Doctor insights on:
Do Doctors See A Lot Of Patients With Ascites
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
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?
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
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
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
How about ascites in unborn child? Can the doctor do a paracentesis?Or should the baby be delivered first ?
Depends.: If isolated (i.e. Not hydrops) fetal ascites may still be a harbinger of life-threatening fetal hydrops (immune or not), associated with urinary tract anomalies, fetal infections, lymphatic malformations, cardiac defects or chromosomal aneuploidies. Treatment depends on the diagnosis, which may be elusive prenatally. In general, isolated fetal hydrops is monitored and delivered at term. Mfm care! ...Read more
What medicine can be given for patient with hyper thermia who has liver cirrhosis with gross ascites?Thanks.
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