
How to tell if it's appendicitis
Disease description:
I have been experiencing periumbilical pain recently, accompanied by diarrhea. I'm worried it might be caused by appendicitis. How can I tell if it's appendicitis?

To determine whether one has appendicitis, a comprehensive assessment can be made from the following aspects:
1. Clinical symptoms: The typical symptom of appendicitis is migratory right lower quadrant abdominal pain, meaning the pain initially starts in the upper abdomen or periumbilical area and migrates and localizes to the right lower quadrant several hours later. Additionally, associated symptoms such as nausea, vomiting, loss of appetite, diarrhea, fatigue, chills, and high fever may also be present.
2. Physical examination: Localized tenderness and rebound tenderness in the right lower quadrant are important clinical signs of appendicitis. Physicians will note these characteristics during abdominal palpation.
3. Ancillary examinations: Blood tests may show elevated white blood cell count and increased neutrophil percentage. Color ultrasound or CT scan of the right lower quadrant may reveal a thickened tubular structure resembling a worm or fluid accumulation around the appendix.