Ascites
Ascites Treatment
What Is Ascites?
Ascites are the buildup of fluid in your belly, often due to severe liver disease. The extra fluid makes your belly swell.
Ascites Signs and Symptoms
Ascites is usually accompanied by a feeling of fullness, a ballooning belly, and fast
weight gain
. Other symptoms often include:
- Shortness of breath
- Nausea
- Swelling in legs and ankles
- Indigestion
- Vomiting
- Heartburn
- Loss of appetite
- Fever
- Hernia
If you have a combination of these symptoms, see your doctor. If you have ascites, it’s often a sign of liver failure. It occurs most often with cirrhosis.
Ascites Causes
Ascites happen when pressure builds up in the veins of your liver, and it does not work as it should. These two problems usually are caused by another condition -- cirrhosis, heart or kidney failure, cancer, or an infection.
The pressure blocks blood flow in the liver. Over time this keeps your kidneys from removing excess salt from your body. This, in turn, causes fluid to build up. If you feel the pressure building up in your liver, you must seek treatment for Ascites.
Ascites Risk Factors
Any disease that causes liver damage or scarring can make you more likely to get ascites. Common risk factors for ascites include:
- Viral infections like hepatitis B or hepatitis C
- Alcohol misuse
- Cancer in organs in the belly area
- Kidney failure
- Congestive heart failure
Ascites Diagnosis
The doctor may prescribe "water pills" or diuretics to help flush the extra fluid from your body.
If they think you have ascites, the doctor will use a needle to remove fluid from your belly for testing. This procedure is called a paracentesis. It'll help the doctor find out what's causing your condition so they can treat it appropriately.
In most cases of ascites, the doctor will refer you to a liver specialist, who may discuss a liver transplant.
Ascites Treatments
The doctor may prescribe "water pills" or diuretics to help flush the extra fluid from your body.
Two of the most common diuretics are:
- Furosemide (Lasix)
- Spironolactone (Aldactone)
They both help your kidneys remove more sodium and water.
Suppose changes in your diet and prescription diuretics don't help, or your symptoms are severe. In that case, your doctor may have to use paracentesis to remove large amounts of excess fluid through a needle inserted into your belly. When you have this done, you have to follow a low-salt, low-liquid diet. Otherwise, the fluid will come back.
If these treatments don't work, you may need surgery to place a shunt in your liver or replace it altogether.
Next steps
If you need further information and obtain a second opinion please download the app "Obur Health PA" from the App Store or call
832-730-4479
or call 832-730-4479
