If that pain becomes more severe over time, or your abdomen becomes swollen, it could be the result of something obstructing or blocking your large intestine. On the other hand, if your pain is only found in one area of your belly, it's possibly due to an issue with one of your organs, such as the gallbladder , pancreas , appendix, or stomach.
Most often, the pain you feel when you have appendicitis begins as a dull ache around your belly button that shifts to your lower right abdomen, where your appendix is located. To diagnose appendicitis , your doctor will perform a physical exam, which will investigate the finer points of your abdominal symptoms. If you have appendicitis, you will likely: 4. A study published in April in the American Journal of Surgery suggests that almost 12 percent of appendectomies between and were conducted on patients who didn't actually have appendicitis.
This is because several health issues can also cause pain that's localized to your lower right abdominal area, making an accurate diagnosis of appendicitis difficult without using imaging tests, such as computed tomography CT , ultrasound , and MRIs.
For instance, ovulation pain occurs on either the right or left side of the lower abdomen and can be quite sharp, like appendicitis pain. But that pain doesn't start near the belly button, nor does it get worse with movement. Constipation can cause pain localized in the lower right abdomen, as well as rebound tenderness.
But the constipation starts before the abdominal pain, unlike when you have appendicitis — though constipation can be a symptom of appendicitis. A kidney infection can be another cause of lower right abdominal pain — if the right kidney is infected — but this also causes groin pain, back pain , and painful urination. Pain from kidney stones can spread to the lower right abdomen, though it doesn't start at the belly button; it usually starts below the ribs on one of your sides and back.
It also usually comes in waves. Ovarian cysts don't usually cause noticeable symptoms. But they can sometimes result in lower abdominal pain , which is generally dull, aching, and intermittent, rather than sharp and constant, like appendicitis pain. Sensitivity and specificity of the individual CT signs of appendicitis: Experience with helical appendiceal CT examinations.
J Comput Assist Tomogr ; 21 5 : — Stroman DL, et al. The role of computed tomography in the diagnosis of acute appendicitis. Am J Surg ; — Jones K, et al. Are negative appendectomies still acceptable? Am J Surg ; 6 : — Kryzauskas M, et al. Is acute appendicitis still misdiagnosed? Open Med Wars ; 11 1 : — Ozsov Z, Yenidogain E. Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turk J Surg ; 33 3 : Akbulut S, et al.
Left-sided appendicitis: Review of 95 published cases and a case report. World J Gastroenterol ; 16 44 : — Saliba C, et al. Am J Case Rep ; Palanivelu C, et al. Laparoscopic right hemicolectomy for mucocele due to a low-grade appendiceal mucinous neoplasm.
JSLS ; 12 2 : — If you have appendicitis, you may also have other symptoms, including: feeling sick nausea being sick loss of appetite constipation or diarrhoea a high temperature and a flushed face When to get medical help If you have abdominal pain that's gradually getting worse, contact your GP or local out-of-hours service immediately.
Appendicitis can easily be confused with something else, such as: gastroenteritis severe irritable bowel syndrome IBS constipation bladder or urine infections Crohn's disease a pelvic infection In women, symptoms similar to those of appendicitis can sometimes have a gynaecological cause, such as an ectopic pregnancy , menstrual pain or pelvic inflammatory disease PID.
But any condition that causes constant abdominal pain requires urgent medical attention. If your pain eases for a while but then gets worse, your appendix may have burst. Find out more about the complications of appendicitis Page last reviewed: 18 February Next review due: 18 February
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