Chronic abdominal pain in a patient on chronic peritoneal dialysis: answer

Recurrent abdominal pain and bloody ascites

“…It can lead to ultra-filtration failure; intestinal obstruction; and even morbidity and mortality, rates of both of which could be very high. Although the underlying mechanisms for the development of EPS remain elusive, the risk factors of EPS include CAPD therapy for a duration of more than 5 years, previous peritonitis, high glucose or acetate-containing concentrations, and exposure to chlorhexidine used for sterilization 2. The characteristic manifestations of EPS are non-sterile bloody dialysate or ascites; and gastrointestinal symptoms such as abdominal pain, nausea, vomiting, weight loss, abdominal distention and malnutrition highly related to intestinal obstruction 3.…”