What Does Appendicitis Feel Like?
How it differs from gas and when to go the the ER
Medically reviewed by Robert Burakoff, MD
Appendicitis can feel like intestinal gas—at least in the beginning. Pain from an inflamed appendix will progressively get worse and become severe within hours. It will move from the belly button area to the lower-right part of the abdomen.
Prompt treatment is essential if you have appendicitis, so it's important to know what it feels like so you can get medical attention before your appendix bursts.
This article covers the symptoms of appendicitis, how they are different from gas, and when you should go to the emergency room. It also reviews the steps healthcare providers take to diagnose and treat this condition.
Appendicitis Pain and Other Symptoms
One of the main symptoms of appendicitis is abdominal pain that usually starts near the navel (belly button) and then moves to the lower-right side of the abdomen. This can feel like gas early on, and it's true that other conditions can cause stomach pains.
But appendicitis quickly takes on other defining characteristics with pain that:
Tends to come on suddenly
Can feel worse with sneezing, coughing, taking deep breaths, or when the abdomen is pressed on and the pain increases (called Blumberg's sign)
Gets worse over hours to a few days
May get worse, suddenly get better, then get worse again (a sign the appendix has burst)
Other symptoms of appendicitis include:
Being unable to pass gas
Constipation (hard stools)
Diarrhea (loose stools)
Taking note of when your pain started is important. An appendix can burst anywhere from 24 to 72 hours after symptoms start. You will be less likely to have complications if your appendix is taken out before it bursts, so do not delay getting treatment.
Tell your healthcare provider where pain is located, and what it feels like. While there are other possible causes of abdominal pain, here are a few key differences between appendicitis and gas to keep in mind.
Appendicitis Symptoms
Pain starts near the belly button and moves to the lower-right portion of the abdomen
Pain is sudden and worsens over time
Causes severe pain
May cause fever or vomiting
Gas Symptoms
Can be felt all over the belly and up to the chest
Pain improves once gas moves or exits the body
Usually causes discomfort, rather than severe pain
Will not cause fever or vomiting
Appendicitis Symptoms in Children
Appendicitis occurs in about 7% of the United States population, most often in children and teens. Like adults, children also experience pain at the navel or along their right side, sometimes with nausea, vomiting, and fever.
However, some studies suggest that up to half of all kids with appendicitis describe nonspecific symptoms. It's important for kids to get immediate care to ensure an accurate diagnosis.
Symptoms of Appendicitis When Pregnant
In pregnant people, the uterus grows in size with the developing fetus. It can press against and displace the appendix, causing symptoms of pain in the upper abdomen rather than the lower right side.
This can make it more difficult to diagnose quickly. Imaging also can be a concern, with magnetic resonance imaging (MRI) considered the safest option. There is more risk to the fetus with a complicated appendicitis, so diagnosis and treatment are essential to help prevent greater risk.
When to See a Healthcare Provider
An inflamed appendix is a medical emergency because it can burst and cause complications. If you have belly pain that comes on suddenly and gets worse, you need to seek medical care.
You might start by calling a healthcare provider that you already have a relationship with to ask about what you should do. You can also go to an urgent care clinic. It's common to have abdominal pain that's not caused by something serious, but you should be evaluated.
For severe abdominal pain—especially if you also have other symptoms such as fever or vomiting—skip this step and go directly to the ER.
Risks of Delaying Appendicitis Treatment
If an appendix bursts, the contents leak into the abdomen and lead to a life-threatening infection called peritonitis.
How Appendicitis Is Diagnosed
A provider will do a physical exam (like pressing on your belly) and ask you about your symptoms to see if you could have appendicitis. They may also do some tests such as:
Abdominal ultrasound: This test uses sound waves to create pictures of the abdomen.
Blood tests: A blood test cannot diagnose appendicitis, but high white blood cell counts and/or C-reactive protein levels can mean that there is an infection in the body.
Computed tomography (CT) scan: This test uses X-rays to make detailed pictures of the internal organs.
Magnetic resonance imaging (MRI): Magnets are used to make detailed pictures of the organs in the abdomen.
Results can either confirm appendicitis or rule it out. Your provider might even be able to see gas bubbles in your GI tract if gas is actually the cause of your pain.
What Are the Chances It's Appendicitis?
Everyone has around a 7% of getting appendicitis in their lifetime. Most of the time, it’s not known what causes appendicitis, and there might be more than one cause. For example, having an infection in the digestive system, inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis), or a blockage inside the appendix from hardened stool or growth are all potential causes of appendicitis.
Related: Inflammatory Bowel Disease
Appendicitis Treatment
If appendicitis is confirmed, the next step is surgery to remove the appendix called an appendectomy. This can be done as an open procedure (with a large incision) or laparoscopically (with several small incisions). The approach used depends on different factors, including whether your appendix has burst or not.
Most people recover from an appendectomy in a few days without any complications.
Providers may try to treat uncomplicated appendicitis with antibiotics rather than surgery. However, studies have shown that appendicitis can come back in children who were given antibiotics instead of surgery.
If you've been evaluated and it turns out your pain is due to gas after all, talk to your provider about lifestyle strategies or over-the-counter and prescription treatments to help you manage it.
Some people find that avoiding certain foods and drinks that cause gas and getting regular exercise can help.
Summary
Appendicitis causes progressively worsening pain around the belly button that usually moves to the lower-right side of the abdomen. Gas pain usually does not get worse and will get better when you burp or pass gas.
Appendicitis is often accompanied by other symptoms that are not common if you have gas, like fever, vomiting, constipation or diarrhea, and a tender, swollen belly.
If it’s not treated, appendicitis can lead to life-threatening infections. If you have severe abdominal pain, go to the ER. Even if it’s not appendicitis, it could be another serious medical condition that needs to be treated.
Read the original article on Verywell Health.
