Ascites

Ascites is a condition in which fluid collects in spaces within your abdomen. If severe, ascites may be painful.

Ascites is a pathological accumulation of fluid in peritoneal cavity. Contributing factors are portal hypertension, hypoalbuminemia, hepatic lymph, hepatorenal syndrome.

Other clinical features

Jaundice, diffuse abdominal pain, fullness in the flanks, spider nevi, abdominal distension.

O/E; There is eversion of umbilicus, fluid thrill and shifting dullness.

Ascites is a condition in which fluid collects in spaces within your abdomen. If severe, ascites may be painful.

Investigations

Albumin and total proteins, Ascitic fluid analysis, CBC, Culture and gram staining and U/S abdomen.

Management

Salt, water restriction

Bed rest

Water intake less than 1L/day

Tab Spironolactone (Aldactan) 100mg 1x OD

Inj Furosemide (Lasix) 40mg IV BD

Inf Moxifloxacin (Mofest) 400mg IV OD

Inj Omeprazole (Risek) 40mg IV OD

If still not recovered then

Therapeutic tap with regular monitoring of BP

Inf haemacil for fluid replacement of therapeutic tap

Aminoloban for albumen replacement

Definitive treatment- Liver transplant