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Nausea Vomiting Constipation Diarrhoea Inability to pass gas Low fever that begins after other symptoms Abdominal swelling Anorexia Diagnoses The doctor takes a medical history from the patient and checks their temperature Blood and urine tests are performed to look for infection The doctor examines the patient by pressing on the lower right part of the abdomen and sometimes by inserting a finger in the anus back passage in order to exclude other causes of pain Women are often given a vaginal examination There is no one test that will diagnose appendicitis with certainty, usually doctors use CT scan or ultrasound to see whether the appendix looks inflamed.