In suspected appendicitis, a patient is often advised to avoid actions that increase abdominal pressure.

• A. Avoid coughing, sneezing, or deep breathing
• B. Practice Valsalva maneuver
• C. Perform deep abdominal exercises
• D. Sit upright with legs extended

Answer: (A)

In suspected appendicitis, anything that raises intra-abdominal pressure can irritate the inflamed appendix and worsen pain or raise the risk of perforation. Coughing, sneezing, and deep breathing all increase that pressure through diaphragm movement and abdominal wall contraction, so avoiding these actions helps minimize irritation and potential complications.

Other options would also increase abdominal pressure (like a Valsalva maneuver or deep abdominal exercises), or they don’t specifically address actions that provoke the abdominal impulse as clearly. The everyday action most relevant to patient comfort and safety to avoid is coughing, sneezing, or deep breathing.