Emergency Physician Questions Appendicitis

What are the symptoms of appendicitis?

I am a 24 year old male and I have constant pain in my lower right abdomen. What could it be?

4 Answers

DEPENDS ON SEVERAL VARIABLES. EXACTLY HOW LONG, ANY OTHER SYMPTOMS SUCH AS FEVER, NAUSEA, DIARRHEA, DECREASED APPETITE, IT IS POSSIBLE IT COULD BE APPENDICITITS. THERE ARE KNOWN CASES OF PATIENTS WHO GET A CHRONIC APPENDICITIS. THEY STILL NEED IT REMOVED. IT COULD ALSO BE OTHER THINGS NOT SURGICAL,E.G. A MECKELS DIVERTICULUM, COLON DISEASE(MULTIPLE TYPES) A HERNIA, AND OTHERS. I SUGGEST YOU SEE A DR AND LET THEM GET THE HISTORY AND EXAMINE YU
ACUTE RIGHT LOWER QUADRANT ABDOMINAL PAIN, FEVER, NAUSEA AND VOMITING AT TIMES. CAN DETERIORATE WITHIN 36 HRS. ACUTE PERITONITES IS A SURGICAL EMERGENCY.
Depends on a number of things. How long have you been having the pain? Appendicitis pain is usually acute. Comes on and within 12-24 hours you know you need to see a physician. Pain that lasts for days or weeks at a time can be due to regional enteritis (Chrons' disease), colitis, mesenteric adenitis, or even a kidney stone. See you physician or go to an emergency department to have the appropriate tests done.
Pain in the right lower quadrant (RLQ) is a classic indicator of appendicitis. That said, it is rarely the only one. Many others are often also present: fever, loss of appetite ("anorexia"), a loose/diarrheal stool (but not prolific), pain that increases over time, increasing sensitivity to any movement of the abdomen, and initially ("classically") pain that starts at/near the belly button and then migrates to the RLQ.

If the pain is the only feature, if it has been there for awhile (hours to days), and is stable (not worsening), then it is less likely appendicitis. In males, the system is less anatomically complex (no female reproductive system components that could also be responsible), and it is usually musculoskeletal related or the GI tract (including the appendix) as the source.

If the pain is persistent, worsening, and/or associated with any of the other symptoms above, you should be seen in an ER, in general, not an office or clinic, as the ER can get rapid diagnostic imaging (ultrasound or CT), give pain medication and antibiotics, and obtain a surgical consultation.