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A 39-year-old female asked:

with an appendicitis, is the pain consistent or does it come and go? i'm having sharp pains in my lower right abdominal area. they have come and gone for about a week. but today, the pain has increased and ongoing and it moves from the front to the back.

3 doctor answers9 doctors weighed in
Dr. John Fung
Dr. John Fung answered
General Surgery 39 years experience
Appendicitis : Appendicitis is inflammation of the appendix, which is an outpouching from the large intestine. This usually occurs from blockage of the opening of the appendix, usually from a fecolith in adults, and often from a viral infection in children. While there are variations of the presentation of the symptoms of appendicitis, in general, the first symptom is often an aching pain that begins around your belly button (navel). The pain may be minor at first, but it becomes more sharp and severe. Your appetite will be reduced and you may have nausea, vomiting, and a low fever. As the swelling in the appendix increases, the pain will shift to your right lower abdomen, to a point right above the appendix (called mcburney's point). This most often occurs 12 to 24 hours after the illness starts. Over the next few hours, there may be increased pain when you walk, cough or move. You may prefer to lie still because sudden movement causes pain. As the infection worsens, the risk for your appendix ruptures, spilling the contents of the colon and infected appendix in to abdominal cavity leading to peritonitis, increasing the risk of complications and death. Although your presentation is not classical for appendicitis, there are many other causes of abdominal pain, if you are having worsening pain, you should be seen by a physician for additional testing, including blood work, urine testing, ultrasound or ct scan.
Dr. Patrick O'Neill
General Surgery 24 years experience
With : With the limited information you have provided, i think its best to say that you need to be seen by a medical professional (physician, nurse practitioner, physician assistant, etc.). The possibilities are vast and are both surgical and non-surgical. My best advice is to see your pcp, go to an urgent care, or go to an emergency department to be evaluated.
Dr. Mark Hoepfner
General Surgery 39 years experience
Usually : Usually appendicitis is a progressively worsening abdominal pain that gets worse in the right lower abdomen over a few days. It is usually associated with nausea and not wanting to eat, and less common fevers. But appendicitis also can act very differently from one person to the next. You should have your doctor examine you to to be sure.

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Last updated Mar 2, 2019

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