The first set of symptoms which most people who have suffered from appendicitis have reported is a general abdominal pain in some cases this symptom is preempted or complemented by a loss of appetite, nausea and even vomiting which is mainly caused by an intestinal obstruction. In most cases the pain cannot be localized to a specific location, it appears to defuse around a person's abdominal area, this normally happens when the inflammation is related to the small intestine or the appendix in other words, when a patient is asked him to pinpoint the location of the pain or discomfort most of them indicate the general area with a circular motion around the abdomen. As the inflammation increases it moves from the outermost part of the appendix to an membrane which is called peritoneum, when this membrane becomes inflamed and the pain normally changes and is now able to be pinpointed to an area which is localized between the bellybutton and the front of the right hip, this area was named after Dr. Charles McBurney and is commonly referred to as the McBurney point. If on the other hand the appendix becomes ruptured because of the inflammation, but there it which surrounds the appendix may cause further complications and the pain may be hard to pinpoint if these conditions are met. The first method to determine and diagnose appendicitis is through a physical examination, most patients will often have an elevated temperature or fever and will show signs of particular pain around the lower part of the abdomen, especially when the doctor pushes inwards over this area. There are other methods to diagnose the inflammation of the appendix such as a white blood cell count, an urinalysis, abdominal x-rays, barium enema, laparoscopy, ultrasound and many other methods, but for the most part the symptoms are normally related to an, lost of appetite and vomiting.
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