1. The main symptom is pain in the abdomen, which classically begins around the umbilicus and soon settles in the right lower quadrant, just above the groin.

  2. The pain is often accompanied by ill health, like fever that can be high and associated with sickly feeling and vomiting.

  3. The area above the right groin will be very tender and the patient will object to touching the area

  4. Inflammation spreads to the overlying covering called peritoneum, causing generalised tenderness and pressing on the left side of the abdomen  also causes pain at the site of appendix.

  5. Not infrequently appendicitis starts slowly as vague pains coming and going, and can be difficult to diagnose.