Ascites is a medical complication, often from another medical condition, when there is a pooling of fluid into the abdomen.
It can also be referred to as an accumulation of serous fluid in the peritoneal cavity or hydroperitoneum
This abnormality can be seen in:
- Portal Hypertension with an increase in portal pressure
- Cirrhosis [Ascites can often be seen in 8 out 10 patients with cirrhosis]
- Liver Disease
- Heart Failure
The diagnosis of Ascites can be done by:
- Blood work
- Fluid removal by a needle
- CT exam may be useful to determine cause as well.
- Fluid removal by needle
- Often done to analyze the fluid itself
- Can help determine the cause of the ascities.
- “Transudate” and “Exudate“
- Due to increased pressure.
- Can be seen in Cirrhosis
- Can be seen in Portal hypertension
- Due to increase in protein.
- Can be seen in inflammation
- Can be seen in malignancy
- Distention of abdomen
- Shortness of breath
- Abdominal bloating or “heavyness”
- Leg swelling
- Chronic Fatigue
- Weight loss
- Weight gain
- Often dependent on the cause agent, but may include:
Fluid removal [Parancentesis]
- * Spirolactone
- * Amiloride
- * Triamterene
- * Furosemide
- * Bumetanide
- * Torasemide
Liver Transplant [ In some cases]