Pain Near the Belly Button: Is It Appendicitis or Something Else? - Gastroenterology and Hepatology

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Pressing on the navel with a finger causes pain?


Hello, doctor.
Recently, I have noticed that there is pain when I press about 2 to 3 centimeters to the right of my navel.
There is no particular sensation when I'm not pressing on it.
Could this be a sign of appendicitis, or is there something else wrong? Please help me, thank you.

Mingming, 40~49 year old female. Ask Date: 2013/02/21

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Typical appendicitis is often accompanied by fever, and the pain in the lower right abdomen tends to worsen, usually requiring surgery.
Best regards, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2013/02/21

More Info


When it comes to pain near the belly button, particularly in the area just to the right of it, there are several potential causes to consider, with appendicitis being one of the most common concerns. However, it is essential to evaluate the symptoms and characteristics of the pain to determine the underlying issue accurately.

Appendicitis typically presents with pain that starts around the belly button and then moves to the lower right abdomen. This pain often intensifies over time and may be accompanied by other symptoms such as nausea, vomiting, loss of appetite, fever, and changes in bowel habits. If the pain you are experiencing is localized to the area just right of the belly button and is tender to the touch, it could indeed be a sign of appendicitis, especially if the pain worsens with movement or pressure.

However, there are other potential causes for pain in this area that should also be considered:
1. Gastrointestinal Issues: Conditions such as gastritis, intestinal obstruction, or diverticulitis can cause localized pain. If you have experienced changes in your bowel habits, such as diarrhea or constipation, this could point towards a gastrointestinal issue.

2. Muscle Strain: If you have engaged in physical activity or heavy lifting recently, the pain could be due to a strain in the abdominal muscles. This type of pain is usually more pronounced with movement or when pressing on the area.

3. Hernia: An inguinal or umbilical hernia can cause localized pain, especially when straining or lifting. Hernias may present as a bulge in the abdomen and can be painful when touched.

4. Urinary Tract Issues: Conditions affecting the urinary tract, such as a urinary tract infection (UTI) or kidney stones, can also cause pain in the lower abdomen, although this pain is often accompanied by other symptoms like frequent urination or burning sensations.

5. Reproductive System Issues: In women, conditions such as ovarian cysts or ectopic pregnancy can cause pain in the lower abdomen. If you are female and experiencing additional symptoms like irregular menstrual cycles or pelvic pain, it would be prudent to consider these possibilities.

Given that your pain is localized and only occurs when pressure is applied, it is crucial to monitor the situation closely. If the pain worsens, becomes more persistent, or is accompanied by other concerning symptoms (such as fever, vomiting, or significant changes in bowel habits), it is essential to seek medical attention promptly.
In conclusion, while appendicitis is a possibility, it is not the only explanation for your symptoms. A thorough evaluation by a healthcare professional, including a physical examination and possibly imaging studies, will help determine the exact cause of your pain. Early diagnosis and treatment are vital, especially if appendicitis is suspected, as it can lead to serious complications if not addressed in a timely manner.

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