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Ascites

What is Ascites?

Ascites refers to the accumulation of serous pale yellow and clear fluid in the peritoneal or abdominal cavity, located below the chest cavity and separated from it by a diaphragm.
The fluid could be a result of many complications including liver diseases, kidney failure, cancers and congestive heart failure. The basic principle is similar to formation of edema, owing to imbalance of pressure between the external and internal systems.

 

Symptoms

If the quantity of fluid is less than 100 to 400ml, mild ascites might have no symptoms at all. With the increase in the quantity of fluid, the following symptoms may be observed:

  • Increased abdominal girth
  • Increased abdominal size
  • Bloating
  • Shortness of breath
  • Abdominal pain
  • Abdominal discomfort
  • Disfiguring large belly

Causes

The exact mechanism of the development of ascites is not yet fully understood. However, the main causes are:

  • Portal hypertension – Increased blood pressure in liver
  • Increase in portal blood pressure
  • Decrease in albumin content of the blood
  • Salt retention in blood
  • Water retention in blood
  • Congestive heart failure
  • Advanced kidney failure
  • Tumors in abdominal cavity
  • Blood clots in portal vessel
  • Cancers like malignant ascites, colon cancer, pancreatic cancer, stomach cancer, breast cancer, lymphoma, lung cancer or ovarian cancer.
  • Chronic inflammation of pancreas
  • Alcohol abuse
  • Trauma to pancreas

Risks

The risk factors of Ascites are:

  • Diets with low protein content
  • Excessive consumption of alcohol
  • Hepatitis
  • Cardiac diseases
  • Cirrhosis
  • Chronic liver diseases
  • Portal hypertension

Prevention

Ascites can be prevented with the following precautionary methods:

  • Reduced consumption of alcohol and tobacco
  • Maintaining a healthy body weight
  • Limiting the intake of salt in the diet
  • Practicing safe sex to avoid hepatitis
  • Avoiding recreational drugs that could cause hepatitis

How is it diagnosed?

At Sumitra hospital, our experts use several means of diagnosing Ascites, including

  • Ultrasound
  • Physical exam
  • CT scan
  • Paracentesis
  • Blood count check
  • Medical history check