What causes ascites, and how is fluid buildup in the abdomen treated? - #4133

Anonymously

I recently heard about ascites, which is fluid buildup in the abdomen, and I was curious about what causes it. What exactly is ascites, and why does fluid accumulate in the abdominal cavity? Is it always due to liver disease (cirrhosis), or can conditions like heart failure, cancer, or kidney disease also cause it? What are the symptoms of ascites? Besides abdominal swelling, does it also cause shortness of breath, discomfort, or changes in digestion? How is ascites treated? Do doctors drain the fluid with a paracentesis procedure, or can medications and diet changes help manage it? For those who have had ascites, what was the cause, and how was it treated?

Ascites

Abdominal fluid buildup

Liver disease

Cirrhosis

Paracentesis

Kidney disease

Heart failure

Question is closed

On the Ask Doctors service, online consultations with doctors for General Medicine are available for any issue that concerns you. Expert doctors provide consultations around the clock and for free. Ask your question and get an answer right away!

Doctors’ responses

Dr. Evgeny Arsentev

I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.

49 days ago

Ascites is the buildup of fluid in the abdominal cavity, often caused by liver disease such as cirrhosis, but it can also result from heart failure, kidney disease, or certain cancers. In liver disease, the liver becomes damaged, leading to increased pressure in the veins and fluid leakage into the abdomen. Conditions like heart failure or kidney disease can disrupt fluid balance, leading to ascites as well.

Symptoms typically include abdominal swelling, but it can also cause discomfort, bloating, shortness of breath, and even digestive changes. The pressure from the fluid can push up against the diaphragm, making breathing more difficult.

Treatment often involves draining the fluid through a procedure called paracentesis, especially if it causes significant discomfort. Diuretics (water pills) and dietary changes, like reducing salt intake, can also help manage fluid buildup. In some cases, treating the underlying cause is essential for long-term management.

Accepted response

0 replies

If you need a detailed answer, ask your question to a doctor

A doctor will answer all of your questions, advise you what to do now to get better, what to do in the future, what best treatments and practices should be followed.