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Doctor insights on: Does Appendicitis Always Present With Its Typical Symptoms

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Dr. Barry Rosen
1,078 doctors shared insights

Appendicitis (Definition)

Appendicitis is inflammation of the appendix which is a finger-shaped pouch that projects off of the colon. It causes right lower quadrant pain that radiates and becomes worse over time. Common symptoms are abdominal pain localizing to the right lower quadrant, nausea or vomiting, and loss of appetite. Appendicitis is treated with IV fluids + antibiotics and appendectomy (surgical removal of the appendix) either as an ...Read more


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Can early symptoms of appendicitis be present for a week?

Can early symptoms of appendicitis be present for a week?

Not really: Appendicitis generally evolves over 12-24 hours. Either the diagnosis is made and the appendix is removed, or the appendix ruptures and other treatment ensues; the appendix may or may not be removed at a later date. Symptoms that persist for a week are unlikely to be related to appendicitis, but should still be evaluated. See your doctor. ...Read more

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What are the mail symptoms of appendicitis? Is fever always present? Thanks

No: Fever is not always present in appendicitis. Symptoms typically start with generalized abdominal discomfort, constipation, and pain around the belly button. Over 24-48 hrs, the pain typical moves down to the right, lower abdomen and becomes more severe (hurts to walk or go over bumps in the car). At this point, the pain may be associated with: nausea, vomiting, fever, and chills. ...Read more

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What are the differences in symptoms between appendicitis and a typical upset stomach for kids?

What are the differences in symptoms between appendicitis and a typical upset stomach for kids?

Pain: A typical "upset stomach" causes nausea and/or vomiting, and maybe a pain in the center of the stomach that might get better after vomiting. Appendicitis causes pain in the lower right side of the abdomen, often with loss of appetite, possibly a little diarrhea, and usually fever. The pain usually gets steadily worse. Often some tests are needed to see if it is an early/atypical appendicitis. ...Read more

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I have had pain in my lower abdomen for 7 months and it comes and goes, doctor says typical appendicitis symptoms but not enough to be removed. ?

I have had pain in my lower abdomen for 7 months and it comes and goes, doctor says typical appendicitis symptoms but not enough to be removed. ?

See a GI: If you haven't seen a gastroenterologist, now would be a good time to schedule a consultation. Imaging and endoscopic studies can help establish the diagnosis. ...Read more

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Does appendicitis always present with elevated white blood count in the later stages, say, after a month?

Does appendicitis always present with elevated white blood count in the later stages, say, after a month?

No: extremely unusual for appendicitis to last for more than a few days. However, WBC can be normal throughout the time you have it. ...Read more

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The past 2 days, I've had almost all symptoms of chronic appendicitis. I don't want to overreact. How do I know if it's chronic appendicitis for sure?

The past 2 days, I've had almost all symptoms of chronic appendicitis. I don't want to overreact. How do I know if it's chronic appendicitis for sure?

See a doctor: Chronic appendicitis is extremely rare. If you have been having symptoms for two days, that is not a long enough period to consider chronic. However, if you have had the same symptoms previously then it is possible that you have chronic appendicitis. If you symptoms do not improve or worsen, you should be evaluated by a healthcare provider. Left untreated appendicitis can be life threatening. ...Read more

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If my teenage daughter gets sharp pains in her side and has some symptoms of appendicitis, what is the danger? She is 15 and just recently got the sharp pains in her side. She can't stand because it hurts so bad.

Concerns: Young females may have periodic discomfort from ovaries, bleeding, mittleschmirtz?Sp as well as GI issues, from appendicitis, ileitis, meckel's diverticulum etc. Needs real exam full history- keep a log of time/ area/ other things going on. ...Read more

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Symptoms of appendicitis.

Symptoms of appendicitis.

Ok: Pain from appendicitis can be midline, rlq, llq or back, or pelvic depending on the location intra abdominal . Or retroperitoneal. May start central and gradually move to rlq. Anorexia, nausea and sometimes vomiting. ...Read more

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