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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.
Typically an appendix bursts after a prolonged period of inflammation affects the appendix, a process called appendicitis. Appendicitis classically presents with a constellation of symptoms including abdominal pain, nausea, vomiting and depressed appetite. The abdominal pain often starts centered around the belly button, and then migrates to the right lower quadrant of the abdomen. As the location of the appendix can vary by several centimeters from person to person, the exact type of abdominal pain can vary as well.