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Appendicitis is more common in male may be because of active dynamic life and specific life style, nothing approved this when it comes to evidence based medicine,also there is speculations that appendicitis affecting teen more than other group of patients because possibility of lumen's obstruction is high , again this is not supported by evidence based medicine.

The others possibility is inheritance ; appendicitis more common when member of family develop it , why this ? The only explanation is inheritance . But why it's more common in male ; again the possible explanation is inheritance.

The other possible cause is type of diet: no thing proved by research, however diet is predisposing factor , but why specific type of diet cause appendicitis ? Nothing proved by solid research.

The other possibility is genetic constitution:

Appendicitis may be under diagnosed in women because assumption that the symptoms are due to pelvic organs pathology rather than appendicitis and this makes diagnosis less in women , on contrary men with right side lower abdominal pain the first differential diagnosis would be acute appendicitis.

The other possible cause is relatively easy diagnosis in men compared to women.

The other possible cause is modern antibiotics ; use of antibiotics may abolish appendicitis in women if mistreated for urinary tract infection ir pelvic infection .

All these information are not supported by strong evidence from literature.

I hope this had answered the question

Mr Abdulzahra Hussain , FRCSI,FRCSENG ,FRCS(Gen.Surg)

UK

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Q: Why is appendicitis more common in males?
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