Symptoms of mild appendicitis

Written by Wu Hai Wu
Gastroenterology
Updated on July 02, 2025
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Patients with mild appendicitis may experience migratory right lower abdominal pain, initially presenting as pain in the upper middle abdomen, followed by a shift to pain in the right lower abdomen. Symptoms may also include chills, fever, nausea, vomiting, and others. The pain in the right lower abdomen is relatively fixed and does not present as migratory. It may also be accompanied by diarrhea and vomiting. Once mild appendicitis is diagnosed, it is crucial to promptly perform a complete blood count and abdominal imaging studies, such as color Doppler ultrasound and CT scans, and to undertake surgical treatment as soon as possible. Additionally, active anti-infection treatment is necessary to fully cure appendicitis.

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Written by Ren Zheng Xin
Gastroenterology
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How many days of hospitalization are required for appendicitis surgery?

After appendectomy surgery, patients generally need to stay in the hospital for observation for three to five days. If there is no suppuration or infection at the wound, patients can choose to be discharged according to their own wishes. However, if the initial symptoms of appendicitis are severe, or if there is suppuration or perforation, it is advisable to stay in the hospital for additional observation until the abdominal pain subsides before considering discharge. Additionally, elderly individuals or children who are physically weaker should also stay in the hospital for longer observation, as this can aid in recovery.

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Written by Ren Zheng Xin
Gastroenterology
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Does acute appendicitis cause diarrhea?

Acute appendicitis rarely involves diarrhea. Typical symptoms include abdominal pain that begins around the navel or upper abdomen and gradually shifts to the lower right abdomen. The pain is persistent and localized. Additionally, irritation of the gastrointestinal tract may cause nausea or vomiting. If the appendix becomes suppurative or perforated, it can lead to tension in the abdominal muscles, tenderness, and rebound pain. Most cases of acute appendicitis require surgical removal, and currently, laparoscopic appendectomy is a commonly used procedure.

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Written by Zhang Da Wei
General Surgery
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Does appendicitis hurt?

Appendicitis is generally divided into chronic and acute appendicitis. Both chronic and acute appendicitis can cause pain, which is usually severe. In cases of acute appendicitis, if the pain subsides after a while, it is actually more dangerous. It may indicate complications such as intestinal perforation or intestinal necrosis, leading to gradually diminishing pain. In such cases, timely surgical removal is necessary; otherwise, if local ulceration occurs, it can potentially affect the entire intestine. Thus, appendicitis generally causes pain, especially during the chronic phase. The pain is quite noticeable and, although generally bearable, can directly impact the quality of life.

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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 Ma Xian Shi
General Surgery
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Early symptoms of appendicitis

What are the initial symptoms of appendicitis? It is characterized by abdominal pain. The main symptom is abdominal pain that appears around the upper abdomen or navel, and some patients may also experience nausea and vomiting. Generally, two to three hours later, the abdominal pain gradually shifts to the lower right abdomen, which we clinically refer to as migratory right lower abdominal pain. This symptom accounts for about 80% of clinical cases, while some patients present directly with pain in the lower right abdomen, without transitional abdominal pain. Therefore, the primary symptom of appendicitis is abdominal pain, as described in these two scenarios. However, physical examination is also very important, typically revealing localized fixed tenderness in the lower right abdomen as the main clinical manifestation.