Ascites-Symptoms, causes, risk factors, diagnosis, treatment
Ascites is a Gastroenterology term for an accumulation of fluid in the peritoneal cavity that exceeds 25 mL. It is a condition in which excess fluids get accumulated in abdominal area this causes abdominal area to swell and lead to increase in gut size
It is commonly caused due to
- Acute liver diseases
- Increased pressure of liver blood flow
- metastatic cancer
Rare causing due to
Risk factor of ascities are
- hepatitis B
- hepatitis C
- alcohol abuse
- Congestive heart failure
Symptoms of Ascites
- Swelling of the abdomen
- Abdominal pain
- It leads to shortness of breath when pressure increases in the diaphragm.
Complications with Ascites are Budd-Chiari syndrome(The condition is caused by occlusion of the hepatic veins that drain the liver.)
Diagnosis for Ascites : The diagnosis of ascites is based on physical examination in conjunction with a detailed medical history based on underlying causes, symptoms, fluid levels in abdomen which can be demonstrated by professional medical practitioner.
- Ultrasound scan : It is used to detect small amount of fluid in the abdomen
- CT Scan :- It is for evaluating other conditions
- Blood test: It is to evaluate the cause of Ascites (ex : liver disease, liver hepatitis, alcohol abuse etc.,). It is helps in detecting patterns of liver injury, functional status of the liver and kidney.
- Blood count can also detect underlying conditions.
Treatment : Treatment may be with Diet, medication (diuretics), Therapeutic paracentesis, Surgery or other treatments directed at the cause. (Some times liver transplantation for advanced cirrhosis, It will be the final stage.