Symptoms

The typical abdominal tenderness starts from the periumbilical area and then shift to the right lower quadrant abdomen. Patients’ temperature is usually mild and never flares up to 38 degree; such tenderness of acute appendicitis is usually untypical. Patients could suffer from vomit, poor appetite, and occasional diarrhea or constipation. 

Treatment

1. If your child continues to suffer from persistent abdominal pain for more than two hours, have him/her lie facing up and check his or her abdomen. Press gently on the right side of umbilical area. He/she could feel minor pain when pressed gently, yet he/she could suffer from severe sharp pain with sudden release of the press. This is typical symptom of acute appendicitis. 
2. If your child has constipation and you have suspected acute appendicitis; do not use any enema agents for it could have appendices ruptured.
3. When you suspect that you child may suffer from acute appendicitis, do not give him/her any food or drinks because surgery requires an empty stomach for complete anesthesia. Contact a hospital once your child has abdominal pain and remember: if stomach is not emptied, it could delay treatment.