Appendicitis Pain Characteristics in Simple Cases

In cases of simple appendicitis, the pain typically follows a distinct pattern known as referred right lower quadrant pain. Initially, the discomfort often begins around the upper abdomen or near the navel, presenting as intermittent dull or cramping pain. Over time—usually within 6 to 12 hours—the pain migrates toward the right lower side of the abdomen and localizes near McBurney's point, where it intensifies and becomes more constant.

This type of appendicitis generally does not involve signs of peritonitis, which helps differentiate it from more severe forms of the condition. Diagnosis can be supported through imaging techniques such as an abdominal ultrasound or CT scan, which may reveal an enlarged, swollen appendix with slight fluid accumulation around it.

In addition to imaging, blood tests are commonly used to aid in diagnosis. A complete blood count (CBC) often shows elevated levels of white blood cells, particularly neutrophils, indicating an inflammatory response in the body. Once these clinical findings are confirmed, a diagnosis of simple appendicitis can be confidently made, and surgical removal of the appendix is typically recommended to prevent complications. This approach ensures timely treatment while minimizing the risk of progression to more severe stages.