Ascites FAQ
What is ascites?
Ascites is the buildup of fluid in the abdomen, often due to liver cirrhosis, heart failure, or cancer.
What causes ascites?
Common causes include liver disease, heart failure, kidney failure, and abdominal cancers.
What are the symptoms of ascites?
Symptoms may include abdominal swelling, weight gain, discomfort, and shortness of breath.
How is ascites diagnosed?
Doctors use physical exams, imaging tests (e.g., ultrasound), and fluid analysis (paracentesis).
Can ascites be cured?
Treatment focus is on managing the underlying cause; in some cases, it can be resolved.
What medications treat ascites?
Diuretics like spironolactone and furosemide help reduce fluid accumulation.
Is surgery required for ascites?
Surgery may be necessary for refractory cases or to address underlying conditions.
Can diet help manage ascites?
A low-sodium diet (less than 2,000 mg/day) is often recommended to reduce fluid retention.
What is paracentesis?
A procedure to remove abdominal fluid for diagnostic or therapeutic purposes.
How often is paracentesis performed?
Depends on the underlying condition; may be a one-time or recurring procedure.
Can ascites lead to complications?
Yes, including infection (SBP), kidney dysfunction, and respiratory issues.
How to prevent ascites?
Prevention focuses on managing underlying conditions like liver disease and heart failure.
Is ascites always painful?
Not always; some may experience discomfort or tenderness, while others may not.
Can ascites be mistaken for obesity?
Yes, due to abdominal swelling; proper diagnosis is crucial to distinguish.
What is refractory ascites?
Ascites that persists despite optimal diuretic therapy and sodium restriction.
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