Round Ligament Pain Vs Appendicitis: Know the Differences

Round Ligament Pain Vs Appendicitis

Round Ligament Pain Vs Appendicitis: Round ligament pain and appendicitis may trigger stomach discomfort, but they are not the same thing. Round ligament pain is a typical pregnancy symptom that causes stinging or tugging feelings in the lower abdomen owing to ligament stretching. Appendicitis, a medical emergency, is characterized by severe pain that commonly begins around the navel and spreads to the lower right abdomen, along with nausea, vomiting, and a fever. Differentiating between Round Ligament Pain and Appendicitis is critical, and visiting a healthcare expert is required for effective diagnosis and treatment.

blog banner blog banner

Difference Between Round ligament pain and Appendicitis

Round Ligament Pain and Appendicitis are both medical conditions that involve abdominal pain, but they have different causes, symptoms, and treatments. Here are differences between the two:


Round Ligament Pain



Stretching of round ligaments during pregnancy

Inflammation of the appendix due to infection or obstruction


Second trimester of pregnancy

Can occur at any age, peak in late teens to early twenties

Location of Pain

Lower abdomen, usually below the belly button

Starts around navel, migrates to right lower quadrant

Nature of Pain

Sharp or stabbing, triggered by sudden movements

Dull, aching, becomes sharp and severe

Associated Symptoms

Typically not associated with fever, nausea, or vomiting

Often accompanied by fever, nausea, vomiting, loss of appetite, etc.


Sudden movements, coughing, sneezing, changing positions

Pain worsens with movement, coughing, sneezing, deep breathing

Pregnancy Status

Affects pregnant individuals

Affects individuals regardless of pregnancy status

Associated Conditions

Associated with pregnancy and physiological changes

Not directly associated with pregnancy


Managed with rest, warm compresses, gentle stretching

Requires appendectomy (surgical removal of appendix)


Generally resolves on its own or with conservative measures

Without treatment, can lead to serious complications

Browse Best Scrubs Collection

What is Round ligament pain?

Round ligament pain is a painful, stabbing, or tugging sensation felt in the lower abdomen, usually on one or both sides. It occurs often during pregnancy because to the straining of ligaments that support the uterus as it expands. The pain normally passes quickly, especially with unexpected movements like coughing or sneezing.

Key Features of Round ligament pain:

  • Round ligament pain usually occurs in the lower abdomen, on one side or the other, although it can also be felt on both sides. The discomfort may spread to the groin, inner thigh, or lower spine.
  • Pain is frequently characterized as a harsh, agonizing, or tugging sensation. It can be intermittent or continuous, and it may aggravate with activities such as walking, prolonged standing, or sexual intercourse.
  • Round ligament discomfort is most prevalent during pregnancy, particularly in the second and third trimesters. It can also happen during ovulation or in the days before menstruation.
  • The discomfort is produced by the stretching and irritation of the circular ligaments that support the uterus. Hormonal changes during pregnancy and menstruation might aggravate the pain.

blog banner blog banner

What is Appendicitis?

Appendicitis is an inflammation of the appendix, a small organ located in the lower right abdomen. It typically causes a sharp pain that starts around the navel and then moves to the lower right abdomen. Other symptoms may include nausea, vomiting, loss of appetite, fever, and difficulty passing gas. Appendicitis is a medical emergency and requires immediate medical attention.

Key Features of Appendicitis:

  • Appendicitis discomfort often begins at the belly button and spreads to the lower right abdomen. This is the most frequent place, however discomfort can also be felt in other parts of the abdomen.
  • The pain is frequently described as severe, cramping, or throbbing in nature. It generally begins mildly and increasingly worsens with time. Common associated symptoms include nausea, vomiting, and a lack of appetite.
  • Unlike round ligament pain, which can develop gradually, appendicitis pain usually appears suddenly. It may appear within a few hours and intensify quickly.
  • Appendicitis is a medical emergency requiring immediate diagnosis and treatment. Ignoring the symptoms might result in a burst appendix, which is a life-threatening condition.

Shop Best Lab Coats from Here!

Similarities Between Round Ligament Pain and Appendicitis

  • Round Ligament discomfort and Appendicitis are two disorders that can cause stomach discomfort.
  • A physical examination, a review of the medical history, and sometimes imaging testing are typically used to make a diagnosis.
  • In both circumstances, quick medical intervention is required, albeit the urgency may vary.
  • Differential diagnosis may be necessary to distinguish between the two illnesses, particularly in pregnant women who experience stomach discomfort.
  • Both illnesses can create discomfort and may necessitate pain management techniques.
  • Although their causes and treatment approaches differ, both disorders emphasize the need of diagnosing and treating abdominal discomfort as soon as possible to avoid outcomes.

While both Round Ligament discomfort and Appendicitis can induce stomach discomfort, they have quite different causes and presentations. Round Ligament Pain, which is unique to pregnancy, results from the stretching of ligaments that support the uterus, causing intense, localized pain that is frequently caused by movement. Appendicitis, on the other hand, is a medical emergency that causes inflammation of the appendix. It is characterized by increasing pain that moves from the periumbilical area (around the navel) to the lower right abdomen, as well as nausea and vomiting. Differentiating between them is critical because Appendicitis needs immediate medical treatment to avoid problems, whereas Round Ligament Pain normally heals on its own and offers no hazard to the mother or baby. 

Check out More Articles
Difference Between Cartilage and Bone
Difference Between Endocrine and Exocrine Glands
Difference Between Cell Wall and Cell Membrane


What is Round Ligament Pain and Appendicitis, and how do they differ?

Round Ligament Pain is a common discomfort experienced by pregnant individuals, characterized by sharp or dull pain in the lower abdomen due to stretching of the ligaments supporting the uterus. On the other hand, Appendicitis is inflammation of the appendix, typically causing severe abdominal pain, often starting around the navel and shifting to the lower right abdomen. While RLP is usually benign and linked to pregnancy, Appendicitis requires immediate medical attention as it can be life-threatening if left untreated.

What are the similarities between Round Ligament Pain and Appendicitis?

Both Round Ligament Pain and Appendicitis can manifest as abdominal pain, potentially causing discomfort and concern. Additionally, the pain in both conditions may be located in the lower abdomen, leading to confusion in diagnosis, especially in pregnant individuals where RLP is more common.

What features distinguish Round Ligament Pain from Appendicitis?

Round Ligament Pain is often characterized by sharp, stabbing pains on either side of the lower abdomen, typically occurring during movements like coughing, sneezing, or sudden changes in position. Conversely, Appendicitis pain usually starts around the navel and migrates to the lower right abdomen, accompanied by additional symptoms such as fever, nausea, vomiting, and loss of appetite. Appendicitis pain tends to worsen over time and may be associated with rebound tenderness, a sign of peritoneal irritation.

Can Round Ligament Pain be mistaken for Appendicitis?

Yes, Round Ligament Pain can sometimes be mistaken for Appendicitis, especially in pregnant individuals experiencing abdominal discomfort. Both conditions can cause lower abdominal pain, but the characteristics and accompanying symptoms help differentiate between them.

Can Round Ligament Pain and Appendicitis occur simultaneously?

While rare, it is possible for a pregnant individual to experience Round Ligament Pain and Appendicitis simultaneously. In such cases, prompt medical evaluation is crucial to differentiate between the two conditions and ensure appropriate management to safeguard both maternal and fetal health.