about using antibiotics as a first line of treatment - they are creating a appendix cancer time bomb in the population - I’m far from the only one who has had a tumour causing my appendicitis and treated with antibiotics.. And if I had believed the surgeon..? Appendix cancer after rupture is indolent and the peritoneal malignancy can grow and spread for many many years before becoming symptomatic - but by then the chance to cure it by just taking the appendix out is lost.. This is a scandal in the making..

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TheOtterly · 23/08/2026 14:34

This is appalling. Is this NICE protocol? Is anyone learning lessons from this?

appendixless · 23/08/2026 15:17

TheOttey - funny you should mention NICE..

I looked up the NICE guidance to see if it supported what my NHS surgeon did. It did not. However I noticed many omissions and mistakes and one totaly false reference in the guidance - in other words the guidance was dangerously misleading.. I pointed it out to my current NHS consultant colorectal surgeon and he just shrugged his shoulders and said yes the guidance was “nonsense”. He was right, and the implication is he just ignored them.

So I wrote to NICE and I pointed out the numerous misleading mistakes and omissions and the false information in the NICE clinical guidance on appendicitis diagnosis and treatment. NICE accepted my corrections in full, and substantially rewrote the diagnosis and treatment section. If you look it up you can see it in the document history online - though of course they call it a “minor update”.. There was no notice put out that the previous information was incorrect. They blamed the mistakes on “outsourcing” - I kid you not.. These guidelines cover 55,000 appendectomies per year in the UK. I still wouldn’t put my name to them - but at least they are now a bit less dangerously misleading. I’m just a patient - why in the world should I need to correct the NICE guidance?

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Singleorigincoffee · 23/08/2026 15:32

Surprising that he thinks its outdated when my friend who qualified for a Dr said if there's any inflammation or you're in the area of the appendix, its safer to take it out?

I know they did when I had a cyst, weekend so no scan, they just went in an lopped it off via keyhole even if suspected appendicitis I was a bit surprised but I spoke to my Dr friend after and they said its protocol.

WOULD recommend speaking to The NHS complaint helpline PALS

Lentilcakes · 23/08/2026 16:40

Blimey. It’s a good job you are so on the ball and amazing you got the NICE guidelines changed.
I have a few health issues and I have found you have to really push for a proper explanation on the NHS. I had a consultant give me a diagnosis over the phone after an A&E visit and rudimentary follow up tests. He said ‘you’ll be fine, it’s a one-off event’. I immediately googled and found that it’s potentially fatal. I mean WTF. I emailed him straight back and he reluctantly referred me for next stage of testing ‘if i want’. Well yes I’d rather be diagnosed by an actual cardiologist and not a ‘general’ Dr who slagged off his colleague to me (one who treated me in A&E who I thought was very professional and thorough).

appendixless · 23/08/2026 16:40

Single origin coffee - your Dr friend is correct - best to get it out as nobody can tell what’s causing it or how likely it is to recur - who needs that risk - best get it out if fit for surgery in my experience..!!

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poolshoes · 23/08/2026 16:54

Wow, I’m shocked at that. My siblings and I have all had our appendix out (we must have bad ones), surgery was either emergency or happened quickly once diagnosed.

Nursemumma92 · 23/08/2026 17:18

Wow I can't believe you were treated this way, this is so awful. I have never heard of a CT confirmed appencidicitis being treated with antibiotics only. Always surgical removal.

Definitely make a formal complaint via PALS/Patient Experience team at your hospital trust, this is unacceptable practice going against NICE guidelines and has caused you preventable harm.

Soontobe60 · 24/08/2026 08:42

appendixless · 23/08/2026 15:17

TheOttey - funny you should mention NICE..

I looked up the NICE guidance to see if it supported what my NHS surgeon did. It did not. However I noticed many omissions and mistakes and one totaly false reference in the guidance - in other words the guidance was dangerously misleading.. I pointed it out to my current NHS consultant colorectal surgeon and he just shrugged his shoulders and said yes the guidance was “nonsense”. He was right, and the implication is he just ignored them.

So I wrote to NICE and I pointed out the numerous misleading mistakes and omissions and the false information in the NICE clinical guidance on appendicitis diagnosis and treatment. NICE accepted my corrections in full, and substantially rewrote the diagnosis and treatment section. If you look it up you can see it in the document history online - though of course they call it a “minor update”.. There was no notice put out that the previous information was incorrect. They blamed the mistakes on “outsourcing” - I kid you not.. These guidelines cover 55,000 appendectomies per year in the UK. I still wouldn’t put my name to them - but at least they are now a bit less dangerously misleading. I’m just a patient - why in the world should I need to correct the NICE guidance?

Really? So NICE, the National Institute for Health and Care Excellence took the word of an off-shore diver and accepted my corrections in full, and substantially rewrote the diagnosis and treatment section ? I don’t think so…

appendixless · 24/08/2026 09:21

Yep - if you look on the webpage you can see in the update history that it was updated in 2025. If you really don’t believe me - send me your email and I’ll forward you my email to NICE and the response email I got from NICE - please don’t question my integrity for pointing out that the system you are assumably part of is broken - behaviour like that is part of the problem.

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