Shifting stomach pain could signal appendicitis, warns doctor

Abdominal pain that begins near the navel and gradually shifts to the lower right side of the stomach could be a sign of appendicitis rather than gas, according to Dr Manoj Kolhe, consultant gastroenterologist at Manipal Hospital, Baner, Pune. Speaking to HT Lifestyle, Dr Kolhe explained that this type of pain is frequently mistaken for gas, despite the potential for serious complications if left untreated.

Why the pain moves

According to Dr Kolhe, the appendix, a small pouch attached to the large intestine, becomes inflamed and infected when blocked, triggering appendicitis. He said the brain initially responds to abdominal inflammation with widespread discomfort, which then becomes concentrated in the lower right abdomen as inflammation intensifies. Pain that worsens with movement, coughing, laughing or travelling over uneven surfaces is another indicator doctors consider during evaluation.

Distinguishing appendicitis from gas

Dr Kolhe noted a key difference: gas-related pain typically eases after passing gas or a bowel movement, whereas appendicitis pain continues to worsen over several hours. He warned that delaying treatment could cause the appendix to rupture, spreading infection through the abdomen.

Diagnosis and treatment options

To confirm appendicitis, doctors assess pain location, soreness, fever and related symptoms, alongside blood tests to detect infection. Ultrasound or CT scans are typically used to rule out other conditions, such as kidney stones, urinary tract infections or gynaecological disorders, which can present similar symptoms.

Treatment depends on severity. Mild cases may be managed with oral or intravenous antibiotics, while an appendectomy, surgical removal of the appendix, remains the standard treatment. Many procedures are now performed laparoscopically, a less invasive technique involving smaller incisions, a camera and specialised instruments, offering reduced pain and faster recovery. In cases where the appendix has already ruptured, antibiotics are used to control the resulting infection.

Note: This article is based on user-generated content from social media, and the claims have not been independently verified. It is for informational purposes only and is not a substitute for professional medical advice. Readers should consult a doctor with any questions about a medical condition.