Abstract Title:

A case of nonpharmacologic conservative management of suspected uncomplicated subacute appendicitis in an adult male.

Abstract Source:

J Altern Complement Med. 2011 Mar;17(3):275-7. Epub 2011 Mar 9. PMID: 21417813

Abstract Author(s):

Nathan Gershfeld, Peter Sultana, Alan Goldhamer

Article Affiliation:

TrueNorth Health Center, Santa Rosa, CA 95404, USA. [email protected]


BACKGROUND: Appendicitis is an acute condition of the abdomen that is treated with surgical intervention. Conservative treatment of appendicitis currently involves intravenous antibiotics. While conservative care is a useful tool in apprehensive patients, in conditions such as appendicitis, delays in proper treatment can be life threatening. In spite of this, some patients will still refuse surgical and pharmacologic intervention, which can significantly limit the physician's therapeutic options.

SUBJECT: Sonographic evidence is presented of appendicitis in a patient who strongly desired to avoid pharmacologic or surgical intervention.

RESULTS: The patient underwent a medically supervised water-only fast followed by a plant-based, low-fat, low-sodium diet and achieved a significant reduction and eventual elimination of symptoms.

CONCLUSIONS: This case demonstrates the need for further research on the effects of medically supervised water-only fasting and careful refeeding in cases of uncomplicated appendicitis.

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Sayer Ji
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