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Anatomical landmarks, front view
Anatomical landmarks, front view
Digestive system
Digestive system
Appendectomy  - series
Appendectomy - series


Appendicitis

Symptoms:

The symptoms of appendicitis vary. It can be hard to diagnosis appendicitis in young children, the elderly, and women of childbearing age.

Typically, the first symptom is pain around your navel. (see abdominal pain.) The pain initially may be vague, but becomes increasingly sharp and severe. You may have reduced appetite, nausea, vomiting, and a low-grade fever.

Text Continues Below



As the inflammation in the appendix increases, the pain tends to move into your right lower abdomen and focuses directly above the appendix at a place called "McBurney's point."

If the appendix ruptures, the pain may lessen briefly and you may feel better. However, once peritonitis sets in, the pain worsens and you become sicker. 

Abdominal pain may be worse when walking or coughing. You may prefer to lie still because sudden movement causes pain.

Later symptoms include:

  • Fever
  • Loss of appetite
  • Nausea
  • Vomiting
  • Constipation
  • Diarrhea
  • Chills and shaking


Signs and tests:

With appendicitis, pain increases when the abdomen is gently pressed and then the pressure is suddenly released. If peritonitis is present, touching the abdomen may cause a spasm of the abdominal muscles. A rectal examination may identify abdominal or pelvic pain on the right side of your body.

Doctors can usually diagnose appendicitis by your description of the symptoms, the physical exam, and laboratory tests alone. In some cases, additional tests may be needed. These may include:

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