During the next clinical rounds, or alternatively approximately 12 hours after randomization, a review of clinical symptoms will be conducted to detect symptoms and signs of significant clinical deterioration including, but not limited to, increased fever, increased tachycardia, and increased pain or tenderness. If the patient is doing well, they may be advanced to regular diet and be assessed for discharge during the same work day, depending on their clinical progression. If they are stable without deterioration but not improved to the point of discharge they will continue with non-operative management. A patient who has not improved after 48 hours of non-operative management will undergo appendectomy. All decisions will be made by the treating physicians and care team with consideration of the input of parents and child where appropriate.