Should also mention that the castor oil packs really cut down on the pain. They seemed to somehow suck the infection out and reduce what felt like swelling in the area. I read that it wasn't recommended to do a heating pad with the castor oil packs if you have an appendicitis, but I did not take that advice and did the heat because it made it feel better. But as I mentioned, I also alternated hot and cold water a few times a day as well. There is some interesting info out there about Edgar Cayce and castor oil packs with regard to appendicitis.