A member asked:

How can you tell if it's a appendicitis?

11 doctors weighed in across 10 answers

Sometimes it is: Difficult to tell even for doctors, and they need to get a ct scan to be sure. Right lower abdominal pain and fever, preceded by nausea and vomiting are classic symptoms, with elevated WBC count and local muscle guarding. But these are classic textbook symptoms, and your appendicitis might be different. Go to er now if you think it might be appendicitis.

Answered 6/10/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Pain: Appendicitis can start with mild pain around the belly button. The pain worsens over time. It can become sharp with loss of appetite, nausea, vomiting & possibly a fever. The pain usually moves toward the right lower quadrant of abdomen. Bouncing or jolting will often make the pain worse. Appendicitis can have varying presentations. If you have severe abdominal pain it is best to get to er.

Answered 11/10/2017

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Dr. Alan Ali answered

Specializes in Psychiatry

Appendix: I agree with dr. Fisher, also, WBC (white blood cell count) is elevated.

Answered 10/4/2016

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Pain: Progressively worsening abdominal pain that moves to the right lower abdomen over 24-648 hours, worsening abdominal pains, hard to walk or move due to the abdominal pain, nausea, sometimes vomiting and fevers.

Answered 3/13/2020

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Dr. Joey Bluhm answered

Specializes in Surgery

Symptoms: Text book description: 24 hours of diffuse pain that now hurts mostly in the the right lower quadrant of the abdomen. +nausea and vomiting. +fevers labs and usually a ct scan is obtained by the er or md to confirm prior to surgery. Sometimes the history of the pain is so "textbook" that a ct scan can be avoided.

Answered 11/3/2013

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Sxs: Sometimes the pain from an inflamed appendix can start around your naval. The pain usually worsens over time and moves to mcburney's point which is in the right lower quadrant of your abdomen. Usually the area is tender when touched or when pressure is released. Things which are jolting like walking or coughing can increase the pain. You likely don’t feel like eating if you have appendicitis.

Answered 10/4/2016

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Difficult: To tell sometimes, because appendicitis symptoms are varied. Usually, nausea and vomiting precedes pain in appendicitis, whereas if it is pain of musculoskeletal origin, it is the other way around. The only way to know for certain is with a ct scan, . And even they can't tell. You should go to er if you have right lower quadrant abd pain with nausea and vomiting.

Answered 12/10/2013

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Dr. Charles Breaux answered

Specializes in Pediatric Surgery

If worried, see doc: The classic symptoms of appendicitis are abdominal pain localizing to the right lower quadrant (rlq) of the abdomen, some nausea and vomiting, and lack of appetite. On exam, there is rlq tenderness. If the appendix has ruptured, pain and tenderness may be throughout the abdomen. Labs generally show elevated white blood count. Abdominal ultrasound or ct scan are increasingly used for dx.

Answered 10/4/2016

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Dr. Charles Breaux answered

Specializes in Pediatric Surgery

No, you should ...: See your doc. The early symptoms of appendicitis are abdominal pain that starts diffusely or around the bellybutton and then localizes to the right lower quadrant (rlq) of the abdomen; some nausea, maybe vomiting; and decreased appetite. Early signs of appendicitis are tenderness that ultimately localizes to the rlq; there is discomfort with movement (e.g., the bumps in the road cause pain).

Answered 2/8/2014

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Dr. John Fung answered

Specializes in General Surgery

Acute inflammation: The appendix is connected to the large intestine - appendicitis is when the appendix opening is blocked, causing increased pressure and then pain, usually as mid-abdominal pain. As the wall of the appendix stretches and the blood flow decreases, bacterial infection and inflammation causes irritation and the pain localizes to the area around the appendix. The risk is rupture, causing peritonitis.

Answered 7/16/2016

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