What is your appendix? The appendix is a narrow, finger-shaped pouch that projects out from the colon. Appendicitis occurs when the appendix becomes inflamed and filled with pus.\u00a0 This small structure has no known essential purpose, but that doesn\u2019t mean it can\u2019t cause problems. Appendicitis causes pain that typically begins around your navel and then shifts to your lower right abdomen and typically increases over a period of 12 to 18 hours and eventually becomes very severe.\u00a0 Appendicitis can affect anyone, but it most often occurs in people between the ages of 10 and 30. The standard appendicitis treatment is the surgical removal of the appendix. What is rovsing sign? Rovsing's sign\u00a0is a clinical finding that is indicative of acute appendicitis (the inflammation and possible infection of the appendix). A positive\u00a0Rovsing's sign\u00a0is characterized by right lower abdominal pain upon palpation of the left side of the lower abdomen. Signs and symptoms of appendicitis may include: \tAching pain that begins around your navel and often shifts to your lower right abdomen \tPain that becomes sharper over several hours \tThe tenderness that occurs when you apply pressure to your lower right abdomen \tSharp pain in your lower right abdomen that occurs when the area is pressed on and then the pressure is quickly released (rebound tenderness) \tPain that worsens if you cough, walk or make other jarring movements \tNausea \tVomiting \tLoss of appetite \tLow-grade fever \tConstipation \tInability to pass gas \tDiarrhea \tAbdominal swelling The location of your pain may vary, depending on your age and the position of your appendix. Young children or pregnant women, especially, may have appendicitis pain in different places. Make an appointment with a doctor if you or your child experiences signs\u00a0symptoms that worry you. Abdominal pain so severe that a person is unable to sit still or find a comfortable position requires immediate medical attention. The cause of appendicitis isn\u2019t always clear. Sometimes appendicitis can occur as a result of: \tAn obstruction.\u00a0Food waste or a hard piece of stool (fecal stone) can become trapped in an orifice of the cavity that runs the length of your appendix. \tAn infection.\u00a0Appendicitis may also follow an infection, such as a gastrointestinal viral infection, or it may result from other types of inflammation. In both cases, bacteria may subsequently invade rapidly, causing the appendix to become inflamed and filled with pus. If not treated promptly, the appendix can rupture. Appendicitis can cause serious complications. 1. what happens if your appendix bursts If your appendix ruptures, the contents of your intestines and infectious organisms can leak into your abdominal cavity. This can cause a tapeworm infection of your abdominal cavity (peritonitis). 2. A pocket of puss that forms in the abdomen Infection and the seepage of intestinal contents may form an abscess \u2014 a pocket of infection (appendiceal abscess). An appendiceal abscess requires treatment before the abscess tears, causing a more widespread infection of the abdominal cavity. The pain from appendicitis may change over time, so establishing a diagnosis can sometimes be difficult. In addition, abdominal pain can arise from a number of health problems other than appendicitis. To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and perform a thorough examination of your abdomen. Tests and procedures used to diagnose appendicitis include: \tPhysical exam to assess your pain.\u00a0Your doctor may apply gentle pressure on the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse, signaling that the adjacent peritoneum is inflamed. Other signs your doctor may watch for include abdominal rigidity and a tendency to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding). \tBlood test.\u00a0This allows your doctor to check for a high white blood cell count, which may indicate an infection. \tUrine test.\u00a0Your doctor may want you to have a urinalysis to make sure that a\u00a0urinary tract infection\u00a0or a kidney stone isn\u2019t causing your pain. If it is a kidney stone, red blood cells are usually seen during microscopic examination of the urine. \tImaging tests.\u00a0Your doctor may also recommend an abdominal\u00a0X-ray, an\u00a0ultrasound\u00a0scan or a computerized tomography (CT) scan to help confirm appendicitis or find other causes for your pain. Appendicitis treatment usually involves surgery to remove the inflamed appendix. Other treatments may be necessary depending on your situation. Surgery to remove the appendix (appendectomy) Appendectomy can be performed as open surgery using one abdominal incision that\u2019s about 2 to 4 inches (5 to 10 centimeters) long. Or appendicitis surgery can be done as a laparoscopic operation, which involves several small abdominal incisions. During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix. In general, laparoscopic surgery allows you to recover faster and heal with less scarring. But laparoscopic surgery isn\u2019t appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or if an abscess is present, you may require an open appendectomy. An open appendectomy allows your surgeon to clean the abdominal cavity. Expect to spend one or two days in the hospital after your appendectomy. Draining an abscess before appendix surgery If an abscess is present, it may be drained by placing a tube through the skin and into the abscess. Appendectomy can be performed several weeks later after the infection is under control. Expect a few weeks of recovery after surgery to remove your appendix. If your appendix burst, it may take longer to recover. During this recovery time, you can take steps to help your body heal after surgery, such as: \tAvoid strenuous activity at first.\u00a0If your appendectomy was done laparoscopically, limit your activity for the first three to five days after surgery. If you had an open appendectomy, limit your activity for the first 10 to 14 days after surgery. Ask your doctor when you can go back to your normal activity. \tSupport your abdomen when you cough.\u00a0You may feel abdominal pain when you cough, laugh or make other movements. Place a pillow over your abdomen and apply pressure before these movements to brace yourself. \tCall your doctor if your pain medications aren\u2019t helping.\u00a0Being in pain puts extra stress on your body and slows the healing process. If you\u2019re still in pain despite your pain medications, call your doctor. \tGet up and moving when you\u2019re ready.\u00a0Start slowly and increase your activity as you feel up to it. Start with short walks. \tSleep when you feel tired.\u00a0As your body heals, you may find you feel sleepier than usual. Take it easy and rest when you need to.