Alcohol induced peritonitis .
Alcohol induced peritonitis .
Author
Discussion

Buster73

Original Poster:

5,608 posts

182 months

Tuesday 14th August 2012
quotequote all
What's the craic with that as a diagnosis ?

One of our collaeagues at work is on the sick and the latest sick note has got that as the reason for being off , how serious is that then ?

Soovy

35,829 posts

300 months

Tuesday 14th August 2012
quotequote all


Erm, well it means he's been massively drinking to excess.

If properly treated, typical cases of surgically correctable peritonitis (e.g., perforated peptic ulcer, appendicitis, and diverticulitis) have a mortality rate of about <10% in otherwise healthy patients, which rises to about 40% in the elderly, and/or in those with significant underlying illness, as well as in cases that present late (after 48 hours).

If untreated, generalised peritonitis is almost always fatal.

julian64

14,325 posts

283 months

Tuesday 14th August 2012
quotequote all
Not sure that is even possible.

Famous Graham

26,553 posts

254 months

Tuesday 14th August 2012
quotequote all
Hmm... a lawyer and a doctor post opposing views on alcohol related illness.

I think someone divided by 0

julian64

14,325 posts

283 months

Tuesday 14th August 2012
quotequote all
Well soovy is right, sort of. Peritonitis would suggest a perforation somewhere in the bowel, and carries a fairly high mortality, about 50% I believe.

Large amounts of alcohol could cause a perforation, but not before they've caused a ulcer as their method of causing the perforation.

Peritonitis is either usually chemical or infective, and usually starts where there is a perforation at which point the highly irritant stomach acids or bowel faecal matter enter the peritoneum (cavity of the abdomen) and cause generalised irritation.

But its a bit of a brave step to decide you know whats caused the perforation and link the two together. So I've never heard of the diagnosis above.

You can have alcoholic gastritis, or alcoholic hepatitis, but I've never heard of alcoholic peritonitis.

That must have been some weekend!

Soovy

35,829 posts

300 months

Tuesday 14th August 2012
quotequote all
Famous Graham said:
Hmm... a lawyer and a doctor post opposing views on alcohol related illness.

I think someone divided by 0
hehe

julian64

14,325 posts

283 months

Tuesday 14th August 2012
quotequote all
Soovy said:
Famous Graham said:
Hmm... a lawyer and a doctor post opposing views on alcohol related illness.

I think someone divided by 0
hehe
Go on, have another. hehe


Use Psychology

11,327 posts

221 months

Tuesday 14th August 2012
quotequote all
maybe he got drunk and decided to give swallowing swords a try.

Farmerpalmer

277 posts

193 months

Tuesday 14th August 2012
quotequote all
to the op, do you mean alcohol induced pancreatitis? much more common

Loopyleesa

2,906 posts

196 months

Tuesday 14th August 2012
quotequote all
I had peritonitis many years ago when I was 18. It wasn't alcohol induced though!

I was a fitness instructor and thought I had pulled a tummy muscle at first, so left it. Over the next 48 hours it got very bad and my father took me straight to Nuffield Hospital (didn't need codes back then) and they knew straight away what it was. They said if it was left another 12 hours, it would of been too late to save me. On opening me up, I had massive amounts of Gangrene.

So a week later I was back home, stitched up, only to be woken up in the early hours with green, smelly stuff coming out of my wound, it hadn't all been removed!

So for about 2 months, I had a nurse come daily and pack my wound, from the bottom to allow to heal from the bottom up, left an awful scar, but luckily easily hidden!

Soovy

35,829 posts

300 months

Wednesday 15th August 2012
quotequote all
Loopyleesa said:
On opening me up, I had massive amounts of Gangrene.
yikes


Chim450

1,452 posts

290 months

Wednesday 5th September 2012
quotequote all
Could have possibly been spontaneous bacterial peritonitis. Not that uncommon in alcoholics with liver cirrhosis and ascites (fluid in the peritoneal cavity).