Doctor insights on:
Rebound Tenderness Appendicitis
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
Yes: Have it checked by your doc.Get a more detailed answer ›
For what?: Why are you doing these things?Get a more detailed answer ›
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 don't know if it: Absolutely always causes rebound pain - but it is a classic finding. ...Read more
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
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
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 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
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
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?
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
Lower left quadrant pains no fever not tender to touch. Adhesions from csection, appendicitis, endometriosis, diverticulitis? Waitingon X-ray and CBC
What causes powdery stools? No blood, no discoloration. Sore pain, under the navel and in the hips. Also not appendicitis. What can I do for this?
MD Consult: For H & P along with blood tests and MRI of abdomen and pelvis ...Read more
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
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
I9 weeks pregnant. Pain in my left lower abdomen. Not sharp pain but consistent and sore to touch with some rebound tenderness. No blood. Ectopic?
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
Could this be appendicities pain in lower right side, stomach hurts and I've been going to the bathroom but its not like diarrea. Its tender when you touch in that area. I don't feel sick to my stomach and I haven't thrown up at all.
You should seek: Medical attention. This needs to be evaluated. ...Read more
She has loweright abdominal pains and tenderness, no rebound pain but mcburneys point hurts, nauseated, 13yrold, pain was stabbing now gone appendicitis?
Could be: If concerned to to e.R now.Get a more detailed answer ›
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
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
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
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
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
Off and on pain in bellybutton and right side. Nausea. Bloating. Rebound pain. Stomach feels harder. Some diarrhea. No fever. Chronic appendicitis?
Could be: Get evaluated to rule acute abdomen if you have rebound tenderness ...Read more
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.?
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