13 doctors weighed in:
How do you know the difference between stomach pain vs. Appendix issues?
13 doctors weighed in

David Miller
Family Medicine
9 doctors agree
In brief: Location and timing
Kinda like real estate, the issue with abdominal pain is location and timing.
Stomach pain will tend to stay over your stomach while appendix pain can start almost anywhere in your abdomen but will eventually start to move down to the lower-right. If you have fever, nausea, don't want to eat and it hurts to jump up and down, you should be out the door to the er.

In brief: Location and timing
Kinda like real estate, the issue with abdominal pain is location and timing.
Stomach pain will tend to stay over your stomach while appendix pain can start almost anywhere in your abdomen but will eventually start to move down to the lower-right. If you have fever, nausea, don't want to eat and it hurts to jump up and down, you should be out the door to the er.
David Miller
David Miller
Answer assisted by David Miller, Medical Student
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2 comments
Dr. Irwin Berkowitz
One needs to put the entire picture together. Not all cases are classic. I recently saw an 11 y.o. young lady whose pain started in the RLQ and remained. Diagnosis upon surgery was acute appendicitis.
Dr. George Klauber
Patients with situs inversus have their appendix on the left (Heart is then on the right). Appendix can also be touching ureter or bladder and cause urinary symptoms including blood in urine. Can also be resting on psoas muscle making thigh extension painful. Pain in midline just under rib cage is unlikely appendicular. Pain referred to right shoulder is probably from gall bladder.
2 doctors agree
In brief: Appendicitis
Could be difficult.
Appendicitis typically causes right lower quadrant pain and tenderness. Stomach is left upper. Both can cause peri umbilical pain. See your doctor for proper evaluation.

In brief: Appendicitis
Could be difficult.
Appendicitis typically causes right lower quadrant pain and tenderness. Stomach is left upper. Both can cause peri umbilical pain. See your doctor for proper evaluation.
Dr. Richard Levin
Dr. Richard Levin
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Dr. Albert Pizzo
Family Medicine
1 doctor agrees
In brief: Pain of appendicitis
This is not easy and unless you are a doctor you should not attempt to diagnosis stomach pain vs.
Appendicitis. If you are having prolonged stomach pains you should call your doctor for an examination to determine the cause, and not try to self treat this.

In brief: Pain of appendicitis
This is not easy and unless you are a doctor you should not attempt to diagnosis stomach pain vs.
Appendicitis. If you are having prolonged stomach pains you should call your doctor for an examination to determine the cause, and not try to self treat this.
Dr. Albert Pizzo
Dr. Albert Pizzo
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Dr. Danny Proffitt
Family Medicine
1 doctor agrees
In brief: Sometimes difficult
Pain from a sick appendix will typically end up localizing to the right lower quadrant of the abdomen.
There may be nausea, may be low grade fever and a loss of appetite. This can be tricky and atyypical. The appendix can be on the left side. It should be tender between the belly button and the lower right corner of the abdomen above the groin. If concerned, seek urgent attention.

In brief: Sometimes difficult
Pain from a sick appendix will typically end up localizing to the right lower quadrant of the abdomen.
There may be nausea, may be low grade fever and a loss of appetite. This can be tricky and atyypical. The appendix can be on the left side. It should be tender between the belly button and the lower right corner of the abdomen above the groin. If concerned, seek urgent attention.
Dr. Danny Proffitt
Dr. Danny Proffitt
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