Appendicitis: Symptoms and When to Seek Help - Gastroenterology and Hepatology

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About appendicitis?


Doctor, I experience pain when I press on my lower right abdomen, but it doesn't hurt when I release the pressure, and I don't have any other discomfort.
Could this be appendicitis? Which type of clinic should I go to for an examination?

A Liao, 20~29 year old female. Ask Date: 2008/04/24

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, Aliao.

1.
In addition to abdominal pain, acute appendicitis typically presents with symptoms such as fever, vomiting, and loss of appetite.
The abdominal pain may initially be located in the upper abdomen and then gradually shift to the right lower quadrant.

2.
There are many potential causes for right lower quadrant pain, including colitis, diverticulitis, abnormal bowel movements, inflammatory diseases of the liver and gallbladder, gynecological conditions in females, infections, urinary tract infections, and kidney stones.
If you have any concerns, you may consult with a general internist, family medicine physician, or gastroenterologist.

Wishing you good health,
Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health

Reply Date: 2008/04/24

More Info


Appendicitis, or inflammation of the appendix, is a common condition that often requires prompt medical attention. The symptoms can vary, but they typically include pain in the right lower abdomen, which may start around the belly button and then shift to the lower right side. This pain often worsens with movement, coughing, or deep breathing. Other symptoms can include nausea, vomiting, loss of appetite, fever, and abdominal swelling.

In your case, you mentioned experiencing pain when pressing on the right lower abdomen but not when releasing the pressure. This is known as "rebound tenderness," which can be a sign of appendicitis. However, the absence of other symptoms such as fever, nausea, or significant abdominal discomfort does not definitively indicate appendicitis. It is important to note that appendicitis can sometimes present with atypical symptoms, especially in certain populations, such as children or the elderly.

If you are experiencing localized pain in the right lower abdomen, it is advisable to seek medical attention. You can start by visiting a primary care physician or an urgent care clinic. They will perform a physical examination and may order imaging tests, such as an ultrasound or a CT scan, to confirm the diagnosis. If appendicitis is diagnosed, it is often treated with surgery to remove the inflamed appendix, a procedure known as an appendectomy.

It is crucial not to ignore the symptoms, as untreated appendicitis can lead to serious complications, including a ruptured appendix, which can cause peritonitis (an infection of the abdominal cavity) and can be life-threatening. Therefore, if you notice any worsening of your symptoms, such as increased pain, fever, or changes in your bowel habits, you should seek immediate medical attention.

In summary, while your symptoms may not definitively indicate appendicitis, it is essential to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment are key to preventing complications associated with appendicitis.

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