The lifetime rate of appendectomy is 12 % for men and 25 % for women, with approximately 7 % of all people undergoing appendectomy during their lifetime. It is most frequent in second to fourth decades of life, mean age 31.3 years and median age of 22 years. There is slight male:female preponderance (1.2 to 1.3:1). No definite hypothesis exists with regard to the etiology. Decreased dietary fiber and increased consumption of refined carbohydrates may be of importance. A total of 100 cases of suspected acute appendicitis who were admitted, investigated and treated were taken for the study. After detailed examination and investigations Appendicitis inflammatory Response Score was applied to each case. Every year an average of 300 patients of acute appendicitis get admitted and operated on. By stratified random sampling every 3rd patient was selected for the study. In this study,anorexia was the most common symptom, presenting in 99 individuals. Vomiting was present in 74 patients, pain in the right lower quadrant present in 96 patients. Guarding was present in 40 patients and leucocytosis present in 61 individuals.