Understanding Peritonitis

A Comprehensive Guide to Abdominal Infection and Inflammation

Gastroenterology

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Last updated: Mar 24, 2025

What is Peritonitis?

Peritonitis is a serious inflammation of the peritoneum - the thin tissue that lines your inner abdominal wall and covers the organs within your abdomen.

Common Causes

  • Bacterial infection
  • Ruptured appendix
  • Stomach ulcer perforation
  • Pancreatitis
  • Diverticulitis
  • Trauma or surgical complications

Key Symptoms

Primary Symptoms

  • Severe abdominal pain
  • Abdominal tenderness
  • Bloating
  • Fever

Additional Signs

  • Nausea and vomiting
  • Loss of appetite
  • Reduced urine output
  • Thirst
  • Fatigue

Diagnosis

  • Physical examination
  • Blood tests
  • Imaging (CT scan, ultrasound)
  • Peritoneal fluid analysis

Treatment Options

Immediate Care

  • Hospital admission
  • Intravenous antibiotics
  • Fluid replacement

Surgical Intervention

  • Removal of infected tissue
  • Repair of perforations
  • Drainage of abscesses

Complications

  • Sepsis
  • Organ failure
  • Adhesions
  • Abscess formation

Prevention

  • Prompt treatment of underlying conditions
  • Proper surgical technique
  • Good hygiene during medical procedures
  • Regular medical check-ups

When to Seek Help

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Fever with abdominal tenderness
  • Rapid heartbeat
  • Difficulty breathing

Recovery

  • Follow medical advice closely
  • Complete prescribed antibiotics
  • Attend follow-up appointments
  • Gradual return to normal activities

Long-term Outlook

With prompt treatment, most patients recover well. However, careful monitoring and prevention of recurrence is essential.

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