OUCH Im so sorry he doesnt feel good but at least hes being smart about it! I know so many guys would try to " tough it out"
This is one article I found
The physicians found that six aspects of the history exam and the presence of at least four of seven physical symptoms provided the best method for diagnosing appendicitis without the aid of surgical methods. Observation of right lower-quadrant pain, rigidity of the lower abdominal muscle wall and migration of pain from the left side to the right side of the abdomen are the three most prominent clinical findings that indicate a high probability of appendicitis, Wagner said.
Other clinical signs and symptoms that were found to be useful in accurately diagnosing appendicitis included pain before vomiting, irritation of the psoas muscle (found in the lower abdomen), fever, rebound tenderness, guarding (voluntary contraction of the abdominal muscle), no history of similar pain, rectal tenderness, anorexia, nausea and vomiting.
"Clinicians rarely rely on a single sign or symptom for diagnosis but on a combination of findings," Wagner said. Clinicians often do not collect enough clinical details for accurate and precise diagnosis, he said, which is why particular attention should be paid to the findings of the physical and patient-history exams.
The study review also compared the physical and patient-history exams to other diagnostic tests, including computer-aided analyses, X-rays, ultrasound and laparoscopy. The reviewers noted, however, that "none are ideal techniques, and the clinician must depend on patient history and physical examination."
Webmd says...
Appendicitis Detection & Treatment
The Basics | Symptoms | Detection & Treatment
How Do I Know If I Have It?
Diagnosing appendicitis can be tricky. Time is critical, yet appendicitis symptoms are frequently vague or extremely similar to other, less urgent ailments (including bladder infection, colitis, Crohn's disease, gastritis, gastroenteritis, and ovary problems). By gently pressing on your lower right abdomen, your doctor will feel for a hardened, inflamed appendix. A urine test will also be performed to rule out a urinary tract infection. Appendicitis can cause rectal pain instead of abdominal pain, so your doctor will also examine your rectum by inserting a lubricated, gloved finger. A blood test will show if your white blood cell count is elevated, meaning your body is fighting infection. CT scans and ultrasound have proved fast and reliable -- though not perfect -- in revealing appendicitis.
What Are the Treatments?
Surgery to remove the appendix, which is called an appendectomy, is the standard treatment for appendicitis.
Conventional Medicine
If appendicitis is even suspected, physicians tend to err on the side of safety and quickly remove the appendix to avoid its rupture. If the appendix has formed an abscess, you may have two procedures: one to drain the abscess of pus and fluid, and a later one to remove the appendix.
Antibiotics are given before an appendectomy to fight possible peritonitis. General anesthesia is given, and the appendix is removed through a 4-inch incision. If you have peritonitis, the abdomen is also drained of pus. Within 12 hours of surgery you may get up and move around. You can usually return to normal activities in two or three weeks. If surgery is done with a laparoscope (a thin telescope-like instrument for viewing inside the abdomen), the incision is smaller and recovery is faster.
At-Home Care
Keep your incision clean to promote healing and avoid infection.
How Can I Prevent It?
There is no way to prevent appendicitis. However, appendicitis is less common in people who eat foods high in fiber, such as fresh fruits and vegetables.
I hope this helps
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