Where does acute appendicitis hurt?

Written by Ren Zheng Xin
Gastroenterology
Updated on June 15, 2025
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Acute appendicitis primarily causes abdominal pain, initially in the upper middle abdomen or around the navel, gradually localizing to the lower right abdomen; if the inflammation is severe, the nature of the pain can be very intense, like a knife cut; the inflammation may also affect the peritoneum, causing tenderness, rebound pain, and muscle tension in the abdomen; in addition to abdominal pain, acute appendicitis may also lead to nausea and vomiting. For a confirmed diagnosis of acute appendicitis, surgery is generally required, with laparoscopic appendectomy as the main treatment nowadays. This surgical method involves less bleeding during the operation and a quicker recovery postoperatively.

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Written by Ren Zheng Xin
Gastroenterology
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Does appendicitis surgery hurt?

Appendectomy is performed under either epidural or general anesthesia, so the procedure is completely painless. However, postoperatively, as the anesthesia wears off, there may be slight pain at the incision site. Painkillers can be taken if the pain is intolerable. Additionally, close monitoring of vital signs is important postoperatively. Regular dressing changes at the surgical site and dietary control are required. For the first one to two days after surgery, a semi-liquid diet is recommended. From the third to the fifth day, patients can gradually transition to a normal diet. Furthermore, consuming high-protein foods can enhance nutrition and promote healing of the incision.

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Written by Ren Zheng Xin
Gastroenterology
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Appendicitis surgery how many days to remove stitches?

Appendectomy stitches are generally removed about a week after the surgery. However, there are special circumstances where the removal of stitches may be delayed. For example, if the patient is physically weak, nutritionally compromised, or if the wound heals slowly, it is necessary to wait until the wound has sufficiently healed before removing the stitches. If the appendectomy incision shows clear signs of pus formation, it is crucial to remove the stitches promptly, thoroughly clean the wound, and then dress it externally. Therefore, the timing for stitch removal after an appendectomy should be based on the patient's current medical condition.

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Written by Gao Tian
General Surgery
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Where to apply moxibustion for appendicitis

Generally, when considering moxibustion for appendicitis, the most painful area is the lower right abdomen. This is only an auxiliary treatment. It is recommended to visit a general surgery department to complete relevant examinations, such as an ultrasound, and check the complete blood count. Afterwards, treatment can be conducted based on the results. Initially, conservative treatment is tried, such as taking anti-inflammatory drugs, like cephalosporins, then rest is advised, along with attention to diet, avoiding spicy, stimulating, cold, and hard foods, adjusting the mindset, and regular follow-up checks. If the effect is not satisfactory, surgical intervention may be necessary, and medications should be taken on time post-surgery.

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Written by Si Li Li
Gastroenterology
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Which location does appendicitis hurt?

The typical symptom of appendicitis is pain in the lower right abdomen. Generally, during acute appendicitis, the pain can last for several hours or even longer, with about 70% to 80% of patients experiencing characteristic migratory pain in the lower right abdomen. Migratory pain in the lower right abdomen refers to initial pain in the upper abdomen that later manifests as persistent pain in the lower right abdomen. However, some patients initially present with pain in the lower right abdomen directly. In some cases of pregnant women with acute appendicitis, due to the appendix being pushed upward by the enlarged uterus, pain can also occur in the upper right abdomen. Additionally, acute appendicitis is often accompanied by nausea, vomiting, abdominal pain, and diarrhea.

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Written by Ren Zheng Xin
Gastroenterology
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Appendicitis McBurney's point location

McBurney's point is a point of tenderness on the body surface during an episode of appendicitis, located on the right side of the abdomen, specifically at the outer third of the line connecting the navel to the right anterior superior iliac spine. If the appendix is significantly swollen or suppurative, there will be intense tenderness and rebound pain at McBurney's point. The tenderness and rebound pain at McBurney's point are also important physical examination signs for the clinical diagnosis of appendicitis. Based on the tenderness at McBurney's point, a preliminary diagnosis of appendicitis can be made, and then, the state of appendiceal swelling can be examined by abdominal ultrasound to choose a systematic treatment based on the results.