ascites

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:

The diagnosis of Ascites can be done by:

  • Blood work
  • Ultrasound
  • Fluid removal by a needle
  • CT exam may be useful to determine cause as well.

Abdominal paracentesis

  • Fluid removal by needle
  • Often done to analyze the fluid itself
  • Can help determine the cause of the ascities.

 

Categories 

  • Transudate” and “Exudate

1.)  Transudate

  • Due to increased pressure.
  • Can be seen in Cirrhosis
  • Can be seen in Portal hypertension

2.)  Exudative

  • Due to increase in protein.
  • Can be seen in inflammation
  • Can be seen in malignancy

Symptoms:

  • Distention of abdomen
  • Shortness of breath
  • Abdominal bloating or “heavyness”
  • Leg swelling
  • Chronic Fatigue
  • Weight loss
  • Weight gain

Treatment

  • Often dependent on the cause agent, but may include:

Fluid removal  [Parancentesis]

Diuretic Medication:

  • * Spirolactone
  • * Amiloride
  • * Triamterene
  • * Furosemide
  • * Bumetanide
  • * Torasemide

Water restriction

Liver Transplant  [ In some cases]

Shunting  [Liver]

Other

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