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

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Dr. Barry Rosen
1,107 doctors shared insights

Appendicitis (Definition)

The inflammation of the appendix which can cause right lower quadrant pain that radiates and ...Read more


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With strep, at what point does fever present? I have the other symptoms, but no fever yet. The symptoms started to present this morning.

With strep, at what point does fever present? I have the other symptoms,  but no fever yet. The symptoms started to present this morning.

Could be virus.: Usually with strep throat you're going to have a fever right from the beginning when you have pain. Not everyone runs a fever. I have had my share of strep throats without a fever. It all depends on how your immune system reacts. Many sore throats are not strep but are actually viruses. The only way to tell the difference is to see your doctor. If you are not running a fever I suspect a virus. ...Read more

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When someone has brain tumor, does the dizziness usually come with severe symptoms? Or is it usually without other symptoms.

When someone has brain tumor, does the dizziness usually come with severe symptoms? Or is it usually without other symptoms.

Hmm...: Depending on the site in the brain where a potential tumor is... The symptoms can be varied... Often, most tumor are discovered because symptoms are persistent. Dizziness is very non-specific... Vertigo would be more specific. When someone is taking Claritin (loratadine) and sudafed, they can get dizzy ...Read more

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Does constipation occur as an isolated symptom of ms? Does it always occur at the same time as other neurological symptoms?

Does constipation occur as an isolated symptom of ms? Does it always occur at the same time as other neurological symptoms?

No: The most common cause of constipation is the diet. The first thing to do is to get a history of what the patient is eating. The function of the colon is to re absorb water from the gut back into the body. Some foods act counter to that-mainly all of the grains (rice,oatmeal,barley,etc), pastas, milk, foods with a lot of pectin in them. First, reduce these in the diet before any medicinal remedies. ...Read more

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Does pneumonia always present with a fever?

Does pneumonia always present with a fever?

Pneumonia: There are no specific symptoms in patients with pneumonia that are present all the time, including fever. Whether you mount a fever or not depends on many variables, but the key to diagnosing pneumonia is the demonstration that the lung tissues are involved, usually by imaging studies, although a good clinician can demonstrate this by exam at the bedside. ...Read more

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Is it possible to have uc/crohns without persistent abdominal pain?(I have many other digestive issues but the pain is inconsistent but still present)

Is it possible to have uc/crohns without persistent abdominal pain?(I have many other digestive issues but the pain is inconsistent but still present)

Yes, it's possible.: However, unless you've been diagnosed with having UCor Crohn's in the past, I would not think it is the most likely cause of your abdominal discomfort. Since it sounds as though you have not had a diagnosis, I think you should see your primary care doctor to discuss your issues and determine what kind of workup is necessary to determine what is wrong. Good luck. ...Read more

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Have appendicitis-like symptoms but pain and fever reduced. Is this probably a bug?

Who knows?: Appendicitis can be life threatening. If your symptoms are of recent onset and include fever & abdominal right lower quadrant pain, then the safest bet is to have a doctor's urgent evaluation. ...Read more

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How often does CHRONIC appendicitis present with moderate RLQ pain and nausea, then subsides. Then returns. Is it possible the appendix burst?

How often does CHRONIC appendicitis present with moderate RLQ pain and nausea, then subsides. Then returns. Is it possible the appendix burst?

Chronic: or recurrent appendicitis happens, but rarely. It is possible that you have small perforation that keeps getting recurrent inflammation. But there are many many other causes of RLQ pain. Get an opinion from a gi specialist about best treatment. ...Read more

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I'm having some symptoms of colon cancer. How far has it progressed when you start having symptoms? Does it vary?

I'm having some symptoms of colon cancer.  How far has it progressed when you start having symptoms? Does it vary?

May be none: There can be no symptoms at all all the way to bleeding, blockage, perforation, unwanted or unexplained weight loss. Symptoms may not be specific for colon ca. See your doc. You rsported a clean ct scan-that's good. What about the colonoscopy results? That's how the diagnosis would get made-biopsy of a tissue sample. ...Read more

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Does dysautonomia typically present with all symptoms? For example, can it be normal at one moment, but not at another?

Does dysautonomia typically present with all symptoms?  For example, can it be normal at one moment, but not at another?

Depends: On type of Dysautonomia syndrome. Some people may have bouts of autonomic failure leading to fainting if standing in one place for an extended period ( as in while standing in line ). Others will be symptomatic most of the time. ...Read more

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Is the pain associated with appendicitis constant or can it come in waves a couple times an hour? What are signs of a toddler with appendicitis?

Is the pain associated with appendicitis constant or can it come in waves a couple times an hour? What are signs of a toddler with appendicitis?

Not so obvious: Diagnosing appendicitis in a toddler can be tricky because they can't tell you exactly where it hurts. Usually appendicitis will cause fever and belly pain. The pain can be episodic but is usually constant. However, a common diagnosis that can cause episodic pain in toddler age children is intussusception, where part of the intestine telescopes in on itself. If the pain persists, call your doctor. ...Read more

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Hi. Is it normal for an untreated GBS UTI (before antibiotics) to cause mild fever-like/chills symptoms? What are other possible symptoms? TY.

