I have had intermittent LRQ pain for about 3 months becoming more frequent in nature. It is intense, level 9, with rebound severe pain. It subsides after a couple of hours and there are no residual symptoms. No fever, etc. only very localized LRQ pain. It hurts to walk and I must sit down with great care, I have performed some of the tests for appendicitis such as lying supine with my right leg bent and pushing over to the left...this results in much pain. Having been an EMT for many years I understand this could be appendicitis, however, I am confused about the pain free lapses. I live in the middle of no where with poor hospitals about 2 and a half hours away. I am hesitant to spend 5 hours in an ER and then having no pain when I am finally seen. Does it make sense to have classic appendicitis symptoms that go completely away for a few days at a time over a 3 month course? What has prompted my question is that I had two episodes yesterday, one in the morning and a very severe bout in the evening. I keep thinking this will just go away especially when I'm pain free and I forget about it. I know you will say I need checked out and I agree in my brain, but the other part of my brain wants to know if these long pain free periods over the course of 3 or so months without a perforation are typical of appendicitis issues? So, in summary, I am curious about the long course of this and the pain free periods. Thank you.