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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for Peritonitis?

I am a 48 yr. old female in good health (with the exception of Migraines). Three weeks ago my appendix ruptured, it was removed laproscopic. I was in the hospital for a day after surgery. However, I have had major pain, bloating and diarrhea since then. The doctor did say I have peritonitis. He also said I have some type of colitis caused by the strong antibiotic (Cipro). I am now on Acidophilus and a different antibiotic. My bloating and diarrhea is getting better, however now I am having night sweats. Please, any advise/thoughts would be helpful.
Tue, 26 Aug 2014
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General Surgeon 's  Response
Hi.
Thanks for elucidate history. Appendectomy done and you start getting pain and now night sweats, and there is also a possibility of colitis so the antibiotics is changed and added a Probiotic.
I would advise you the following.
Review Hb and WBC count- if increasing, I have a reason to re-explore. Also get liver, kidney functions to see there is no bad affect on these organs due to septicemia.
Ultrasonographyu and / or CT scan of the abdomen to see if there is collection of pus pockets, if so and responding to the routine medical treatment, I would put you on intravenous antibiotics and iv fluids, And go for exploration to see and evacuate the pus and lavage the peritoneal cavity and put a drain.
Daily review till you are absolutely normal.
This is the treatment of peritonitis after perforation of the appendix and surgery thereupon.
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What is the treatment for Peritonitis?

Hi. Thanks for elucidate history. Appendectomy done and you start getting pain and now night sweats, and there is also a possibility of colitis so the antibiotics is changed and added a Probiotic. I would advise you the following. Review Hb and WBC count- if increasing, I have a reason to re-explore. Also get liver, kidney functions to see there is no bad affect on these organs due to septicemia. Ultrasonographyu and / or CT scan of the abdomen to see if there is collection of pus pockets, if so and responding to the routine medical treatment, I would put you on intravenous antibiotics and iv fluids, And go for exploration to see and evacuate the pus and lavage the peritoneal cavity and put a drain. Daily review till you are absolutely normal. This is the treatment of peritonitis after perforation of the appendix and surgery thereupon.