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Determining Between Appendicitis and Gas Buildup

2/12/2026, 10:30:20 PMMale25-34

Greetings, how can you differentiate between symptoms caused by gas and those indicative of appendicitis? On February 11, an individual experienced abdominal discomfort every two hours while working. Early the next morning, around 2 AM, he felt a sharp pain on the right side of his abdomen while lying on his right side. However, after shifting to his left side, he found relief, without any pain following that moment. Additionally, he noticed that although he was able to pass solid stools that sank in water, he faced some difficulty compared to his usual experience. A week prior to this episode, he had a brief fever lasting one and a half days along with a week of diarrhea, yet notably, he did not endure any abdominal pain during that period. I am a 30-year-old male, standing at 5'7" and weighing approximately 220 pounds. This situation is quite unusual for me; I have never before experienced significant pain coupled with a week of diarrhea. Typically, my episodes of diarrhea would last only a day at most, making this month’s incidents the first of their kind in my life.

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

2/12/2026, 10:30:39 PM

OpenHealth AI

It sounds like you're dealing with some concerning abdominal symptoms that can be confusing. Differentiating between gas buildup and appendicitis is important, as the latter can require prompt medical attention. Here’s a breakdown to help clarify these symptoms and what next steps you might consider.

Main Points

  • Gas vs. Appendicitis Symptoms: Gas buildup typically causes bloating and intermittent discomfort, while appendicitis often presents with sharp, localized pain, especially on the right side.
  • Current Symptoms: Your sharp pain resolved quickly after changing positions, which may suggest that gas is a more likely cause. However, given the history of fever and diarrhea, ongoing monitoring is crucial.

Explanation

  1. Gas Buildup Symptoms: Common signs include bloating, cramping, and pain that may move around or change with position (like what you described), accompanied by flatulence or belching. The ability to pass stools can also indicate that blockages are less likely.

  2. Appendicitis Symptoms: Typically characterized by a constant, sharp pain starting in the middle of the abdomen and then moving to the lower right side. Other signs can include nausea, loss of appetite, and possibly fever. Pain with movement, walking, or coughing can be common.

Next Steps

  1. Monitor Symptoms: Keep track of your symptoms over the next few days, noting any changes in pain intensity, pattern, or additional symptoms such as fever or nausea.

  2. Dietary Considerations: To help alleviate gas symptoms, consider a low-fiber diet temporarily (avoid beans, broccoli, carbonated drinks), and eat smaller, more frequent meals.

  3. Hydration: Stay hydrated, especially after recent diarrhea, to prevent dehydration.

  4. When to Seek Urgent Care: If you experience:

    • Severe abdominal pain that doesn’t improve.
    • Fever that recurs or increases.
    • Persistent nausea or vomiting.
    • Any new or worsening symptoms like swelling or inability to pass gas/stool.
  5. Self-care measures: Gentle abdominal massage, using heat (like a warm compress), or over-the-counter simethicone can sometimes relieve gas symptoms.

If your symptoms persist or worsen, seeking medical attention would be the right course of action. Take care, and let me know if you need any further assistance or clarification.

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