Got chronic appendicitis in high school and should I have the surgery during the winter vacation?

Patient's question:

Doctor, I am a parent of a child. My child is currently in high school. He suddenly developed chronic appendicitis, and the final exams are coming up soon. I would like to have him receive intravenous fluids to delay the surgery until the winter break. Is that possible? He is currently receiving ceftriaxone, but the anti-inflammatory medication is causing him a lot of pain. I would like to ask if it is possible to administer pain medication along with the anti-inflammatory medication?

Doctor's answer:

Appendicitis is being treated with anti-inflammatory therapy. Currently, it is not recommended to use painkillers because they can easily mask the condition, and if symptoms subside again, there is a possibility of recurrence of perforation. This could lead to diffuse peritonitis, and if this situation occurs again, timely surgical treatment is still necessary. Appendicitis is being treated with anti-inflammatory therapy. Currently, it is not recommended to use painkillers because they can easily mask the condition, and if symptoms subside again, there is a possibility of recurrence of perforation. This could lead to diffuse peritonitis, and if this situation occurs again, timely surgical treatment is still necessary.

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