Ascites (Excess Abdominal Fluid)

ASCITES

Ascites is a medical condition characterized by the accumulation of fluid in the peritoneal cavity, causing abdominal swelling. This condition most commonly arises as a complication of liver cirrhosis, which impedes normal liver function and blood flow, leading to fluid buildup. Other causes can include heart failure, kidney failure, cancer, and infection. Symptoms of ascites can range from increased abdominal size and weight gain to discomfort and difficulty breathing due to pressure on the diaphragm. Diagnosis often involves imaging tests and fluid analysis. Treatment focuses on managing the underlying cause, dietary modifications, medications to remove excess fluid, and, in severe cases, draining the fluid or surgery.

In Dr. Sanjay K. Agrawal’s gastroenterology practice in Raipur, ascites treatment is tailored to each patient’s unique situation, with a focus on addressing the underlying cause, often liver cirrhosis. Dr. Agrawal employs a comprehensive approach that includes dietary modifications, such as salt restriction, and pharmacological management using diuretics to help remove excess fluid. For patients with more severe ascites, therapeutic paracentesis, a procedure to remove fluid directly from the abdomen, may be performed to provide relief from discomfort. Additionally, Dr. Agrawal emphasizes the importance of monitoring and managing potential complications, such as infection or hepatic encephalopathy, to improve the patient’s quality of life and overall outcomes.

Here Are

ASCITES F&Q's

What is ascites?

Ascites is the abnormal buildup of fluid in the abdomen, often resulting from liver cirrhosis. It can lead to discomfort, swelling, and breathing difficulties. This condition signifies advanced liver disease but can also stem from other health issues like heart failure or kidney disease.

What causes ascites?

The primary cause of ascites is liver cirrhosis, which impedes normal blood flow through the liver, leading to increased pressure in the veins and fluid leakage into the abdominal cavity. Other causes may include cancer, heart failure, kidney failure, or infection.

What are the symptoms of ascites?

Symptoms include noticeable abdominal swelling, increased abdominal girth, a feeling of fullness or bloating, weight gain, and discomfort or pain in the abdomen. In severe cases, it can lead to shortness of breath.

How is ascites diagnosed?

Diagnosis typically involves a physical examination, ultrasound or CT scan to visualize fluid, and blood tests to identify underlying causes. A procedure called paracentesis, where a needle is used to remove fluid from the abdomen for testing, may also be performed.

What treatments are available for ascites?

Treatment focuses on managing the underlying condition, such as liver disease, and may include diuretics to remove excess fluid, salt restriction, and in severe cases, therapeutic paracentesis to remove fluid. In advanced cases, a liver transplant may be considered.

Can ascites be prevented?

Preventing the underlying causes of ascites, such as liver cirrhosis, through lifestyle choices like reducing alcohol consumption, maintaining a healthy weight, and managing chronic conditions, can lower the risk of developing ascites. Regular medical check-ups are also crucial for early detection and management of conditions that could lead to ascites.