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Do Doctors See A Lot Of Patients With Ascites
Ascites is also known as Abnormal fluid buildup in abdomen, Fluid in the abdomen. Ascites is a symptom in which a person has fluid (watery liquid) in his tummy, but the fluid is outside of the organs. Ascites fluid can surround the stomach, intestines, and bladder, but ascites fluid is ...Read more
Patient(age-67)suffering from ascitis diagnosed by different test reports, yet doctors could not be able to find any reason, all reports are positive?
Ascitis: The most common cause of ascitis is liver disease such as liver cirrhosis. Hepatitis b and c are by far the most common ones to cause. Malignant (cancer related) ascitis is another possibility. Occasionally, heart related ascitis caused by poorly controlled congestive heart failure can occur, but that's fairly rare. ...Read more
Is it prudent to ask doctor about doing a tap to check for ascitis prior to abdominal hernia repair sugery in a patient with esld.?
Malignant ascites: Unfortunately the only way to get malignant ascites under control is to control the underlying cancer, depending on the cancer either IV and/or intraperitoneal chemotherapy. Hopefully a GI doctor will also add some information as pertains to control of cirrhosis-related ascites. ...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
Does the presence of ascites in cirrhosis always indicate the patient is in a decompensated state?
Generally yes: If the ascites is caused by studding of the peritoneum with tumor or thrombosis of the portal vein, then the cancer is much advanced. Some centers may offer hyperthermia for peritoneal carcinomatosis and i've heard success stories; a thrombosed portal vein might sometime be successfully treated. Today's physicians are honest about your odds and the risk-cost / benefit ration you can expect. ...Read moreSee 1 more doctor answer
Complicated: Patients with liver cirrhosis develop many complications since the presence of ascites means that there is portal hyperteinsion in the venous system draining the bowel with nutrients heading to the liver. Such patients can go into liver failure and coma or develop complications from portal hypertension such as esophageal varices. A shunt has to be performed to lessen or eliminate the problem. ...Read more
If portal hypertension is suspected in a patient who is showing possible ascites, how is portal hypertension confirmed (particularly for those who's liver is not entirely cirrhotic) ?
Various - Ultrasound: To make an ABSOLUTE diagnosis TRADITIONALLY required an invasive technique of a catheter introduced into the portal vein and something called wedge pressures were taken at different sites to measure the pressures. TODAY it can be done NON-INVASIVELY with an ultrasound and measuring pressures based on blood flow. MRI can be used as well. Lastly, endoscopy can be used to look for advanced dz/varices ...Read moreSee 1 more doctor answer
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