Ayurvedic Management of Acute Appendicitis: A Case Report.

Background: Appendicitis is a common condition typically treated surgically via appendectomy. However, recently there has been increased interest in non-surgical treatment options, such as antibiotics, to avoid risks of surgical complications. Objective: This case report describes a non-surgical, Ayurvedic intervention for uncomplicated acute appendicitis (without perforation). Case Presentation: A 25-year-old male was admitted to hospital and diagnosed with acute appendicitis. Initial management included a single dose of multiple intravenous medications, including antibiotics, an antiemetic, and a proton pump inhibitor. However, he refused laparoscopic appendectomy. The patient sought an Ayurvedic consultation immediately after discharge from the hospital. Intervention: The patient was prescribed an herbal regimen, provided with dietary recommendations, and followed-up closely over the following two weeks. Primary Outcome Measures: The primary outcome measures were visualization and measurement of the appendix via abdominal ultrasound, and pain score (on a scale of 0-10). Results: The patient demonstrated rapid and sustained symptom resolution, with his pain score decreasing from 8 to 0 over two weeks. There was also normalization of diagnostic imaging findings, with the patient's appendix decreasing in size from 9 mm to