Doctor insights on:
Ascites With Cough
I am an ovarian cancer patient on my 2nd recurrence. I have new pain & numbness in front of both thighs, worse when I sneeze / cough. Can malignant abdominal ascites be compressing lateral femoral cutaneous nerve causing pain? How can the pain be palliate
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
Don, t have shortness of breath or cough feel fit walking alot am I just fatter in my stomach as I age or could it be ascites? Don't eat many carbs? GP examined stomach for burping and GERD and said stomach OK. I see Ripple when push down on it on back.
Ascites: Ascites occurs as a result of several serious medical illnesses which don't appear likely in your case. New weight often is deposited in the abdominal area which is a more likely scenario in your case. An ultrasound of the abdomen can reassure you if you're still concerned about abdominal pathology. ...Read more
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
Diaphragm: Ascites is an accumulation of fluid in the abdominal cavity. The diaphragm, which is the muscle that divides the abdomen from the thoracic cavity (where the lungs are located), helps in pulling air into the lungs, any accumulation of fluid in the abdomen will increase the intrabdominal pressure thus pushing on the diaphragm upward, preventing it from helping in drawing air into the lungs properly. ...Read more
Ascites: In and of itself walking will not make ascites worse. Resistance exercises such as weight lifting with moderate to heavy resistance can due to increase vascular pressures that occur. Walking should not bother it and can help in so many other ways both physically, mentally, and psychologically. ...Read more
Ultrasound: You do not mention the type of surgery that you are to have - the risk of surgery in the face of underlying liver disease depends on the type of surgery and the degree of liver damage. Ascites is an indicator of the severity of liver disease, but the risk of surgery is not necessarily eliminated if the ascites is gone. See your hepatologist for full assessment of the risk of surgery. ...Read more
Does perihepatic ascites cause pain? How long does it take to go away and what are potential causes?
Does ascites, even a small amount, usually make you gain weight? Does it also increase your total body water %?
Does ascites fluid get reabsorbed by the body or does it need to be drained (tapped)? It is not growing, just remained the same.
If the cause is found and treated, it can resorb.
If tapped, it may just recur to equilibrium. ...Read more
I have ascites symptoms disease (lever). How can I relief from this disease perminantely. Without any operation or surgery like emplantation of lever?
Liver cirrohsis: Unforunetly there is no magic cure. A liver transplant if you are a candidate will help. ...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
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
There are: Many causes of ascites, so finding and treating the cause will take care of the ascites. If the cause cannot be cured, dietary/fluid restrictions may be necessary, along with intermittent drainage if the volume of fluid becomes so large it impairs breathing or causes other symptoms. Talk to your doctor about it. ...Read more
Diuretic, drainage: Careful use of drugs to remove fluid from the body (usually diuretic such as spironolactone) helps mild cases, and if severe inserting a catheter though the skin into the abdominal cavity to drain fluid can relieve symptoms. Your best relief is if the liver dissease can be reversed or improved. ...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