There has been a lot of controversy recently in the scientific community about the possibility of treating the appendix without surgery, and sufficing with antibiotics only for patients with mild and moderate appendicitis, who do not suffer from the accumulation of pus or the risk of its rupture, but the extent to which these patients respond to antibiotic treatment is still It is not clear whether appendicitis can recur after weeks, months or years, and there are still studies in this regard.

Despite the emergence of some evidence to support the theory of treating mild appendicitis with antibiotics, there are concerns in this regard for scientists, as it may be difficult to know the appendix that is not at risk of complications except during surgery to remove the appendix, and some stakeholders explain the possibility of recurrence Infection later with antibiotic treatment alone.

In a Swedish study conducted on 252 male patients ranging in age from 15 to 50 years, they were randomly selected to undergo surgery or antibiotic treatment, and those at risk of complications were excluded, and some of them underwent intravenous antibiotics for two days, and then took them. Orally for 10 days, those who did not respond to antibiotic therapy for 24 hours were referred to urgent surgery.

Statistics indicate that a large proportion of those who underwent antibiotics actually responded to treatment, but the rest of them experienced a new bout of appendicitis, and most of these attacks were in the first year after treatment, which necessitated surgery to eradicate them.

In general, although antibiotic therapy has been suggested as an effective alternative for treating mild appendicitis, surgery is still the first treatment option.