Which symptom is NOT typically associated with appendicitis?

Melena, which refers to the presence of black, tarry stools indicating upper gastrointestinal bleeding, is not typically associated with appendicitis. The symptoms associated with appendicitis generally include abdominal pain, especially in the right lower quadrant, nausea and vomiting, loss of appetite (anorexia), and leukocytosis, which is an increase in white blood cells indicating inflammation or infection.

In appendicitis, nausea and vomiting often occur as the body reacts to the inflammation in the appendix. Anorexia, or loss of appetite, is also common as individuals experience discomfort and pain that inhibit their desire to eat. Leukocytosis is a physiological response to infection or inflammation, and since appendicitis involves the inflammation of the appendix, this symptom is frequently observed. Melena is more relevant to conditions involving bleeding in the upper gastrointestinal tract and is not a classic symptom of appendicitis.