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Doctor insights on: Rebound Tenderness Appendicitis

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Is there always some pain when touched or rebound tenderness in appendicitis? Or does that come later, when it's already progressed?

Is there always some pain when touched or rebound tenderness in appendicitis? Or does that come later, when it's already progressed?

Not always: The physical signs and symptoms of appendicitis depend upon the location of the appendix. A small percentage of humans have a "retrocecal" appendix meaning it is buried up under the cecum with the tip up in the right upper abdomen, often under the liver. Tenderness and "rebound" may not be present, even with well-advanced appendicitis, as the peritoneum is not irritated. ...Read more

Dr. Barry Rosen
1,108 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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I have significant knee pain, pressure helps PT is not helping, I have rebound tenderness on knee?! Why, and what should be my next step in treatment?

I have significant knee pain, pressure helps PT is not helping, I have rebound tenderness on knee?! Why, and what should be my next step in treatment?

If the pain: Has been there for a while, u should have the knee examined by a physician and possibly imaged with MRI. Some inflammatory and neoplastic conditions may present this way. Good luck ...Read more

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Could appendicitis always cause rebound pain/tenderness?

I don't know if it: Absolutely always causes rebound pain - but it is a classic finding. ...Read more

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Lower back and abdomen are tender to touch all over and the pain lingers but it's not appendicitis been going on for 5-6 months pain only when touched?

Lower back and abdomen are tender to touch all over and the pain lingers but it's not appendicitis been going on for 5-6 months pain only when touched?

Nonspecific: These symptoms are not typical of any specific diagnosis. You'll need a proper evaluation t try to figure it out. Ok to start with your primary care provider. Hope this helps! ...Read more

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Is appendicitis ALWAYS painful and tender?

Is appendicitis ALWAYS painful and tender?

Almost: I try very hard to always "always" and "never." Yes I've seen painless appendicitis rarely but there are usually other clues. History of anorexia, constipation and malaise are prominent. Elevated WBC with lseft shift is prominent and even the "painless" abdomen when approached carefully will demonstrate some rebound tenderness and guarding.
Fortunately we do have CT scanning - about 90% accurate. ...Read more

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Appendicitis or something else? I've had a tender lower abdomen since last night. While I'm worried that it's appendicitis, but it's tender in the lower left rather than the lower right. Could this be appendicitis, or something else? .

Appendicitis or something else? I've had a tender lower abdomen since last night. While I'm worried that it's appendicitis, but it's tender in the lower left rather than the lower right. Could this be appendicitis, or something else? .

It: It may be an attack of acute diverticulitis which usually presents with pain in the left lower abdomen but on rare occasion the tip appendix may be in the midline or to the left and cause left lower abdominal pain. Under any circumstance either diagnosis needs to be made immediately to avoid serioous problems. Many things factor into the actual cause of the pain especially if you are a female and you need to see a physician asap.
. ...Read more

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Could I possibly have appendicitis? Pain in right mid-low quad, tenderness when palp., no other symp. 8/10 in waves.

Yes: I cannot evaluate you over the web but if the pain is increasing, associated with nausea/vomiting, hurts when you walk, cough, sneeze etc. You should be seen as soon as possible. Go to the er. If the pain is annoying but improving, does not appear to be worsening, disappears with some tylenol (acetaminophen) or Motrin you can probably wait until the daytime and see your md. ...Read more

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Tenderness near naval but not appendicitis I have bowel movements easy and frequently but it only hurts when I push down been going on for 5-6 months?

Tenderness near naval but not appendicitis I have bowel movements easy and frequently but it only hurts when I push down been going on for 5-6 months?

Hernia: Among the many things that can cause abdominal pain I would consider the possibility that you have an umbilical hernia. That would be a common cause of pain in the navel especially when bearing down. ...Read more

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Am I having appendicitis? I have a tender pain that comes and goes on my right abdomen. Does not hurt when I press down. I have GERD and anxiety. Gas?

Likely not appy: Your description is far from typical of appendicitis. An inflamed appendix is usually quite tender when you push down on it. It also tends to me a more constant pain than you describe. However, if you start feeling feverish, nauseated, and like you are no longer hungry, then it would be wise to be evaluated for appendicitis by a physician. ...Read more

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Taking ciprofloxacin 500mg, metronidazole 250mg for low grade appendicitis. Day 2/5 - lightheaded, tingling and sore muscles. Should I be concerned?

Taking ciprofloxacin 500mg, metronidazole 250mg for low grade appendicitis. Day 2/5 - lightheaded, tingling and sore muscles. Should I be concerned?

