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After century of removing appendixes, doctors find antibiotics can be enough

arstechnica.com

21–30 of 212 posts

Re: After century of removing appendixes, doctors find antibiotics can be enough

#21

So no need to have appendixes removed prior to being stationed in Antarctica anymore?

Wait is that a requirement?

https://www.dailymail.co.uk/travel/travel_news/article-61678...

Apologies for the source, but I remember reading the same thing in a better source too.

Re: After century of removing appendixes, doctors find antibiotics can be enough

#22

It's interesting, an acquaintance of mine had this happen. Hospitalized, with antibiotics, but just fine, no knife. Definitely surprising to hear about, but I'm glad we're still learning about these kinds of things. Imagine all the things we take for granted that are simply superstition when examined closely.

> Imagine all the things we take for granted that are simply superstition when examined closely.

I see it more as a refinement of knowledge, just like Newtonian mechanics -> relativity. Or perhaps this is a bad example which should be the other way around because surgery works in all cases whereas the antibiotics work in most but not all cases. Ok, never mind :)

Re: After century of removing appendixes, doctors find antibiotics can be enough

#23

It's interesting, an acquaintance of mine had this happen. Hospitalized, with antibiotics, but just fine, no knife. Definitely surprising to hear about, but I'm glad we're still learning about these kinds of things. Imagine all the things we take for granted that are simply superstition when examined closely.

I had my appendix removed in January and the doctors told me back then that it's sometimes treated with antibiotics but you risk having appendicitis again. I'm pretty sure I had chronic appendicitis so I was really glad to be rid of it.

Re: After century of removing appendixes, doctors find antibiotics can be enough

#24

Earlier quoted context omitted.

Being a person fairly interested in medical science and lacking insurance I always take care to have some antibiotics for just a case (I ask friends from Russia to get them for me, you can buy antibiotics without prescriptions there) although I hardly ever use any actually. Needless to say, I'm going to take quite a selection with me when I travel to some place where they're hard to get and there are no doctors aroun…

> I ask friends from Russia to get them for me http://www.chicagotribune.com/news/ct-xpm-2002-09-01-0209010...

Would you mind telling what's there? It says "Unfortunately, our website is currently unavailable in most European countries..." as I open it directly and shows no article body as I open it through us.ixquick-proxy.com.

Re: After century of removing appendixes, doctors find antibiotics can be enough

#25
A friend (in UK) had a similar condition called diverticulitis wherein the intestine makes a new pouch and it gets infected.

They were treated only with IV antibiotics (and pain killers) but spent almost a week in hospital vs people attending for surgeries who were out again in a couple of days.

I imagine _if_ it requires a longer hospital stay that will override the medical necessity.

Perhaps samples could be taken, eg of stool, in order to select bacteria with which to reseed the intestine? I suppose that's quite labour intensive.

Re: After century of removing appendixes, doctors find antibiotics can be enough

#26

So what is the biological mechanism at work here? Take boatloads of antibiotics and kill most of your intestinal flora, so that inflammation on the appendix is reduced? (If I'm completely of the mark please correct me, it's been years since I had any biology related coursework) With all the recent studies of the evolving antibiotic-resistant properties of bacteria and the importance of mantaining a healthy intestinal…

The whole point of the appendix is maintaining a healthy gut flora, so removing it for the sake of avoiding antibiotics that impact the gut flora doesn't seem that wise.

https://en.wikipedia.org/wiki/Appendix_(anatomy)#Maintaining...

Re: After century of removing appendixes, doctors find antibiotics can be enough

#27

Earlier quoted context omitted.

> I ask friends from Russia to get them for me http://www.chicagotribune.com/news/ct-xpm-2002-09-01-0209010...

Would you mind telling what's there? It says "Unfortunately, our website is currently unavailable in most European countries..." as I open it directly and shows no article body as I open it through us.ixquick-proxy.com.

A tl;dr summary...

> A US Special Forces soldier bought fish antibiotics at a pet store to treat his sinusitis. It did not work out.

--

I grew up in an area with 6 to 8 different military bases and it is fairly common knowledge in military areas that you can sometimes get away with using fish antibiotics to treat human infections. And in a lot of cases the pills are exactly the same. But sometimes not.

Re: After century of removing appendixes, doctors find antibiotics can be enough

#29

That's great to hear. However, keep in mind that appendicitis is still an extremely serious condition that will kill you if left untreated. The fact that you can avoid surgery in some cases doesn't mean that surgery is not an adequate treatment. It's amazing how medicine has advanced: We can now cure illnesses with very minimal amount of invasiveness required in most cases. Even before this news, open surgery was alr…

Appendicitis will kill you! And the surgery in most cases will save you. :) At least in my case.

I technically died from a ruptured appendix and spent 9 days in ICU. The doctors delayed surgery to see if the antibiotics would work. This was ~10 or so years ago.

Re: After century of removing appendixes, doctors find antibiotics can be enough

#30

Earlier quoted context omitted.

Would you mind telling what's there? It says "Unfortunately, our website is currently unavailable in most European countries..." as I open it directly and shows no article body as I open it through us.ixquick-proxy.com.

A tl;dr summary... > A US Special Forces soldier bought fish antibiotics at a pet store to treat his sinusitis. It did not work out. -- I grew up in an area with 6 to 8 different military bases and it is fairly common knowledge in military areas that you can sometimes get away with using fish antibiotics to treat human infections. And in a lot of cases the pills are exactly the same. But sometimes not.

Thanks. A nice-to-know lifehack, I just really hope I'm not going to need it but who knows... BTW I've actually bought pure butyric acid in a fish food store to produce sodium butyrate in my kitchen and take it instead of the human-approved supplement which is available on Amazon but is fairly expensive by the east-European income standards (and, according to the scientific papers I've found so far, hardly does anything if taken in the doses it is usually packed in).
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