Going to the doctor, especially in a stressful situation like this one, can be nerve-wracking so it is best to know what you are going to experience. The abdominal exams your doctor will perform are listed in the following steps. It is best to see a doctor in the emergency room. Appendicitis is a condition that should be treated promptly if you have it, so it is recommended to be seen in the hospital where tests can be performed quickly if needed. While you will be experiencing pain, that pain is one of the only ways doctors can diagnose appendicitis in pregnant women so masking it with medication could be detrimental. Most people see a physician in the emergency room when they are worried about appendicitis, so the wait shouldn't be too long. The reason refraining from eating and drinking is important is that an empty stomach is required for certain procedures done by doctors. Also, it is easier on your digestive tract and reduces the chance of your appendix bursting if you do in fact have appendicitis. There are a variety of tests doctors perform in order to determine the cause of abdominal pain to figure out whether or not it is appendicitis. These include pressing around your abdomen to elicit painful areas, as well as tapping and testing for "rebound tenderness" (pain after they release the pressure of their hand).  The tests may seem redundant and time-consuming, but know that these can be very helpful to your doctor in figuring out exactly what is going on. This test will look for the "Obturator sign," which is pain that occurs when your hip is rotated. Your doctor will hold on to your right knee and ankle and then bend your hip and knee while rotating your leg inwards and outwards. Pay attention to any pain you feel in your lower right quadrant of your abdomen - tell your doctor if you feel pain in that area because it could mean that there’s an irritation of the obturator muscle happening, which is a sign of appendicitis. Your doctor will ask you to lie on your side, and he or she will extend your leg asking if you feel pain. This is called the "Psoas test" and, when positive for increased pain, it is another indicator of appendicitis. Although the rectal exam does not relate directly to the diagnosis of appendicitis, many physicians have been trained to do it as a way to exclude the possibility of something else going on. So do not be surprised if this occurs during the visit with your physician.
حافظي على هدوئكِ واستعدي لزيارة الطبيب. تجنبي تناول مسكنات الألم قبل الذهاب لرؤية الطبيب. لا تتناولين الطعام أو الشراب أو أيًا من الأدوية الملينة قبل رؤية الطبيب. اعلمي أن الطبيب سيقوم بتحسس معدتك لمعرفة موضع الألم. يجب أن تكوني على استعداد للخضوع لاختبار دوران مفصل الفخذ. توقعي الخضوع لاختبار تمديد الساق. كوني مستعدة لفحص المستقيم.