Appendicitis in kids isn’t always easy to diagnose because abdominal pain in kids and teens can be difficult for Omaha parents to navigate. Causes can often seem mysterious and difficult to understand. Appendicitis, however, does present with a few tell-tale signs, which we will outline below.

What Is Appendicitis in Kids?
Appendicitis in kids occurs when an organ called the “appendix” becomes infected and/or inflamed. A pouch or tube-shaped organ attached to the colon, the appendix is connected to immune and digestive health. When inflammation of the appendix occurs, it can cause a significant amount of pain, as well as danger to the patient.
If you suspect your child has appendicitis, it’s extremely important to contact your provider as quickly as possible.
Understanding the Appendix and Its Role
For many years, the appendix was thought to be a “vestigial” organ — an organ that has lost its original purpose over the years due to human development and evolution. Recently, however, it has been determined to act as a reservoir for gut bacteria, and an important piece of the immune system.
Signs and Symptoms of Appendicitis in Children
The most common sign of appendicitis in kids is abdominal pain that presents in some fairly specific ways, including:
- Pain in the lower right belly
- Pain around the belly button that moves to the lower right belly
- Vomiting and nausea
- Distinct loss of appetite
- Pain that worsens with movement
- Fever
Early Symptoms Parents Should Watch For
The most-common early-stage symptom of appendicitis is a sharp, sudden pain around the belly button that is persistent. This pain will move to the lower right portion of the belly.
Symptoms in Young Children vs. Teens
Symptoms of appendicitis in young kids and teens are the same. It begins with a sharp pain around the belly button and moves to the lower right portion of their abdomen. The difference, however, lies in the way teens and children communicate their symptoms to their parents. Your teen will be able to better articulate the pain in their abdomen, while young kids aren’t as capable. The other symptoms listed above will help you find a better understanding of your young child’s pain.
What Causes Appendicitis in Kids?
Unfortunately, the causes of appendicitis are often varied and unclear, and there are many instances in which the cause is never determined. That being said, some of the causes can include:
- Infections of the abdomen or digestive tract
- Blockage at the opening of the appendix
- Inflammatory Bowel Disease
- Parasites
- Stool buildup
- Growths inside the appendix
Blockages, Infection, and Inflammation Explained
When a blockage develops in the lining of the appendix, it can cause an infection. In these cases, there is a rapid buildup of bacteria which causes inflammation, swelling, and a buildup of pus. This causes significant pain and risk of a burst appendix.
Treatment for Appendicitis in Children
The treatment of appendicitis in kids is often a combination of surgery and antibiotics. Antibiotics help to begin clearing the infection, while surgery is used to remove the appendix from the body, or to drain an abscess that has developed from a buildup of pus in the abdomen.
When Surgery (Appendectomy) Is Needed
Most of the time, an appendectomy (surgical removal of the appendix) is the best course of action to treat appendicitis. Most patients who receive an appendectomy are able to resume normal activities a few weeks after the surgery, without significant changes to their day-to-day activities. In some less-severe cases, medications are sufficient to treat appendicitis without surgery, though this is less common.
When to Call a Pediatric Provider
Sudden and consistent abdominal pain is always a good indicator that it’s time to call your pediatric provider, regardless of whether or not you suspect appendicitis. The friendly providers here at Nebraska Home Pediatrics & Parents are always happy to take your call, answer your questions, and ease your mind.
Warning Signs That Require Immediate Care
When your child is experiencing any combination of the symptoms listed above, it’s important that they be seen quickly by a provider. The risks of appendicitis include abscess and a burst appendix, both of which can be extremely dangerous.
How Nebraska Home Pediatrics & Parents Can Help
Here at Nebraska Home Pediatrics & Parents, we are dedicated to delivering high-quality healthcare while providing comfort and safety for our patients and their parents. Your provider here will do a thorough examination, and quickly determine which course of action is necessary. You can trust us to provide kind, thorough care.
Frequently Asked Questions About Appendicitis in Kids
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Can appendicitis go away without treatment?
In very rare cases, yes, but this is not the common scenario. We do not recommend avoiding treatment of appendicitis or suspected appendicitis.
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Is appendicitis common in children?
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What ages are most affected?
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How fast does appendicitis progress?

Schedule an Appointment
If you’re concerned about your child’s abdominal pain and worry it may be appendicitis, please give us a call at our office as quickly as possible. If you call us during our normal business hours, we will schedule you a same-day appointment for urgent cases like appendicitis.
Pediatric Nurse Triage Line
If you’re unsure of your child’s symptoms please call our pediatric nurse triage line to discuss symptoms with our on-call provider available during normal business hours.. They will help you determine the best course of action for your child.
Same-Day Visits in Omaha and Surrounding Areas
At Nebraska Home Pediatrics & Parents, we’re proud to provide quick, friendly, knowledgeable care to our patients and their families. This means we’re dedicated to serving the Omaha metro area and surrounding areas with same-day visits when symptoms are urgent. Call us today to schedule an appointment!


