Perez Hilton Said He Thought He'd Die Weeks Before Alarming Live Stream

Perez Hilton feared he was going to die just months before his latest health crisis ... he says a bout with sepsis left his body breaking down, to the point where he thought he might not survive.

Perez opened up about his health struggles during a July 14 taping of "Hang Out With Sean Hannity" ... recounting the terrifying 21-day hospital stay he endured earlier this year.

Perez says doctors initially couldn't find a perforation ... and then everything started going haywire ... he had fluid in his lungs, atrial fibrillation and heart issues.

As for how he wound up in a hospital bed back in March ... Perez says he'd been battling the flu and taking medication without food for about a week, which he believes caused an ulcer and eventually a perforation.

The weeks-old interview hits differently now ... Perez was rushed to a Miami-area hospital Tuesday following his disturbing TikTok Live.

Perez is now undergoing a 72-hour psychiatric evaluation ... and his family said Thursday he's now able to communicate with them, giving them hope amid his recovery.