Learn About Ascites

What is the definition of Ascites?

Ascites is the build-up of fluid in the space between the lining of the abdomen and abdominal organs.

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What are the alternative names for Ascites?

Portal hypertension - ascites; Cirrhosis - ascites; Liver failure - ascites; Alcohol use - ascites; End-stage liver disease - ascites; ESLD - ascites; Pancreatitis ascites

What are the causes of Ascites?

Ascites results from high pressure in the blood vessels of the liver (portal hypertension) and low levels of a protein called albumin.

Diseases that can cause severe liver damage can lead to ascites. These include:

  • Chronic hepatitis C or B infection
  • Alcohol abuse over many years
  • Fatty liver disease (non-alcoholic steatohepatitis or NASH)
  • Cirrhosis caused by genetic diseases

People with certain cancers in the abdomen may develop ascites. These include cancer of the appendix, colon, ovaries, uterus, pancreas, and liver.

Other conditions that can cause this problem include:

  • Clots in the veins of the liver (portal vein thrombosis)
  • Congestive heart failure
  • Pancreatitis
  • Thickening and scarring of the sac-like covering of the heart (pericarditis)

Kidney dialysis may also be linked to ascites.

What are the symptoms of Ascites?

Symptoms may develop slowly or suddenly depending on the cause of ascites. You may have no symptoms if there is only a small amount of fluid in the belly.

As more fluid collects, you may have abdominal pain and bloating. Large amounts of fluid can cause shortness of breath, This happens because the fluid pushes up on the diaphragm, which in turn compresses the lower lungs.

Many other symptoms of liver failure may also be present.

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What are the current treatments for Ascites?

The condition that causes ascites will be treated, if possible.

Treatments for fluid build-up may include lifestyle changes:

  • Avoiding alcohol
  • Lowering salt in your diet (no more than 1,500 mg/day of sodium)
  • Limiting fluid intake

You may also get medicines from your doctor, including:

  • "Water pills" (diuretics) to get rid of extra fluid
  • Antibiotics for infections

Other things you can do to help take care of your liver disease are:

  • Get vaccinated for diseases such as influenza, hepatitis A and hepatitis B, and pneumococcal pneumonia
  • Talk to your doctor about all medicines you take, including herbs and supplements and over-the-counter medicines

Procedures that you may have are:

  • Inserting a needle into the belly to remove large volumes of fluid (called a paracentesis)
  • Placing a special tube or shunt inside your liver (TIPS) to repair blood flow to the liver

People with end-stage liver disease may need a liver transplant.

If you have cirrhosis, avoid taking nonsteroidal anti-inflammatory medicines, such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn). Acetaminophen should be taken in reduced doses.

Who are the top Ascites Local Doctors?
Elite
Highly rated in
26
conditions

University Of Vienna

Vienna, AT 

Thomas Reiberger is in Vienna, Austria. Reiberger is rated as an Elite expert by MediFind in the treatment of Ascites. He is also highly rated in 26 other conditions, according to our data. His top areas of expertise are Portal Hypertension, Ascites, Cirrhosis, and Hypertension.

Elite
Highly rated in
14
conditions
Hepatology
Gastroenterology

University Of Vienna

Vienna, AT 1090

Mattias Mandorfer is a Hepatologist and a Gastroenterologist in Vienna, Austria. Mandorfer is rated as an Elite expert by MediFind in the treatment of Ascites. He is also highly rated in 14 other conditions, according to our data. His top areas of expertise are Portal Hypertension, Ascites, Cirrhosis, and Hepatitis C.

 
 
 
 
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Elite
Highly rated in
18
conditions
Gastroenterology

Mayo Clinic

Rochester, Minnesota

200 1st St Sw 
Rochester, MN 55905

Patrick Kamath is a Gastroenterologist in Rochester, Minnesota. Dr. Kamath has been practicing medicine for over 46 years and is rated as an Elite doctor by MediFind in the treatment of Ascites. He is also highly rated in 18 other conditions, according to our data. His top areas of expertise are Ascites, Liver Failure, Portal Hypertension, and Jaundice. He is licensed to treat patients in Minnesota. Dr. Kamath is currently accepting new patients.

What are the possible complications of Ascites?

Complications may include:

  • Spontaneous bacterial peritonitis (a life-threatening infection of the ascitic fluid)
  • Hepatorenal syndrome (kidney failure)
  • Weight loss and protein malnutrition
  • Mental confusion, change in the level of alertness, or coma (hepatic encephalopathy)
  • Bleeding from the upper or lower gastrointestinal tract
  • Build-up of fluid in the space between your lungs and chest cavity (pleural effusion)
  • Other complications of liver cirrhosis
When should I contact a medical professional for Ascites?

If you have ascites, call your health care provider right away if you have:

  • Fever above 100.5°F (38.05°C), or a fever that does not go away
  • Belly pain
  • Blood in your stool or black, tarry stools
  • Blood in your vomit
  • Bruising or bleeding that occurs easily
  • Build-up of fluid in your belly
  • Swollen legs or ankles
  • Breathing problems
  • Confusion or problems staying awake
  • Yellow color in your skin and the whites of your eyes (jaundice)
Ascites with ovarian cancer - CT scan
Digestive system organs
What are the latest Ascites Clinical Trials?
Single Institution (UNM) Prospective Laboratory Study of Cancer and Immune Cells in the Ascites Fluid of Ovarian Cancer Patients to Test Alternative Therapies
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Comprehensive Assessment of Intermediate and Long-term Sequelae of COVID-19 Infection and Immunological Correlates of Protection Induced by COVID-19 Vaccines in Patients With Liver Disease: A Prospective Cohort Study.
What are the Latest Advances for Ascites?
Kidney Replacement Therapy in Patients with Acute Liver Failure and End-Stage Cirrhosis Awaiting Liver Transplantation.
Evaluation of transjugular intrahepatic portosystemic shunt (TIPS) as a previous step to liver transplantation in pediatric patients.
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Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt.
Who are the sources who wrote this article ?

Published Date : July 15, 2020
Published By : Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Garcia-Tsao G. Cirrhosis and its sequelae. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 144.

National Institute of Diabetes and Digestive and Kidney Diseases website. Cirrhosis. www.niddk.nih.gov/health-information/liver-disease/cirrhosis/all-content. Updated March 2018. Accessed November 11, 2020.

Sola E, Gines SP. Ascites and spontaneous bacterial peritonitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 93.