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Peritonitis is a serious inflammation of the peritoneum, the thin tissue lining the abdominal cavity. It is caused by bacterial infection from conditions like appendicitis, bowel perforation, or contamination during peritoneal dialysis. The CA-125 test is the most important blood marker for monitoring peritoneal inflammation and treatment response.
Peritonitis is caused by bacterial infection that contaminates the peritoneal cavity. The most common bacteria include Escherichia coli, Streptococcus species, and Staphylococcus aureus, which can enter through a ruptured appendix, perforated bowel, abdominal trauma, or complications from peritoneal dialysis. In some cases, fungal infections or chemical irritation from digestive juices can also trigger peritonitis, though bacterial infections remain the primary cause.
The CA-125 test is the most important blood marker for monitoring peritonitis because it detects elevated levels caused by inflammation of the peritoneal tissue. While peritonitis is primarily diagnosed through clinical examination, imaging, and peritoneal fluid analysis, the CA-125 blood test provides valuable information about the severity of peritoneal inflammation and helps track your response to treatment. Healthcare providers use this marker alongside complete blood count (CBC) and inflammatory markers like C-reactive protein to get a comprehensive picture of the infection and inflammation levels in your body.
You should get tested immediately if you experience sudden severe abdominal pain that worsens with movement or touch, fever, nausea, vomiting, or abdominal swelling and tenderness. People on peritoneal dialysis should seek testing if they notice cloudy dialysis fluid, which is a key warning sign of infection. Anyone with recent abdominal surgery, bowel disease, or abdominal trauma who develops these symptoms needs urgent evaluation, as peritonitis is a medical emergency requiring immediate treatment.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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