Appendicitis is a serious medical condition in which the appendix, an out-pouching of the right colon, becomes obstructed, inflamed and infected, resulting in a bacterial inflammation. In 20 to 30 percent of appendicitis cases in children, the appendix ends up rupturing, which is a medical emergency. The Cleveland Clinic estimates that 80,000 children suffer from appendicitis each year in the United States. Parents should be aware of early signs of appendicitis in kids, so that they may seek urgent medical attention when appropriate.
Abdominal Pain
All children with appendicitis experience abdominal pain. Older kids will be able to point to the painful area: the pain usually starts near the navel, then progresses to the right lower quadrant area of the abdomen. Infants will tend to be quite fussy from the pain, as vocalized through inconsolable crying. In textbook cases, palpating the right lower quadrant of the child's belly will elicit loud crying due to tenderness.
Low-Grade Fever
Since appendicitis involves an internal bacterial infection, there is usually a low grade fever, in the range of 99 to 101.5 degrees, during the early stages. Fevers of 102 or higher point to a more advanced stage, such as a ruptured appendix.
Nausea and Vomiting
Nausea and vomiting are common signs in a child with appendicitis. In addition, they are likely to experience anorexia, or lack of appetite. An infant with a sudden onset of fever, anorexia and vomiting should be evaluated by a physician for possible appendicitis.
Urinary Symptoms
A young child with appendicitis may have one of several urinary symptoms: discomfort with urination; frequent urination; or loss of bladder control. In addition, urinalysis may show bacteria in the urine.
Abdominal Swelling
In an infant under 2 years old, it is possible to notice a protuberant or distended belly. This may be diffuse throughout the abdomen, or more localized toward the right lower section of the belly. Pressing on the belly will elicit loud crying or shrieks, since the abdomen will be quite tender.
