A precise diagnosis for appendicitis has a high degree of difficulty, due to the resemblance of appendicitis’s symptoms to those indicating other inflammations. Thus, a frequent method is to keep under observation the patients with appendicitis suspicion for a temporal interval, to see their evolution. The problem may disappear, or develop to classic appendicitis or other disease.* – Meckel’s diverticulitis represents little excrescences of the small intestine which are usually found in the lower right abdomen right next to the appendix. Same as the appendix, the diverticulum can rupture or inflame and it is necessary to take it out by surgical intervention.* – Right upper abdomen conditions of inflammatory nature. Diseases like duodenal ulcer, gallbladder disease or affections of the liver may generate fluids drain from upper to lower right abdomen and cause a very similar inflammation to that of the appendix.* – Affections of the right kidney such as abscess which, due to the close position of the kidney to the appendix may simulate appendicitis.
Because many conditions of the abdomen share the same symptoms, the causes are in more than one case difficult to determine, but the good thing is that only few abdominal affections are so serious to require more than medication at home. So, the nature of pain is more likely to be determined by severity, location or other aspects.
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