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The pain of appendicitis classically is difficult to localize initially, typically centering around the umbilicus. This is accompanied by anorexia, low grade fevers, nausea, and malaise. This generalized pain may last for variable amounts of time, depending on the progression of disease. This generalized pain is caused as the appendix becomes distended. The innervation to the intestines is such that the pain cannot be localized.

Once the appendix becomes inflamed and begins to irritate the peritoneum surrounding it, the pain becomes localized to the right lower quadrant. The pain is worsened by any movement or stretching of the abdominal contents. The hallmark of this is guarding and rebound tenderness. Guarding is an involuntary spasm of the abdominal muscles to prevent movement. Rebound tenderness is increased pain upon release of pressure - this is caused by the "sloshing about" of abdominal contents after pressure is released.

White blood cell count is typically elevated, the urine may have white blood cells in it, as the appendix lies in close approximation to the right ureter and can cause irritation, causing pyuria. Fever is usually higher during this stage. Chills and vomiting may occur.

Computed tomography (CT) with oral and IV contrast may be used to assist with the diagnosis of appendicitis, if it is unclear from history and physical exam. If the symptoms are classic, however, the diagnosis can be made without the need for CT.

The treatment for appendicitis is typically surgical. In specific instances, however, surgeons may elect to treat with intravenous antibiotics and observe for 24-48 hours.

Referred pain can also cause the groin to hurt. I just had appendicitis and had pain around the appendix but more so in the groin area, maily the right portion. I went to my general practitioner who diagnosed me with epididimitis (an infection in a sexual organ). A few days later, a gut-wrenching pain woke me up, and i could not stop shaking. After going to the ER and receiving a CT scan, the doctor informed me that my appendix was on the verge of rupturing, which can be fatal. If your are worried at all about your appendix, get it checked out now.

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โˆ™ 2010-03-30 20:27:22
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Q: What kind of pain does the appendix cause?
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Related questions

Can you appendix cause pain in your left side?

Yes. The appendix may cause pain for both the right side and left side.

Can the appendix cause lower back pain?

It can't as the appendix has nothing to do with the spinal cord.

Can Appendix Cause Back And right Leg Pain?


What kind of doctor do you see for pain in the appendix?

Pain in the appendix is an emergency, and requires urgent evaluation by an emergency medicine specialist.

What causes appendix pain?

The appendix is a useless organ, in which most people have removed. Appendix pain is caused by irritation and infection of the appendix, causing it to inflate.

What is the cause of the pain in an appendicitis?

the obstruction of feces inside the appendix organ to promote infection and later on going to ruptured, the exactly location of appendix is cecum.

What can cause right sided back pain in the back?

Might be a Kidney infection or infected appendix.

Cause of lower right abdominal pain?

could be appendix or obstruction or pulled muscle - SEE A DOCTOR

What would cause Sharp abdominal pain in teenage girl?

I had sharp abdominal pain when i was 13 at the beginning of the year and i had to have an appendectomy .. so it might be the appendix

Where is pain from a burst appendix?

the appendix is located in the lower right quardant of the abdomen

Difference between appendix pain and menstrual cramps?

Appendix pain is likely to be fatal if not treated..... menstrual cramps can't kill you.

How do you get rid of the pain of appendicitis?

Have you appendix removed.

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