You should be: Realistically concerned b/c you have appendicitis. You should get followed up regularly until your doctor says you're okay. You should do this regardless of what's causing these symptoms. The sore muscles could be from a low-grade fever. I don't have a ready explanation of the lightheadedness unless you're feeling anxious about your condition. I wish you the best. Dr Anne ...Read more

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I'm having left abdominal pain just above the pelvic bone. There is rebound tenderness and when you push in it radiates to the right side.?

I'm having left abdominal pain just above the pelvic bone. There is rebound tenderness and when you push in it radiates to the right side.?

Should check it out: It sounds a bit worrisome per your description--rebound tenderness means it hurts more when you let go from pushing/palpating the area. This means the inside of abdominal wall (peritoneum) is severely inflammed and needs medical attention (a surgical abdomen) asap. Pushing on left but hurting on r side is also concerning for appendicitis (rovsing's sign). So, consult doc asap. Good luck. ...Read more

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Sudden lower abdominal pain & rebound tenderness after bowel movement. Lightheaded, generalized weakness, labored breathing. Pain subsides after 45min?

Sudden lower abdominal pain & rebound tenderness after bowel movement. Lightheaded, generalized weakness, labored breathing. Pain subsides after 45min?

Go and see a doctor: Are you a nurse or health care student do you know what rebound tenderness mean you are too young for any thing serious but your description mnaking ne nervous so go and see a doctor please ...Read more

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How is appendicitis diagnosed? Is nausea & rebound pain always present?

How is appendicitis diagnosed? Is nausea & rebound pain always present?

No: It's the big picture. "a three-legged dog is still a dog." nausea usually but not always; rebound pain only if the peritoneum's involved. ...Read more

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Where do you put your hand to test for appendicitis doing rebound test?

Where do you put your hand to test for appendicitis doing rebound test?

Right lower quadrant: Typically the "rebound" for acute appendicitis is elicited in the right lower quadrant. However, "rebound" can be elicited from anywhere in the abdomen. ...Read more

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Does appendicitis always cause vomiting and if I don't have the rebound effect does that mean im in the clear?

No and NO: You need not have vomiting to have Appendicitis, and appendicitis is a serious condition that needs to be worked up with more testing than just a check of rebound tenderness. For example a retro-cecal appendix may not cause rebound tenderness in the frontal abdomen, but other diagnostic clues/symptoms may be present. ...Read more

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Is there such a thing as acute appendicitis? What r symptoms? I have no fever, occasional nausea, no rebound pain, near constant pain r side, 2 days.

Is there such a thing as acute appendicitis? What r symptoms? I have no fever, occasional nausea, no rebound pain, near constant pain r side, 2 days.

Yes acute appendicit: Pain, nausea, anorexia, fever, tenderness in right lower abdomen are the classic signs and symptoms. Retrocecal appendicitis may show little of these until late, often after rupture. You should get evaluated, by your primary, the er or a general surgeon with possible need for ct for persistent pain. ...Read more

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I've got a lot of the symptoms of appendicitis, minus the rebound pain! Does this mean it's not appendicitis?

Rebound tenderness: When it is present, is a clinical sign of localized peritonitis. If other symptoms, signs, and lab findings point to a reasonably high likelihood of appendicitis, a diagnostic ct scan or even laparoscopy might become necessary for accurate diagnosis. Consult your doctor for advice in your specific case. ...Read more

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Can McBurney's point be painful in anything else than appendicitis? Negative Labs and US. 5 days appendix type pain. No rebound pain.

McBurney's point...: ...is situated over the right side of the abdomen one-third of the distance from the anterior superior iliac spine to the navel. This point roughly corresponds to the most common location of the base of the appendix. There are variations in location of the appendix, & many other causes of right lower quadrant pain--please see my other HealthTap answers on the subject. ...Read more

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What is the definition or description of: Abdominal tenderness with rebound?

What is the definition or description of: Abdominal tenderness with rebound?

Peritonitis: Rebound indicates PERITONITIS -- an inflammation and sensitivity of the peritoneum, The peritoneum is a thin tissue that lines the inner abdomen. It is usually a sign of some badness in the abdomen (infection, air, blood, etc) ...Read more

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Was here previously w/ rebound knee tenderness PT-no effect, pressure helps, but lots of pain told I might have neoplastic condition mri last yr clear?

Knee pain: Not sure with sketchy details, but with a diagnosis of neoplasia in the past, it might be time to consult your orthopedic provider again. In your age bracket, we always worry about neoplasms if trauma can be ruled out. ...Read more

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How long does rebound acid production last after reducing omeprazole dose. I have gone from 20 to 10mg and now have a daily sore throat.?

How long does rebound acid production last after reducing omeprazole dose. I have gone from 20 to 10mg and now have a daily sore throat.?

Get followup: If after a dose reduction you experience increased symptoms, see your physician. Don't do anything on your own. Frequent "sore throats" from acid should be investigated.
Good Luck. ...Read more