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Symptoms. Signs and symptoms of appendicitis may include: 1  Sudden pain that begins on the right side of the lower abdomen. 2  Sudden pain that begins around your navel and often shifts to your lower right abdomen. 3  Pain that worsens if you cough, walk or make other jarring movements. 4  Nausea and vomiting.
Once the appendicitis symptoms appear, it can take as little as 24 to 72 hours for the infected appendix to rupture. If the appendix ruptures, the infection can spread to other areas of the abdomen, increasing the risk of serious complications and making treatment more difficult.