Skip to main content

Warning notification:Warning

Unfortunately, you are using an outdated browser. Please, upgrade your browser to improve your experience with HSE. The list of supported browsers:

  1. Chrome
  2. Edge
  3. FireFox
  4. Opera
  5. Safari

Symptoms and causes - Appendicitis

Appendicitis is a painful swelling of the appendix. The appendix is a small, thin pouch that's connected to the large intestine.

Appendicitis usually starts with a pain in the middle of your tummy that may come and go. Within hours, the pain travels to the lower right side of your tummy. This is where your appendix usually is. The pain can become constant and severe.

Urgent advice: Ask for an urgent GP appointment if:

  • you have tummy pain that's gradually getting worse

Other symptoms of appendicitis

You may have other symptoms, including:

Things that may make the pain worse include:

  • pressing on the area
  • coughing
  • walking

If your appendix bursts, it can cause a serious infection of the lining of your tummy. This is called peritonitis.

Emergency action required: Call 112 or 999 or go to your nearest emergency

  • you have tummy pain that suddenly gets worse and spreads across your stomach
  • your pain improves for a short time before getting worse again

The symptoms of appendicitis are similar to other conditions, such as:

Information:

Any condition that causes severe tummy pain that is there all the time needs urgent medical attention.

Causes of appendicitis

Appendicitis is common. You can get it at any age. But it usually affects young people age 10 to 20.

It's not clear what causes appendicitis. It may happen because something blocks your appendix.

Some things that might block your appendix are:

  • a small piece of poo
  • swollen lymph nodes in your bowel - this could be caused by an infection, such as a pin worm infection in children

The inflammation and swelling could lead to increased pressure in your appendix. This can cause your appendix to burst.

We do not know how to prevent appendicitis.


Content supplied by the NHS and adapted for Ireland by the HSE

Page last reviewed: 23 June 2026
Next review due: 23 June 2029

This project has received funding from the Government of Ireland’s Sláintecare Integration Fund 2019 under Grant Agreement Number 123.