General surgery

Appendicitis: signs that should not wait until morning

Pain that starts around the navel then settles in the lower right abdomen, with nausea or fever. When to suspect appendicitis.

How the pain starts

It often begins as a vague ache around the navel, then within hours moves to the lower right abdomen and becomes sharper. Nausea, vomiting, loss of appetite and a low fever may follow.

Do not rely on painkillers alone

Painkillers can mask the pain and delay diagnosis. If the pain continues or worsens with walking or coughing, same-day assessment is safer than waiting.

How is it confirmed?

  • Clinical examination.
  • A blood test looking for inflammation.
  • Ultrasound, and sometimes a CT scan if the picture is unclear.

Treatment

Removing the appendix is the usual treatment once inflammation is confirmed, most often by laparoscopy through small incisions. Delay after a perforation lengthens recovery.

Severe abdominal pain with vomiting or fever is not a home remedy for colic until surgical causes have been ruled out.

This article is for general education and does not replace a medical examination or your doctor’s advice.

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