Summary: 1  Energy is not recycled. 2  Energy is lost from the ecosystem in the form of heat through cell respiration. 3  Nutrients must be recycled as there is only a limited supply of them.  They are absorbed by the environment, used by organisms and then returned to the environment.
I had no symptoms at all of appendicitis, none. No pain, no fever, and no diarrhea. As far as I was concerned I was a healthy patient. I had kidney pain on my left side and had a CT scan looking for kidney stones, no stones were found but they did find an inflamed appendix. After consulting with my surgeon I had it removed, started with laparoscopy but the appendix was so swollen they couldn't stitch me back up well.
There was no history of fever, chills, sweats, diarrhea or constipation. Clinical diagnosis of appendicitis was considered, and patient was observed in the hospital for one day. Ultrasound (not shown) obtained the next day showed no upper abdomen or right lower quadrant pathology. The appendix was not visualized.