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Peritonitis

Peritonitis · Zánět pobřišnice (peritonitida)

What it is

Inflammation of the lining of the abdomen — usually from a burst appendix, ulcer or bowel — a surgical emergency.

Symptoms & signs

  • Severe abdominal pain, worse on moving
  • rigid, board-like belly
  • fever and a fast pulse
  • vomiting
  • no bowel sounds or wind

🚩 Get help if…

  • call 112 / 911 now Severe belly pain made worse by moving or coughing
  • call 112 / 911 now A hard, board-like belly
  • call 112 / 911 now Fever with fast pulse or fast breathing
  • call 112 / 911 now Cloudy fluid or belly pain during peritoneal dialysis

Where it strikes

Medical treatment

  • Urgent CT
  • intravenous antibiotics and fluids
  • surgery to close the leak and wash out
  • antibiotics for spontaneous peritonitis in cirrhosis or dialysis

Natural & lifestyle

  • Early care for appendicitis and ulcer symptoms
  • dialysis catheter hygiene
  • treat ascites

Emerging & experimental

  • Laparoscopic lavage
  • shorter antibiotic courses (STOP-IT trial)

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Castor oil packs — traditional; useless here anecdotal / traditional
  • Herbal antibiotics — no substitute for surgery anecdotal / traditional
  • Probiotics against spontaneous peritonitis in cirrhosis — small trials early / small studies

ICD codes