Appendicitis often causes fever, due to systemic infection caused by inflammation entering the bloodstream. Generally, it only causes a low fever without chills. The temperature in suppurative appendicitis does not exceed 38 degrees Celsius. High fever above 38 degrees Celsius is mostly seen in cases of appendiceal perforation or concurrent peritonitis. In addition to fever, acute appendicitis also presents with abdominal pain, tenderness and rebound pain in the abdomen, tension in the abdominal muscles, as well as nausea, vomiting, and increased frequency of bowel movements due to reflexive gastric spasms.