Mild to moderate ascites in hindi

Ascites refers tofluid accumulation in the space between the lining of the abdomen and the abdominal organs. It is mainly associated with cirrhosis scarring of the liver, mild to moderate ascites in hindi, which can be caused by viral infections of the liver or fatty liver associated with obesityand diabetes. Ascitis symptoms may be slow or sudden depending on the cause. Significant symptoms may not be present if the fluid volume is low.

Ascites is the accumulation of protein-containing ascitic fluid within the abdomen. Many disorders can cause ascites, but the most common is high blood pressure in the veins that bring blood to the liver portal hypertension Portal Hypertension Portal hypertension is abnormally high blood pressure in the portal vein the large vein that brings blood from the intestine to the liver and its branches. Cirrhosis scarring that distorts The scar If large amounts of fluid accumulate, the abdomen becomes very large, sometimes making people lose their appetite and feel short of breath and uncomfortable. Characteristic manifestations include Jaundice a yellowish discoloration of the skin and whites of the eyes Cholestasis reduction or stoppage

Mild to moderate ascites in hindi

In the developed world , the most common cause is liver cirrhosis. Treatment often involves a low-salt diet , medication such as diuretics , and draining the fluid. Mild ascites is hard to notice, but severe ascites leads to abdominal distension. People with ascites generally will complain of progressive abdominal heaviness and pressure as well as shortness of breath due to mechanical impingement on the diaphragm. Ascites is detected with physical examination of the abdomen by visible bulging of the flanks in the reclining person "flank bulging" , " shifting dullness " difference in percussion note in the flanks that shifts when the person is turned on the side , or in massive ascites, with a "fluid thrill" or " fluid wave " tapping or pushing on one side will generate a wave-like effect through the fluid that can be felt in the opposite side of the abdomen. Other signs of ascites may be present due to its underlying cause. For instance, in portal hypertension perhaps due to cirrhosis or fibrosis of the liver people may also complain of leg swelling, bruising, gynecomastia , hematemesis , or mental changes due to encephalopathy. Those with ascites due to cancer peritoneal carcinomatosis may complain of chronic fatigue or weight loss. Those with ascites due to heart failure may also complain of shortness of breath as well as wheezing and exercise intolerance. Complications may include spontaneous bacterial peritonitis , hepatorenal syndrome , and thrombosis. Portal vein thrombosis and splenic vein thrombosis involve clotting of blood affects the hepatic portal vein or varices associated with splenic vein. This can lead to portal hypertension and a reduction in blood flow.

Related Articles. Early studies found uniformly high levels of LDH in malignant effusions and low levels of LDH in non-malignant effusions. The ratio of reduces risks of potassium imbalance.

Federal government websites often end in. The site is secure. Ascites is the pathologic accumulation of fluid within the peritoneal cavity. Because many diseases can cause ascites, in particular cirrhosis, samples of ascitic fluid are commonly analyzed in order to develop a differential diagnosis. The concept of transudate versus exudate, as determined by total protein measurements, is outdated and the use of serum-ascites albumin gradient as an indicator of portal hypertension is more accurate. Lactate dehydrogenase LDH , vascular endothelial growth factor VEGF , and other tumor markers can be helpful in distinguishing between malignant and benign conditions.

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Mild to moderate ascites in hindi

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Ann Saudi Med. Vascular endothelial growth factor VEGF VEGF, initially known as vascular permeability factor, has a recognized role in the accumulation of ascitic fluid. The treatment of ascites due to non-liver disease depends on the underlying condition. Early studies found uniformly high levels of LDH in malignant effusions and low levels of LDH in non-malignant effusions. Physical exam , ultrasound , CT scan [3]. Sometimes surgery to reroute blood flow portosystemic shunting or liver transplantation. Chylousascytes secondary to acute pancreatitis: a case report and review of literature. Another option for people with refractory or malignant ascites is the automated low-flow ascites pump Alfapump , an implanted machine, which uses a pump to move ascites from the peritoneal cavity to the bladder for urination. If doctors are uncertain whether ascites is present or what is causing it, they may do ultrasonography or computed tomography CT; see Imaging Tests of the Liver and Gallbladder Imaging Tests of the Liver and Gallbladder Imaging tests of the liver, gallbladder, and biliary tract include ultrasonography, computed tomography CT , magnetic resonance imaging MRI , endoscopic retrograde cholangiopancreatography Portal hypertension Portal Hypertension Portal hypertension is abnormally high blood pressure in the portal vein the large vein that brings blood from the intestine to the liver and its branches. Evaluation and management of patients with refractory ascites. In one study, the ascitic concentrations of BHBT, lactate, acetone, and acetoacetate were significantly higher in patients with malignant ascites than in those with cirrhotic ascites. Abdominal mass Hepatosplenomegaly Hepatomegaly Splenomegaly. Currently, it is accepted that the accuracy of the relationship between ascitic protein concentration and etiology of ascites was overestimated. For many years, the ascitic total protein concentration has been used to determine whether ascitic fluid was a transudate or exudate.

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Flatulence Fecal incontinence and encopresis Fecal occult blood Rectal tenesmus Constipation Obstructed defecation Diarrhea Rectal discharge. Peritoneal tuberculosis in premenopausal patients with elevated serum CA If the person exhibits a resistance or poor response to diuretic therapy, ultrafiltration or aquapheresis may be needed to achieve adequate control of fluid retention and congestion. Amylase Amylase-rich ascitic fluid commonly occurs in cases of pancreatic duct damage or obstruction due to pancreatitis or pancreatic trauma. J Clin Transl Hepatol. Massive amounts may cause abdominal swelling distention and discomfort. Federal government websites often end in. Comparative usefulness of PCR in the detection of Mycobacterium tuberculosis in different clinical specimens. Clin Liver Dis. Retrieved December 14, Wiad Lek. Cirrhotic and malignant ascites: differential CT diagnosis. The swollen abdomen puts pressure on the stomach, sometimes leading to loss of appetite, and pressure on the lungs, sometimes leading to shortness of breath. In those with severe tense ascites, therapeutic paracentesis may be needed in addition to medical treatments listed above.