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Appendicitis needs medical attention

Sat., Jan. 19, 2013

DEAR DOCTOR K: Every time my husband has abdominal pain, he worries that it’s appendicitis. Can you tell me the actual symptoms so I can assure him he’s fine?

DEAR READER: Many different conditions can cause abdominal pain. The cause of most abdominal pain is a temporary and simple disorder, such as a pocket of gas trapped in the intestine, or stomach acid causing heartburn.

But serious conditions also cause abdominal pain, and appendicitis is one of the most common of those serious conditions. It affects one in every 500 people in the United States each year.

Appendicitis is an inflammation of the appendix. Your appendix is a small, fingerlike tube. We don’t know of anything good the appendix does for us – we just know it can cause trouble.

Many people, including many of my patients, worry about appendicitis whenever they get a pain in their belly. It’s worth worrying about: Appendicitis can have serious and life-threatening consequences. Left untreated, an inflamed appendix can burst. The infection can then spread throughout the abdominal cavity and into the bloodstream.

The appendix hangs from the lower right side of the large intestine. If your husband’s pain is predominantly on his left side, it’s probably not appendicitis.

Appendicitis causes the following symptoms:

• Abdominal pain: This usually starts just above the belly button, then moves over several hours to the right lower side of the abdomen.

• Nausea

• Vomiting

• Abdominal swelling

• Pain when the right side of the abdomen is touched

• Low-grade fever

• Inability to pass gas

• Change in normal bowel pattern

Appendicitis is an emergency and requires immediate attention to avoid the risk of a ruptured appendix.

To send questions, go to, or write: Ask Doctor K, 10 Shattuck St., Second Floor, Boston, MA 02115.


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