Although the white blood cell (WBC) count will be elevated in 70%-90% of patients with acute appendicitis, this test is neither sensitive nor specific enough to rule in or exclude the disease.
The presence of pain in the right lower quadrant, abdominal rigidity, and migration of pain from the periumbilical region to the right lower quadrant increases the likelihood of appendicitis.
Pain that worsens if you cough, walk or make other movements/ Nausea, Vomiting, Loss of appetite/ fever/ Constipation, Inability to pass gas, Diarrhea or Abdominal swelling are other symptoms.
Thus in nutshell it is not necessary that the individuals will have all of the above mentioned symptoms.
It is possible to have appendicitis without fever and sometimes low grade fever is present.
Scan gives a definite conclusive diagnosis if pain is related to appendicitis or other pathology.
If pain is severe then visit ER.
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