APPENDICITIS – ANOREXIA (LOSS OF APPETITE)
Pain is the usual obvious symptom. It is initially rather vague, centred around the umbilicus (navel), usually intermittent in character and associated with nausea, vomiting and loss of appetite.
Anorexia or loss of appetite is a constant feature and characteristic of this condition. There may be either diarrhoea or constipation.
If the inflammation progresses and the outside of the appendix becomes involved, the character of the pain changes. It moves to the right lower abdomen and becomes constant.
When the doctor examines the patient, he may find a slight elevation of temperature, the tongue is often furred and the breath is offensive.
Examination of the abdomen usually reveals some tightness of the muscles over the appendix in the right lower side and, if the peritoneum or covering of the organs and the inside wall of the abdomen is inflamed, rebound tenderness is present — when the abdomen is pressed and then let go suddenly, there is a sharp stab of pain.
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