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Appendicitis typically starts with a pain in the middle of your abdomen (tummy) that may come and go. Within hours, the pain travels to your lower right-hand side, where the appendix is usually located, and becomes constant and severe. Pressing on this area, coughing or walking, may all make the pain worse.
1 Sudden pain around the navel that moves to the lower right abdomen in next hours. 2  The painful spot is tender to touch and abdominal wall above the appendix is rigid. 3  Pressure put (by hand) on the left side of the abdomen and quickly released, triggers pain above the appendix (rebound tenderness, Rovsing sign).he following symptoms are usually present in acute appendicitis: 1  Sudden pain around the navel that moves to the lower right abdomen in next hours. 2  The painful spot is tender to touch and abdominal wall above the appendix is rigid.