Peritonitis – Causes, Symptoms & Treatment Guide
Peritonitis is a serious inflammation of the peritoneum — the thin, protective lining covering the abdominal organs.
It is a medical emergency that requires immediate diagnosis and treatment to prevent life-threatening complications.
🔍 What Is Peritonitis?
The peritoneum becomes inflamed due to:
- Infection
- Injury
- Rupture of an abdominal organ
- Complications of existing abdominal conditions
It can be localized or generalized, depending on the severity and spread.
⚠️ Types of Peritonitis
✔ 1. Spontaneous Bacterial Peritonitis (SBP)
Seen in patients with liver cirrhosis, ascites, or kidney failure.
✔ 2. Secondary Peritonitis
Caused by rupture or perforation of organs such as:
- Appendix
- Gallbladder
- Stomach ulcer
- Intestine
- Diverticulum
✔ 3. Tertiary Peritonitis
Persistent or recurrent infection after initial treatment.
🩸 Common Causes
- Perforated appendix
- Burst gallbladder
- Perforated peptic ulcer
- Diverticulitis
- Pancreatitis
- Infection in ascitic fluid
- Abdominal trauma
- Kidney dialysis (PD-related peritonitis)
🚨 Symptoms You Should Never Ignore
Peritonitis usually presents with sudden and severe symptoms:
- Intense abdominal pain
- Fever
- Vomiting
- Bloating
- Severely tender abdomen
- Difficulty passing gas or stools
- Fast heartbeat
- Diarrhea or constipation
- Low urine output
- Weakness or confusion
These symptoms require urgent medical attention.
🧪 Diagnosis
Your doctor may recommend:
- Blood tests (CBC, CRP, LFTs, kidney function)
- Ultrasound Abdomen
- CT Scan Abdomen
- Diagnostic paracentesis (ascitic fluid testing)
- Peritoneal fluid culture
🩺 Treatment Options
Treatment depends on the cause but generally includes:
✔ 1. Immediate Antibiotics
To control infection.
✔ 2. IV Fluids & Supportive Care
To prevent shock.
✔ 3. Surgery (If Needed)
Required for:
- Perforated organs
- Ruptured appendix
- Complicated gallbladder infection
- Obstruction with perforation
✔ 4. Paracentesis
For ascitic fluid infection (SBP).
✔ 5. ICU Care
In severe or widespread infection.
🥗 Diet & Lifestyle Advice After Recovery
- Low-salt diet (especially in ascites patients)
- Adequate protein (unless restricted medically)
- Avoid alcohol completely
- Maintain healthy weight
- Follow regular follow-up schedule
🚨 When to Rush to the Hospital
- Sudden severe abdominal pain
- High fever with abdominal tenderness
- Vomiting with distension
- Bloody stools
- Decreasing urine output
- Fatigue with confusion
Delay in treatment can be dangerous.
🧑⚕️ Why Consult Dr. Ankur Bhanushali in Thane?
- Expertise in acute abdominal emergencies
- Accurate diagnosis through ultrasound & CT interpretation
- Advanced laparoscopic surgery for perforation & infections
- ICU and hospital management
- Complete post-recovery monitoring
📞 Book Emergency or Consultation (FULL ADDRESS BELOW)
🏥 Dr. Ankur Surgical Clinic
Shop No 4, Laxmi Krupa, Edulji Road, Charai, Thane West – 400602, Maharashtra
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🏥 Aayush Multispecialty Hospital
Dr. Ankur Bhanushali – General & Laparoscopic Surgeon
1st Floor, Marigold Apartment, Almeda Road, Panch Pakhdi, Thane West – 400602, Maharashtra
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