Hi. Is it normal for an untreated GBS UTI (before antibiotics) to cause mild fever-like/chills symptoms? What are other possible symptoms? TY.

UTI symptoms : Yes. Other symptoms can include painful urination, increased frequency of urination, small amounts of blood in the urine and flank pain. Nausea and vomiting are usually more severe symptoms as is an elevated fever of greater than 101 degrees. ...Read more

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If someone is having a gallbladder attack with symptoms of severe heartburn and sweating, does it always require medical attention or can it pass?

If someone is having a gallbladder attack with symptoms of severe heartburn and sweating, does it always require medical attention or can it pass?

May not be gb: Well, you are assuming this is a gallbladder attack. What you're describing is not unlike cardiac pain. So, if you have not been evaluated, then do so. If it is confirmed , through testing and elimination, that this is a gb attack, if will probably pass, but it could take several hours. I suggest gb removal if it's the confirmed culprit. Good luck. ...Read more

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Can you have vipoma with no symptoms? What are the usual symptoms?

Maybe: Hi. VIPomas are rare. The symptoms of chronic watery diarrhea with dehydration and flushing often prompts the evaluation. I can'r see a physician LOOKING for a VIPoma in a patient with no symptoms! So I don't want to say VIPoma without symptoms is impossible, but if that's the case, why was the VIPoma ever looked for??? Best of luck! ...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. ?

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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I had right lower ab pain for two days, without any other symptoms and when I jumped up and down it didn't hurt. Did I have appendicitis and rupture?

I had right lower ab pain for two days, without any other symptoms and when I jumped up and down it didn't hurt. Did I have appendicitis and rupture?

Most likely Not...: 22y/o Female says I had Right lower ab pain for 2 days, without any other symptoms and when I jumped up and down it didn't hurt. Did I have appendicitis and rupture? Most likely Not. At age 22 and female could have been a sign of Ovulation from the R ovary w pain signaling Mittelschmerze (middle month Pain), some transient Digestive problems, or even Muscle spasm. But if symptoms recur see PCP ...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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Common symptoms of appendicitis?

Common symptoms of appendicitis?

RLQ pain: Most appendicitis is caused by a blockage of the lumen of the appendix. Common causes are fecoliths (small pieces of stool, ) enlarged lymph within the organ, even tumor. The usual presentation is a vague pain in mid abdomen that moves to settle in right lower quadrant, associated with nausea, loss of appetite, and fever. Not diarrhea. Peaks to rupture in 24-72 hrs.Seek attention. Good luck. ...Read more

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What are symptoms of appendicitis?

Abdominal pain: Abdominal pain that starts in the center of your abdomen and moves down to your right lower quadrant is "classic" for appendicitis. Unfortunately, appendicitis rarely presents classically. Sometimes it is accompanied with a fever and nausea, but not always. You have to have abdominal pain to have appendicitis. ...Read more

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What are the symptoms of appendicitis?

What are the symptoms of appendicitis?

Need doctor to check: Lower right abdominal pain can be from many things. For pain there, appendicitis is always a concern (pain worsens over time, with fever coming on). Other possible causes of pain include... if one is constipated for several days, stool can back up all the way to the right side. Having gas may or may not be related to such discomfort (lactose intolerance causes gas). A hernia, etc., can cause pain. ...Read more

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What are the symptoms of appendicitis.

What are the symptoms of appendicitis.

Fever, abd pain, no : Fever, low grade temp, lack of appetite .Pain gets worse in right lower quadrant and worse when sudden movement, and vomiting. ...Read more

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Can appendicitis symptoms come and go?

Can appendicitis symptoms come and go?

Usually not: Because appendicitis is acute problem. But there are rare cases of recurrent appendicitis. If your symptoms are intermittent, more likely causes are other GI problems such as crohn's ileitis. Get to a doctor for a definite diagnosis. ...Read more

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What are early symptoms of appendicitis?

What are early symptoms of appendicitis?

Appetite gone: Early is generally within the first 24 hours. Losing your appetite and a dull ache around the middle of the abdomen can happen. Sometimes nausea, vomiting or fever can happen early. Even pain of the right lower abdomen can happen early. The inflammed appendix may cause irritation of colon and bladder causing you to have diarrhea or frequent urination. ...Read more

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Could appendicitis symptoms come and go?

Could appendicitis symptoms come and go?

Not usually: Not usually if process represents acute appendicitis. Entity of chronic appendicitis has mild sympromts, and individuals with chronic appendicitis often become used to the abdominal pain and discomfort. In addition. Diagnosis i sometimes missed or delayed because the symptoms of chronic appendicitis can be similar to other GI disorders including constipation and diarrhea. ...Read more

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How long do symptoms of appendicitis last?

How long do symptoms of appendicitis last?

Usually: The symptoms are of 24-48 hours of worsening abdominal pain, pain moving into right lower abdomen, nausea sometimes with vomiting ; fever, abdominal pain may get worse with movement or walking. ...Read more