Appendicitis: When navel pain shifts to the lower right abdomen, it should not be ignored. Abdominal pain is common, but a sharp pain starting around the navel and gradually moving to the lower right side is a key indicator of appendicitis. Dr Manoj Kolhe, consultant gastroenterologist at Manipal Hospital, Pune, warns that such pain is often mistaken for gas, but unlike gas, appendicitis pain does not ease with passing gas or bowel movements. Instead, it worsens over hours, especially when coughing or moving.
The shift in pain location occurs because the brain initially registers widespread discomfort from inflammation near the appendix. As the inflammation grows and reaches the abdominal lining, the pain becomes concentrated in the lower right abdomen. Doctors use this specific pain migration to evaluate possible appendicitis. Additional red flags include fever, soreness, and tenderness in the area.
Delaying medical attention for appendicitis risks the appendix rupturing, which can spread infection throughout the abdomen. Diagnosis involves blood tests to check for infection, along with an ultrasound or CT scan to confirm inflammation and rule out other conditions like kidney stones or gynaecological issues. Treatment depends on severity; mild cases may be managed with antibiotics, but the definitive treatment is an appendectomy, often performed laparoscopically for quicker recovery.
In conclusion, any abdominal pain that starts near the navel and shifts to the lower right side should prompt immediate medical evaluation. Ignoring these signs can lead to serious complications, so timely diagnosis and treatment are crucial.