How does someone come to the conclusion that intestional pain is to the point of being appendicitis?

Maybe your right but: Causes of recurrent abdominal discomfort as described may be identified by first addressing signs/symptoms so as to localize the organ involved: in women: vaginal discharge or bleeding, alteration in periods, pregnancy risk? Fever, nausea, vomiting, altered stool pattern, blood with stool, tenderness, distension? Painful urination, blood in urine? Recent trauma, herniation? Stressors? Other risks?