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What is peritonitis?

Peritonitis is inflammation of the peritoneum, a tissue that forms the inner abdominal lining and protects the abdominal organs. Peritonitis is a common but serious condition, which may be caused by bacterial infection or can be a complication of surgery or peritoneal dialysis. The condition needs to be treated immediately, as it may further worsen if left untreated.

What are its main signs and symptoms?

The signs and symptoms include:

What are the main causes?

Most common cause of peritonitis is an acute bacterial infection, which may be primary (without any underlying disease) or secondary, where the infection spreads from some other organ or site. However, there can be several other causes of peritonitis. Other causes of peritonitis are as follows:

  • Abdominal wound or injury.
  • Peritoneal dialysis- dialysis of the peritoneal fluid, where the existing fluid is filtered using a machine.
  • Abdominal surgery.
  • Appendicitis.
  • Stomach ulcers
  • Crohn’s disease- a type of inflammatory bowel disease
  • Inflammation of the pancreas or the pelvis
  • Infection of the gallbladder or the intestine.
  • Fungal infection after dialysis.
  • Use of food tube.

How is it diagnosed and treated?

You should immediately seek advice from your doctor, if any of the above symptoms are seen. The diagnostic evaluation will begin with the medical history of the patient. The following are the diagnostic tests performed:

  • Physical examination of the abdomen.
  • Blood investigation.
  • Blood culture to know the bacteria affecting the peritoneum.
  • Abdominal fluid analysis.
  • Dialysis effluent analysis, if you are on peritoneal dialysis.
  • Ultrasound imaging.
  • CT scans and X- rays to detect holes in the peritoneum.
  • Laparoscopy- using a camera-fitted tube to explore inside the abdomen for the cause.

Prompt treatment of peritonitis is necessary as the infection can spread leading to multiple organ failure. The treatment modalities are as follows:

  • Medication: Antibiotics, anti-fungals.
  • Surgery to remove the infected tissue.
  • Intra-abdominal lavage to wash inside the abdomen and reduce inflammation and infection.
  • Some patients may need re-laparotomy (an open surgery), where a fresh incision is made in the abdominal cavity to detect the abnormalities.

If left untreated, peritonitis can spread and lead to complications such as septicemia (the spread of infection to the blood) and shock. It may also lead to the formation of an abdominal abscess or tissue death, which can be fatal. Hence, it is important not to overlook any sign or symptom of peritonitis and consult your doctor immediately.

  1. Medicines for Peritonitis

Medicines for Peritonitis

Medicines listed below are available for Peritonitis. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Rite O CefRITE O CEF DT 200MG TABLET126
ExtacefEXTACEF 100MG TABLET 10S70
OmnikacinOmnikacin 100 Mg Injection26
CeftasCEFTAS 400MG TABLET 10S195
MiliximMILIXIM 100MG DS SYRUP 30ML53
ZifiZIFI 100 READYMIX SYRUP 50 ML93
Rite O Cef CvRite O Cef Cv 200 Mg/125 Mg Tablet216
Gramocef CvGramocef Cv 200 Mg/125 Mg Tablet236
Taxim OTAXIM O 100MG TABLET 10S95
Ritolide 250 Mg TabletRitolide 250 Mg Tablet168
Amicin InjectionAmicin 100 Mg Injection17
Mikacin InjectionMikacin 100 Mg Injection18
Cefopam SCefopam S 500 Mg/500 Mg Injection96
RevobactoRevobacto 200 Mg/200 Mg Tablet156
WofunginWofungin 50 Mg Injection11030
PidPid 200 Mg Tablet72
CbactCbact 1 Gm Injection182
CamicaCamica 100 Mg Injection14
CefortalCefortal 500 Mg/500 Mg Injection112
TraxofTraxof 100 Mg/100 Mg Tablet Dt52
CanciginCancigin 50 Mg Injection7992
Qucef (Dr Cure)Qucef 200 Mg Tablet Dt93
CefomycinCefomycin 1 Gm Injection195
CecefCecef 1000 Mg Injection56
CefosealCefoseal 500 Mg/500 Mg Injection95

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References

  1. OMICS International[Internet]; Peritonitis.
  2. Sujit M. Chakma et al. Spectrum of Perforation Peritonitis. J Clin Diagn Res. 2013 Nov; 7(11): 2518–2520. PMID: 24392388
  3. K Soares-Weiser. Antibiotic treatment for spontaneous bacterial peritonitis. BMJ. 2002 Jan 12; 324(7329): 100–102. PMID: 11786457
  4. R.J.E.Skipworth and K.C.H.Fearon. Acute abdomen: peritonitis. Surgery,March 2008, 26 (3); 98-101. Volume 26, Issue 3, Pages 98–101
  5. Carlos A Ordonez,Juan Carlos Puyana. Management of Peritonitis in the Critically Ill Patient. Surg Clin North Am. 2006 Dec; 86(6): 1323–1349. PMID: 17116451
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