Appendicitis
Abdominal pain that needs urgent assessment

Appendicitis is inflammation of the appendix, a small pouch attached to the large intestine on the lower right side of the abdomen. It usually causes pain that starts around the navel and moves to the lower right side. Appendicitis is a surgical emergency, because an inflamed appendix can burst. Most people are treated with keyhole surgery to remove the appendix.

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About appendicitis

What is appendicitis?

The appendix can become blocked by hard stool, swollen lymph tissue or, rarely, other causes. Germs then multiply and the appendix becomes swollen and inflamed. If it bursts, infection spreads into the abdomen (peritonitis), which is serious. Appendicitis can happen at any age but is most common between 10 and 30.

  • Pain starts near the navel and shifts to the lower right
  • Worse on moving, coughing or walking
  • Can mimic other conditions in women and children
  • Avoid strong painkillers or laxatives before assessment
  • Laparoscopic appendicectomy is the usual treatment

Examine

Tummy check and blood tests.

Scan

Ultrasound or CT.

Operate

Keyhole removal.

Recover

Usually home in a day or two.

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Symptoms

Symptoms of appendicitis

Symptoms usually build up over 12 to 24 hours.

Pain around the navel

Often the first symptom.

Pain moves to the lower right

Becomes sharper and constant.

Worse on movement

Coughing, walking or bumps hurt.

Loss of appetite

Not wanting to eat.

Nausea or vomiting

Usually after the pain starts.

Mild fever

A low-grade temperature.

Bowel changes

Constipation or loose stools.

Children

May be irritable, with vague tummy pain.

Go to emergency if: abdominal pain is severe, keeps getting worse over hours, or comes with fever and vomiting. Do not eat or drink until a doctor has seen you. Call 0522-666-4444.

Diagnosis

How appendicitis is diagnosed

Diagnosis combines examination with tests.

Examination

Tenderness in the lower right abdomen.

Blood tests

White cell count and CRP.

Urine test

To rule out a urine infection or stone.

Pregnancy test

For women of child-bearing age.

Ultrasound or CT

To confirm an inflamed appendix.

Treatment

Treatment

Most people need surgery to remove the appendix.

Laparoscopic appendicectomy

The appendix is removed through small cuts using a camera, under general anaesthesia. Most people go home within one to two days and return to light activity within a week or two.

Small cuts; quicker recovery for mostGeneral anaesthesiaOpen surgery in some complicated cases

After surgery

  • Walk early
  • Wound care as advised

Good to know

  • Living without an appendix causes no known problems
  • A burst appendix needs a longer stay and antibiotics
Recovery

After appendix surgery

General guidance — always follow the advice your own doctor gives you.

Activity

Walk from the first day. Avoid heavy lifting for about 2 to 4 weeks, or as your surgeon advises.

Diet

Start with fluids and light food, then return to a normal diet.

Wound care

Keep wounds clean and dry. Report redness, discharge or fever.

Contact us urgently if

  • Fever after surgery
  • Increasing tummy pain or swelling
  • Wound redness or pus
  • Persistent vomiting
0522-666-4444
Myths & facts

Myths about appendicitis

Tap a card to see the fact.

Myth

“Swallowing seeds causes appendicitis.”

Tap to flip
Fact

There is no good evidence that swallowing seeds causes appendicitis.

Myth

“Painkillers at home are enough.”

Tap to flip
Fact

Painkillers can mask worsening appendicitis. Get assessed.

Myth

“The pain has gone, so it’s fine.”

Tap to flip
Fact

Sudden relief can happen when the appendix bursts. Seek care if you were unwell.

Your care team

General and paediatric surgeons

Laparoscopic surgery Appendix surgery Paediatrics
Practical help

What to bring, costs & insurance

A little preparation helps us help you faster.

What to bring to your visit

Tick off as you pack:

  • Any ultrasound or CT reports
  • List of current medicines
  • Do not eat or drink before being seen

Costs & insurance

Costs depend on the tests and treatment you need and the length of any hospital stay. Ask our team for a written estimate.

  • ✓Written estimate— ask for one before planned procedures or admission.
  • ✓Health insurance & TPA— cashless treatment for admissions under tie-up insurers; outpatient visits depend on your policy.
  • ✓Ayushman Bharat (PM-JAY) accepted for eligible admissions.
  • ✓Corporate & PSU panels— ask whether your employer has a tie-up with Charak Hospital.

*Coverage depends on your policy and the treatment. Our insurance desk can check this for you.

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FAQs

Frequently asked questions

Can appendicitis go away on its own?

Rarely. Because the appendix can burst, it should always be assessed by a doctor.

How long is the hospital stay?

Usually one to two days after uncomplicated keyhole surgery; longer if the appendix has burst.

When can I return to work?

Office work often in about 1 to 2 weeks; heavy work after about 4 weeks, as advised.

Is appendicitis common in children?

Yes. Children may have vague symptoms, so assessment by a doctor is important.

Glossary

Words you may hear

AppendicectomySurgery to remove the appendix.
LaparoscopyKeyhole surgery using a camera.
PeritonitisInfection of the lining of the abdomen.
CRPA blood test for inflammation.

No matching term. Please ask your doctor at your next visit.

Related pages

Related departments and guides

Laparoscopic surgery Appendix surgery Hernia Kidney stones Health library

Severe pain in the lower right abdomen?

Do not wait. Come to Charak Hospital emergency or call 0522-666-4444.

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Medical information disclaimer: This page provides general health information for patients and families. It is not a substitute for a consultation, diagnosis or treatment by a qualified doctor. Treatment decisions depend on each patient's individual condition. In an emergency, call 0522-666-4444 or go to the nearest emergency department.

About this page: Prepared by the Charak Hospital web team with the help of AI writing tools, using information from the Department of Minimal Access/Laparoscopic & Bariatric Surgery, Charak Hospital & Research Centre ·  Last updated: October 2026

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