Appendicitis: Symptoms, Tests and Immediate Actions

Appendicitis is a condition that should never be taken lightly. This painful and serious medical condition requires immediate attention. Here, we will discuss the symptoms, physical examination tests, and the importance of seeking urgent medical help.

Symptoms of Appendicitis

Appendicitis typically starts as a dull pain around the belly button that shifts to the lower right side of the abdomen. The pain can become quite intense, and may worsen if pressure is applied to the lower right abdomen.

Physical Examination Tests for Appendicitis

During a physical examination, specific tests can help a medical professional determine if appendicitis is present. These tests include:

McBurney's Point Pain

The McBurney's point is located approximately one-third of the way from the lower abdomen to the right hip bone. Applying pressure to this area will cause significant pain if appendicitis is present. If the pain becomes more intense when the pressure is released, an appendectomy is highly likely.

Rovsing's Sign

Rovsing's sign involves pressing on the lower left side of the abdomen and observing for pain in the lower right abdomen. This test can suggest appendicitis if the pain is localized to the right lower quadrant.

Rebound Tenderness

Rebound tenderness involves pressing on the lower right abdomen and then quickly releasing the pressure. If pain is experienced after the release, it is a sign of inflammation and can support the diagnosis of appendicitis.

Surgical Intervention

Once appendicitis is diagnosed, the treatment is typically an surgically removing the appendix, known as an appendectomy. The sooner surgical intervention is performed, the better the outcome and the lower the risk of complications such as a perforated appendix and subsequent infections.

Immediate Actions

If you suspect you might have appendicitis or if you have severe abdominal pain, go to the Emergency Room (ER) immediately. Your life could be in danger if the appendix bursts, leading to a severe infection that can be fatal if not treated promptly.

Antibiotics and Appendectomy

In some cases, antibiotics may be given to control the infection before surgery, but the appendectomy is still necessary. The ER will conduct further tests to confirm the diagnosis and determine the appropriate treatment plan.