Peritonitis: the symptoms

Typical symptoms of peritonitis are sudden and intense abdominal pain. This is why affected people often adopt a curved posture to limit pain. Generally, the abdominal wall is very tight and hard, the abdominal muscles contracting a little in the form of cramps, contractures.

At an advanced stage, peritonitis can, like all inflammatory diseases, cause less specific symptoms common to those of more common diseases, for example:

  • fever,
  • nausea and vomiting,
  • constipation or diarrhea,

The symptoms of peritonitis differ depending on whether it is localized peritonitis or generalized peritonitis.

Symptoms of localized peritonitis

In cases of localized peritonitis, abdominal pain is limited to the area of ‚Äč‚Äčinitial inflammation. Most often, the belly is tense and sensitive to pressure or touch at this point. The localization of pain depends mainly on the disease, the initial problem causing peritonitis. If appendicitis is the cause of peritonitis, pain often occurs in the lower right region of the abdomen.

Other symptoms of localized peritonitis may be mild fever, nausea or constipation.

Symptoms of generalized peritonitis

In the case of generalized peritonitis (diffuse peritonitis), the inflammation spread throughout the abdominal cavity, causing pain throughout the abdomen. In response to pain, the abdominal muscles contract in the form of cramps, a contracture, causing a hardening of the entire wall of the abdomen. To relieve these pains, the person concerned automatically adopts a specific posture: lying on his side, his back bent and his legs bent.

Because large areas of the abdomen are affected by inflammation during generalized peritonitis, accompanying symptoms are also stronger. Often the patient:

  • has a high fever,
  • feels restless and dizzy,
  • suffers from nausea and vomiting,
  • is covered with cold sweats,
  • has an accelerated pulse.

As generalized peritonitis also affects the intestine, it often causes symptoms such as diarrhea, constipation and even complete stool loss.

Note: the symptoms characterizing peritonitis can also be manifested for other diseases ... for this reason, the doctor will eventually look for these other pathologies, and will have to establish an accurate diagnosis. Since generalized (diffuse) peritonitis can put the patient's life at risk, it is important to promptly consult a physician in the presence of one or more of the symptoms described above, to make an accurate diagnosis. It is essential that peritonitis be rapidly managed.

The diagnosis

In the hospital or at your doctor's office, several tests will be done to determine if you actually have peritonitis and find the cause:

  • a blood test to evaluate - among other things - the degree of infection,
  • an abdominal ultrasound to visualize the inside of the abdominal cavity,
  • X-ray of the abdomen to determine if there is air in the abdominal cavity, or to analyze other abnormal symptoms.

In order to identify the pathogens that caused peritonitis, the doctor may also take a sample of the fluid from the abdomen (ascites). This puncture of ascites is important especially when the patient suffers from primary peritonitis.

You want to react, to give your testimony or to ask a question? Appointment in our thematic FORUMS or A doctor answers you !

Popular Posts

Category Diseases, Next Article

Mite Allergy: Sources and Notes - Diseases

Mite Allergy: Sources and Notes

- The big book of allergies, French Federation of Allergy, Ed Eyrolles, 2014. - The elimination of mites at home, Canadian Asthma Society, 2010. - Asthma, allergies and respiratory diseases, Afsset, 2006. Author: Elide Achille Expert consultant: Dr. Sophie Silcret-Grieu, allergology doctor.
Read More
Furuncle: the treatments - Diseases

Furuncle: the treatments

The furuncle treatments combine hygiene rules, local care, and whether or not antibiotic treatment is used. First, a boil must be monitored. It must be verified that it does not spread locally, that there is no ganglion (lymphadenopathy), no fever, etc. And, above all, avoid manipulating it. Disinfection of the skin is necessary
Read More
Hyperphagia: the symptoms - Diseases

Hyperphagia: the symptoms

Binge eating results in the presence of non-compensatory bulimia attacks aimed at losing weight. The diagnosis, as defined in the Mental Illness Classification Manual (DSM-IV), is confirmed for at least two bouts of bulimia per week over at least six months. The symptoms that define the bulimia crisis are: eating a large quantity of food in record time, with no physical sensation of hunger, until experiencing a painful physical sensation of abdominal distension
Read More
Orthorexia: treatments - Diseases

Orthorexia: treatments

The need for treatment depends on the severity of the disorder. If you find that your pleasure of eating gradually gives way to the pleasure of meeting all the conditions to have only healthy food on your plate, or if one of your relatives seems obsessed with pure food, it is possible that there is a tendency to orthorexia
Read More