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Appendicitis: how the pain typically moves

Illustration of the large intestine
Medically reviewed by

Dr. Sneha Vallabhaneni, MSConsultant General Surgeon

Last reviewed · 5 min read

Classic appendicitis begins as a vague ache around the navel and, over several hours, settles into a sharper pain low on the right side.

Dr. Sneha Vallabhaneni

Consultant General Surgeon

MBBS, MS (General Surgery)

7 Yrs
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The usual pattern

  • Central abdominal ache that migrates to the lower right
  • Loss of appetite, often the earliest sign
  • Nausea, sometimes vomiting
  • Low-grade fever
  • Pain worse on movement, coughing or going over a speed bump

Important

Suspected appendicitis is urgent. Do not take painkillers and wait it out — go to an emergency department.

Speak to the general surgery team

Daycare procedures, cashless insurance, and consultations seven days a week at Gachibowli.

When should I see a doctor about abdominal pain?
Book a consultation if symptoms persist, get worse, wake you at night, or come with bleeding, fever or unexplained weight loss. Anything that does not settle within a few weeks is worth having looked at.
Will I need surgery?
Often not. Many conditions settle with medication, physiotherapy or a change in daily habits. Surgery is discussed when simpler measures have been tried, or when the problem is structural.

Still unsure what is causing your symptoms?

A short consultation with a Lux general surgery specialist can tell you what you are dealing with — and what, if anything, needs treating.

Gachibowli, Hyderabad · Seven days a week · Cashless insurance accepted

Sources & references

Published · Last reviewed · Next review due March 2027

This article is published for general education. It is not a diagnosis and does not replace an in-person consultation. If you are worried about a symptom, please speak to a qualified doctor.

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