<s>[INST] Hello Doc. I am 27 year old female a wife & a mother. i hav got breathing problem. since 1 day i was having excessive pain in right side of my lower abdomen. my family  doc suggested my for sonagraphy also she checkd my bp whicChatDoctore 140/70 is it ok & also i got vibration in my whole body. whn my sonography was done it was examined that i am having acute appendix. i wanted to ask u is it curable by taking medicinal course or should i get it operated. please help [/INST] Hi ! Appendicitis is more of a clinical diagnosis and sonogram may be a corroborative investigation in arriving at the diagnosis. However, once you are being examined by your treating doctor and the sonogram also shows that you have got acute appendicitis, then the right treatment for this condition is emergency surgery after doing all other routine investigations like blood and urine test. Not infrequently some physician treat this with antibiotics to control the infection without surgery, but this carries the risk of perforation and other complications related to appendix and so I as a surgeon would not advise you for the same. The Blood Pressure checked for you does not need any treatment for the time being as the upper (systolic) level could be due to the pain in abdomen. The vibration in your body is also not related to your present symptoms of pain abdomen. This might be due to the anxiety factor if no other neurological problem is faced by you. I would suggest you to consult a general surgeon at the earliest for management of acute appendicitis. Wishing you an early recovery. </s>