Home > Causes of Pain > Peritonitis

Peritonitis

By: Jody Ehrhardt - Updated: 6 Oct 2025 | comments*Discuss
 
Stomach Ailments Nausea Abdominal

Stomach ailments such as nausea and pain, can be a sign of many different types of abdominal conditions, illnesses, and diseases. One of the more serious, and sometimes life-threatening, conditions that also share these symptoms is peritonitis.

Understanding Peritonitis

Peritonitis is the medical tem for inflammation of the peritoneum. The wall of the abdomen is lined with this thin membrane. When this membrane becomes infected the inflammation causes pain and other symptoms in the abdominal area.

The peritoneum can become infected in one of two ways. First, infection can travel to the membrane from the blood stream or lymph nodes. This condition is called Primary Peritonitis and is extremely rare. Second, bacteria can enter the membrane from the gastrointestinal tract and cause infection. This type of peritonitis is called secondary and is the most common form of the condition.

The Signs, Symptoms, and Risk Factors of Peritonitis

While anyone can develop peritonitis, there are certain risk factors that increase your chances of suffering from the condition. Common risk factors for primary peritonitis include Pelvic inflammatory disease, liver disease, immune system problems, and kidney damage. Risk factors for secondary peritonitis include inflammatory bowel disease, stomach ulcers, gall bladder inflammation, appendicitis, intestine problems, and damage to the pancreas.

Once the peritoneum becomes infected, no matter how that infection penetrates the peritoneum, certain common symptoms begin to appear. The first signs and symptoms of peritonitis include loss of appetite, nausea, vomiting, abdominal swelling, and pain. This stomach pain can range from a dull, generalized ache to severe pain, which includes sharp spasms.

As the condition advances and the inflammation progresses other symptoms will begin to appear. Other signs that you may be suffering from peritonitis include the inability to pass bowel movements, limited urine production, fever, increased breathing rates, shallow breaths, and low blood pressure. If you suffer from any of these symptoms you need to see your doctor right away.

Diagnosing Peritonitis

Because peritonitis can become life-threatening if left untreated correct diagnosis is very important. When you first present at the doctor's office with the above abdominal symptoms your doctor will want to examine your stomach for further signs of peritonitis. During this procedure the doctor will most likely press on your stomach to check for signs of swelling and fluid retention. He may also listen to your stomach with a stethoscope to check for bowel sounds.

If the physical examination uncovers signs of peritonitis your doctor will probably follow up with further tests in order to make a more accurate diagnosis. These tests include blood tests and abdominal fluid tests to check for infection, CT scans to detect excess fluid in the abdomen, and chest x-rays to identify air in the abdomen.

Once a diagnosis has been made treatment usually begins immediately in order to restrict the progression of the infection.

Treatment for Peritonitis

The most common type of treatment for peritonitis is surgery. Surgery to remove the infected organ, the infectious agents, or to repair damaged organs is the most effective way to control peritonitis. Surgery can also be used to drain off excess fluid in the abdominal cavity and locate the exact source of the infection.

Antibiotics are also commonly used in the treatment of peritonitis. These medications are used to kill the bacteria in the body, inhibit the spread of infection, and ward off further infection. Antibiotics can be prescribed alone for the treatment of early stage peritonitis, but are more commonly used after surgery to prevent infection and help clear up any lingering signs of peritonitis.

Since peritonitis can be a very serious illness it is best to check with your doctor if you begin experiencing any of the early signs of the condition.

Related Articles in the 'Causes of Pain' Category...
Share Your Story, Join the Discussion or Seek Advice..
Why not be the first to leave a comment for discussion, ask for advice or share your story...

If you'd like to ask a question one of our experts (workload permitting) or a helpful reader hopefully can help you... We also love comments and interesting stories

Title:
(never shown)
Firstname:
(never shown)
Surname:
(never shown)
Email:
(never shown)
Nickname:
(shown)
Comment:
Validate:
Enter word:
Topics
Comments
  • Frenchy
    Re: How Cauda Equina Syndrome Affects the Stomach
    @Cutter, Dont worry about what you speak of. It is impossible to balance your gut motility based on your…
    2 September 2018
  • Sjones
    Re: Symptoms of Stomach Migraines
    When I started menopause 8yesrs ago I had my first stomach attack. With me I start to sweat profusely then comes the pain so…
    26 May 2018
  • Kutter
    Re: How Cauda Equina Syndrome Affects the Stomach
    I have had cauda equina syndrome now for 10 years. For a considerable amount of that time I took…
    18 May 2018
  • Mavalis
    Re: Symptoms Of Peptic Ulcers
    I also have this chest pain and my heart is beating very fast and painfull and the other thing is that my left side breast it pains.i…
    15 May 2018
  • Keshy
    Re: Symptoms Of Peptic Ulcers
    I was diagnosed of gastric ulcer after I went for an endoscopy. I have used intravenous rabeprazole and now am using ulsakit. But I…
    28 April 2018
  • Mark
    Re: Symptoms Of Peptic Ulcers
    Hello guys, first all of you have to visit gi. And done ugd, then only Dr have to came to know what happened inside your stomach. Yes…
    22 April 2018
  • Gloria
    Re: What is Thickening of the Bowel?
    I had a virtual colonoscopy and was told I had a thickened left colon. I have acute bouts of lower left abdominal pain which…
    18 April 2018
  • BABY GIRL TN
    Re: What is Thickening of the Bowel?
    HI CAN SOME BODY TELL ME WHAT MILD SMALL BOWEL VERSUS IN THICENING RELATED TO UNDERDISTENTION MEAN?
    15 April 2018
  • TummyTrouble
    Re: Symptoms Of Peptic Ulcers
    Princess gold - Your Question:I av ulcer and I feel tiredness, dizzy, pain under my left breast ? Is it still a sign of ulcer ?
    27 March 2018
  • Princess gold
    Re: Symptoms Of Peptic Ulcers
    I av ulcer and I feel tiredness, dizzy, pain under my left breast ? Is it still a sign of ulcer ?
    27 March 2018