Some patients with Irritable Bowel Syndrome suffer from pain so severe that they confuse both the pain caused by IBS and gas, or the pain of appendicitis, and these patients may find it difficult to tell the difference between the symptoms of the appendix and the colon, and doctors may even find it difficult to diagnose if it is based on To know the symptoms only.

It should be noted that appendicitis is an emergency and requires urgent medical attention, while IBS is a chronic disease, and the pain caused by gases disappears within hours, and the following is the difference between pain caused by appendicitis and pain caused by gases in the colon:

• Appendicitis pain: The pain begins suddenly and sharply, either on the lower right side of the abdomen, or starts from the umbilicus area in the abdomen, and then moves to the lower right side, and may seem like cramps at first, and worsens with coughing, sneezing, or movement, and the pain does not disappear until after Surgical removal, which may be associated with other symptoms of appendicitis.
• Irritable Bowel Syndrome: The pain is usually in the middle of the abdomen near the stomach, and the pain may worsen after eating certain foods, or after exposure to severe stress, and the pain may disappear after entering the toilet, but it may not subside in some people, and other symptoms of Irritable bowel are feeling gas and bloating, and can Feeling of movement in the colon, and you may feel relief after burping, passing wind, or defecation.

There are some other diagnostic procedures to differentiate between them, and to avoid accidental appendectomy for patients with Irritable Bowel Syndrome. Tests include the following:

• Physical examination and history taking of the patient.
• Blood tests to detect high levels of white blood cells.
• Urine tests to detect kidney stones or a urethral infection, and to determine if they are the source of the pain.
• Imaging tests to detect appendicitis.