What are the common symptoms of appendicitis?

Patient's question:

Lower back pain
Abnormal vaginal discharge
Frequent urination
Ovarian inflammation
Ultrasound shows uneven echoes
Heavy menstrual flow, generally lasting 7 days.

Doctor's answer:

Chronic appendicitis presents with varying degrees of abdominal pain, recurrent chronic inflammation that persists over time, leading to pelvic congestion, fibrosis of connective tissues, and adhesions between pelvic organs. Patients may experience symptoms such as lower abdominal heaviness, pain, and lumbosacral discomfort, which fluctuate in severity and are often accompanied by increased leukorrhea, lower back pain, and menstrual irregularities, worsening during menstruation or after physical exertion. During gynecological examinations, tenderness, thickening, or painful masses may be observed in one or both adnexal regions, with elevated or normal white blood cell counts.