From the Research
Epiploic appendagitis is typically treated with conservative management, focusing on pain relief and allowing the condition to resolve on its own. The mainstay of treatment involves nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen 400-600mg every 6-8 hours or naproxen 500mg twice daily for 7-10 days to reduce inflammation and manage pain, as reported in the literature 1. Rest is recommended during the acute phase, which usually lasts 3-7 days. Most cases resolve spontaneously within 1-2 weeks without specific intervention. Warm compresses applied to the painful area for 15-20 minutes several times daily may provide additional comfort. Unlike appendicitis, epiploic appendagitis does not require surgery or antibiotics in uncomplicated cases, as noted in the study 1. If pain is severe, your doctor might prescribe stronger pain medications temporarily. It's essential to stay hydrated and maintain a light diet during recovery. You should seek medical attention if symptoms worsen, fever develops, or pain persists beyond two weeks, as these could indicate complications or a different diagnosis. The condition occurs when small fat-filled sacs (epiploic appendages) attached to the colon become twisted or inflamed, causing localized pain that can mimic other more serious abdominal conditions. Key points to consider in the treatment of epiploic appendagitis include:
- Conservative management with NSAIDs and rest
- No requirement for surgery or antibiotics in uncomplicated cases
- Monitoring for potential complications or alternative diagnoses
- Maintenance of hydration and a light diet during recovery
- Seeking medical attention if symptoms persist or worsen, as supported by the study 1.