Is your child complaining of unexplained lower abdominal pain accompanied by a fever? It could be appendicitis—a condition in which the appendix, a small tube-shaped organ connected to the large intestine, becomes inflamed. The appendix is located in the lower right side of the abdomen.
If your child has appendicitis, immediate medical attention is required. Untreated appendicitis can lead to rupture, spreading bacteria throughout the abdomen and causing peritonitis or a serious bloodstream infection called sepsis, which can be life-threatening. According to Kids Health, here are the main causes, symptoms, and treatments.
Signs of Appendicitis in Children
Fever
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Early appendicitis often causes a mild fever around 38°C (100.4°F) with possible chills.
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If the appendix ruptures, the fever may rise above 38.3°C (101°F).
Lower Right Abdominal Pain
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Pain usually begins near the belly button and gradually moves to the lower right abdomen.
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As inflammation worsens, the pain becomes sharper, more constant, and may cause abdominal wall irritation.
Loss of Appetite
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Children often lose interest in food and may appear weak or less active.
Digestive Issues
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Nausea, vomiting, constipation, or diarrhea can occur.
Abdominal Swelling
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In advanced stages, the abdomen may appear swollen due to pus accumulation or gas blockage caused by inflammation.
Frequent Urination
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Inflammation of the appendix may irritate the nearby bladder, leading to more frequent urination.
Shivering
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High fever may be accompanied by shivering, indicating infection.
How Appendicitis is Treated
Medical Examination
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Symptoms can mimic other conditions such as kidney stones, pneumonia, or urinary tract infections. A doctor will check for abdominal tenderness and other signs.
Diagnostic Tests
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Blood and urine tests, X-rays, ultrasound, or CT scans may be performed.
Surgery
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Appendicitis is usually treated by removing the inflamed appendix.
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Laparoscopy: A small incision and a tiny camera allow the appendix to be removed. Hospital stay may range from one day or more, depending on the case.
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Antibiotics: If the appendix has ruptured, antibiotics are used to treat infections, which may require a longer hospital stay.
When to See a Doctor
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Seek medical attention immediately if appendicitis is suspected.
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If untreated within 48 hours, the risk of rupture increases significantly.
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Watch for worsening abdominal pain, vomiting, loss of appetite, or high fever.
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Doctors may order imaging tests and blood/urine tests to confirm the diagnosis.
How to Support Your Child
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Explain that they have a medical problem that needs hospital care.
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Use honest, calm language and avoid frightening words.
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Reassure your child that surgery is painless because they will be asleep, and the doctor will wake them afterward.
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Let them know you will be there as soon as possible and that they will feel better soon.
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Provide distractions before and after surgery, such as a favorite toy or visit from a family member.
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