Symptom 8: Rebound Pain
Pain is the body’s natural alarm system, signaling that something is amiss. Yet, not all pains are alike. With appendicitis, a unique type of pain called “rebound pain” often surfaces, especially in children.
For those unfamiliar, rebound pain isn’t constant. Instead, it’s a sharp pain felt after releasing pressure from the lower right side of the abdomen. Say a child’s belly is gently pressed, and upon release, they wince or cry out. This sudden onset of pain, in the absence of the applied pressure, is a classic sign of rebound tenderness, often pointing to appendicitis.
But why does this phenomenon occur? Appendicitis, at its core, is an inflammation of the appendix. As the inflammation intensifies, the lining of the abdominal wall, called the peritoneum, becomes irritated. When pressure is applied and suddenly released, the peritoneum swiftly rebounds, sparking off pain receptors in the process. It’s the body’s way of declaring a state of distress, urging for attention.
For parents or caregivers, detecting rebound pain can be tricky. Children might not always be forthcoming about their discomfort, often dismissing or downplaying their feelings. Regular checks, especially if they exhibit other symptoms of appendicitis, become crucial. Observing their reactions during playful tummy pokes or tickles can also be telling. (8)
