What are the symptoms of appendicitis?

Appendicitis usually involves a gradual onset of dull, cramping, or aching pain throughout the abdomen. As the appendix becomes more swollen and inflamed, it will irritate the lining of the abdominal wall, known as the peritoneum. This causes localized, sharp pain in the right lower part of the abdomen.

What are the treatment options for appendicitis?

Some mild cases of appendicitis can be treated completely with fluids and antibiotics. The most common next step is surgery, known as an appendectomy. Removing the appendix decreases the risk of it rupturing.

What happens if appendicitis goes untreated?

The symptoms can be uncomfortable, painful, and potentially life-threatening if left untreated, so it is important to be able to recognize them. Sudden appendicitis is the most common cause of acute abdominal pain requiring surgery in the United States (U.S.), with over 5 percent of the population developing appendicitis at some point.

What are the causes of appendicitis?

A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus.


The pain often begins near the belly button. As it worsens, it will likely shift to the lower right side of the abdomen. The feeling may become more intense within the next few hours and be worsened by moving around, taking deep breaths, coughing, or sneezing. Other classic symptoms of appendicitis are:

What are the tests for appendicitis?

Urinalysis – The urine will show a possible urinary tract infection or kidney stone which may also present with abdominal pain at times. Ultrasound – An ultrasound of the abdomen will show if there is a blockage in the appendix, a rupture of the appendix, swelling of the appendix, or another reason for the abdominal pain.

Can appendicitis cause high fever and chills?

Appendicitis that occurs in these people can cause lower back pain or pelvic pain. Appendicitis usually causes a fever between 99°F (37.2°C) and 100.5°F (38°C). You may also have the chills.

What happens when a child has an appendix burst?

In the older child, pain mimics adults in that it starts at the belly button and moves to the lower right quadrant of the belly. Pain does not get better if the child lies down, but it may get worse if the child moves. If the appendix does burst in the child, a high fever is noted. Part 2

What is the McBurney’s sign for appendicitis?

If a patient has abdominal pain with this being their most tender area, they should undergo further testing to rule out acute appendicitis. Mcburney’s sign is 50-94% sensitive, and 75-86% specific for appendicitis.

What is Rovsing’s sign for appendicitis?

Rovsing’s sign is when you palpate the left lower quadrant and the patient is tender in the right lower quadrant (RLQ) area. This indicates local peritoneal irritation. This is also called indirect tenderness. This appendicitis sign is only 22-68% sensitive, and 58-96% specific.