Ascites can manifest in various ways depending on their severity. People with mild ascites may have a normal-looking abdomen, whereas those with severe ascites may have a swollen or distended abdomen:
- Ascites can exert pressure on the abdomen, making it feel bloated
- Increasing pressure on adjacent organs may cause abdominal discomfort as the abdomen grows larger
Ascites are the accumulation of fluid between the lining of the abdomen and abdominal organs. Depending on the origin of ascites, symptoms may appear gradually or quickly.
16 signs and symptoms of ascites
If there is only a small amount of fluid, you may not experience any symptoms. As more fluid accumulates, you may experience 16 signs and symptoms of ascites that include:
- A general feeling of increased abdominal pressure
- Abdominal pain
- Distended abdomen
- Shortness of breath
- Swelling in the abdomen
- Weight gain
- Sense of heaviness
- Swelling in the lower legs
- Reduced appetite
Sometimes, the fluid in your stomach becomes infected, resulting in fever and other infection-related symptoms. Ascites are a serious condition that necessitates prompt treatment.
What are the common causes of ascites?
Diseases that can cause severe liver damage, called cirrhosis, can lead to ascites, which include:
- Chronic hepatitis C or B infection
- Alcohol abuse over many years
- Fatty liver disease (nonalcoholic steatohepatitis)
Other conditions that can cause this problem include:
- Portal vein thrombosis (clots in the veins of the liver)
- Congestive heart failure
- Constrictive pericarditis (thickening and scarring of the sac-like covering of the heart)
- Kidney failure
6 treatment options for ascites
The purpose of treatment is to alleviate unpleasant symptoms and treat the underlying cause.
Ascites therapy possibilities include:
- Diet changes:
- Eating less salt and drinking liquids in limitation may assist with mild discomfort.
- Making dietary adjustments might be difficult for many people. Consult with your doctor about how to implement these adjustments.
- Paracentesis is a procedure used to drain fluid from the abdomen.
- It is used to diagnose the cause of ascites.
- A doctor inserts a needle attached to a tube into the abdomen. The fluid flows through the needle and into the tubing.
- Fluid accumulation frequently returns following paracentesis.
- The doctor may elect to do another paracentesis treatment.
- A catheter can be used to drain fluid. It is a thin plastic tube that is inserted into your abdomen to drain the fluid.
- At home, you or your family members can use the catheter to regularly drain the fluid into a bottle as instructed by your healthcare team.
- Occasionally, it may be recommended that a catheter be inserted inside the body to bypass or divert fluid from the abdomen into another part of the body. This is called a shunt or a peritoneovenous shunt.
- Treating cancer:
- Ascites symptoms can be relieved by surgery or chemotherapy used to treat cancer.
- Managing discomfort:
To avoid the development of ascites, you should monitor any rapid weight gain. Limit or eliminate alcohol use and take nonsteroidal anti-inflammatory drugs such as ibuprofen or aspirin. Doctors may advise a few lifestyle changes as part of preventive methods.
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