Appendicitis symptoms

Pain starting near the belly button and shifting to the right lower abdomen, with fever and nausea, is classic appendicitis. This is a surgical emergency — go to the ER.

Also called: appendix pain · right lower belly pain · when to go to ER

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Go to the ER if you have:

  • Pain starting near the navel that migrates to the right lower abdomen
  • Pain that worsens with movement, coughing, or pressing and letting go
  • Fever with abdominal pain and loss of appetite
  • Persistent vomiting or inability to keep fluids down

What appendicitis symptoms could be

The most common causes a clinician considers. This isn't a diagnosis — it's the differential a provider works through with you.

Abdominal pain

Abdominal pain is one of the more common causes of appendicitis symptoms. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Nausea and vomiting

Nausea and vomiting is one of the more common causes of appendicitis symptoms. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Typical workup

What a clinician usually orders or asks about when someone presents with appendicitis symptoms.

  • Focused history: timing, triggers, severity, and prior treatments related to "appendicitis symptoms"
  • Targeted physical exam of the involved system
  • Rule-in / rule-out workup for the most likely causes: Abdominal pain, Nausea and vomiting
  • Labs, imaging, or referral only when the answer will change management

When to see a clinician

  • Symptoms have lasted more than a few days without improving, or keep coming back
  • You're not sure if this needs antibiotics, prescription treatment, or watchful waiting
  • You have a chronic condition (diabetes, heart disease, immunocompromised) that raises the stakes
  • You want a same-day plan without a trip to urgent care

Common questions