Doctor insights on:
Ascites From Lymph Leaks
SEVERE pain w liver bx. Admitted. Dx multi organ serositis. CRP 284.Sed50, ddimer1680. Hi ferr, myoglobin. Lo rbc, plat, lymph. Lo prot, HG. Ascites, eff, fever, brn urine. What was trigger? Bile leak, bleed?
Abdominal pain: The first step is to treat the symptoms. The second step is to find the cause. Discuss with your primary medical doctor. He/she can answer many of your questions and provide a treatment plan. ...Read more
Does ascites fluid leak into the groin area after a hernia repair if you have cirrhosis with ascites.
I have cirrhosis. Is it possible to have ascites that doesn't show from physical exam. My navel leaks. No appetite. Belly aches. Could this be ascites?
Possibly dangerous!: If navel leaks, possibly cirrhosis but more common causes. One of the more common ones is a urachal sinus (an abnormal persistence of the duct from your bladder to your umbilical cord which was there to take urine away when you were in the womb). If your navel leaked before you got cirrhosis, that is a good possibility. In any case, the leak can be very dangerous so get a doc to see it asap! ...Read more
I had ascites leaking into my inguinal hernia and had a mesh repair on the left side. Now, I have got right sided hernia. I was told that the fluid would leak. Is another surgery an option?
Yes, but: You should have the ascites under control before operating. This can be managed by some primary care providers, or. Gi liver specialist. If medical control is not working, could place a denver shunt at the time of her is repair. This isn't commonly done, so may have to shop around for a surgeon that would do this. Good luck! ...Read more
I'm leaking clear, non purulent fluid from belly button. No fever, blood work normal, no appetite, upper right abdo pain, slight bloating. Ascites?
See a doctor!: There are so many questions that come to mind. You need a physical exam and probably some blood work. ...Read more
Inguinal hernia surgery in 3 days, cirrhosis, ascites leak, will they still operate if so what would the outcome possibly be?
Infected lymph node: Lymphadenitis is an infection in one or more lymph nodes. Lymph nodes are filled with white blood cells that help your body fight off infections. When lymph nodes become infected, it's usually because an infection started somewhere else in your body. Infected lymph node can become abscess which can drain purulent material usually in associated with cellulitis or soft tissue infection. ...Read more
No: Spinal fluid leakage would not communicate with the breast tiisue. ...Read more
I have a swollen lymph node behind my ear. Its been swollen for well over a year. Last night 2 holes opened up & started leaking puss?
Evaluation: This sounds like it is an infected cyst. You need to be seen today to have it drained and evaluated. You may also need antibiotics. Don't delay. ...Read more
I have an open puss dripping and sometime blood dripping open wound in my armpit! It leaks and my lymph node is swollen...What's wrong with me?
Definitely something: It's quite surprising to get such a question on healthtap. Clearly what is occurring should elicit a response of fear, or a rather extreme case of denial. There's a neurologic state called neglect' in stroke victims: paralyzed side is neglected in such a way that person is unaware that it exists. Denial is the #1 cause of diagnoses being made too late. Emergency room, now. ...Read more
17 y/o post appendectomial ascites (small amounts), enlarged lymph nodes, fatigue, nausea (sometimes), mild abdominal pain, history of gastritis/ulcer?
Depends on source: Ascites, the leaking of serum fluid into the peritoneal cavity can arise from different sources. End stage liver cirrhosis with portal hypertension can cause extensive ascites. A liver transplant may be the only source for relief. Ovaian Cancer that spreads to the omentum releases a vascular permeability factor. Here tumor debulking and chemo may produce the desired results. ...Read more
No: Ascites is frequently associated with tumors such as ovary which spread to omentum causing a release of a permeability factor that causes weeping of fluid from peritoneal surface to produce ascites. The latter also occurs during portal hypertension with cirrhosis of the liver resulting in fluid filling the peritoneal cavity. Rare infections such as TB peritonitis is associated with ascites. ...Read more
Treatment of ascites is based on treating the underlying cause which is responsible for the accumulation of fluid.
Other initial treatments are medical in nature and include sodium restriction and diuretic therapy. This can be effective in up to 95% of patients.
For those who are refractory to medical treatment the ascitic fluid can be removed periodically via a process called paracentesis. ...Read more
Harder to treat: It is much harder to treat, usually dietary changes are used. Sometimes an interventional radiologist (image guided surgeon) can identify the problem and block the leak, but it is a very specialized procedure. The interventional radiology group at university of pennsylvania has significant experience with this condition. ...Read more
Cause: Ascitis is a manifestation of a problem. Most common cause is liver cirrhosis. The prognosis depends on the cause and the treatment received. Ascitis itself can lead to a number of complications including kidney shutdown and extreme respiratory difficulty. It can also get infected and cause septic shock. ...Read more
Ascites diangosis: Ascites can be discovered on a physical examination by detection a fluid wave in the abdomen. The definitive way to diagnose it is by an abdominal ultrasound which will detect it quite easily. If there is a question of the presence of ascites, have a doctor order one. ...Read more
Paracentesis: If the ascites is so severe that you're having trouble breathing, you should have a paracentesis. This is a simple medical procedure, performed at the bedside, taking about 10 minutes, to anesthetize the skin, puncture the skin, and thread a catheter (small tube) into the abdomen to drain off the fluid. You'll have immediate relief. ...Read more
In cirrhosis does the presence of ascites always indicate decompensation and is this considered a serious complication and stage of the disease?
It is concerning: Ascites- buildup of fluid in the abdominal cavity- can be a sign of serious decompensation in the liver function. This is usually seen in the later stages of liver failure. If this is seen you should let your doctor know right away. This is associated with decreased survival. However if the cause of the liver damage is found early-& treated this can delay progression. Cirrhosis can't be undone. ...Read more
Yes: Ascites is fluid in the abdominal cavity. There are many causes of ascites. Yes, it can be removed by a procedure called paracentesis. It is a fairly simple procedure done in a doctor's office. However, this is not a treatment for ascites. Paracentesis is used to help diagnose the cause of ascites, or to relieve the pressure from a buildup of a large amount of fluid. ...Read more