Ascites - Causes, Symptoms , Diagnosis, Treatment
Health / / August 12, 2017
Ascites is a disease in which excess fluid accumulates in the abdominal cavity.Ascites can be treated successfully, so if you have symptoms of the disease it is necessary to consult a doctor.
Ascites - Causes
The most common causes of ascites may be increased pressure in the portal vein, which can cause liver disease (alcoholic hepatitis, cirrhosis), thrombosis, compression of the portal vein branches or trunk, congestive heart failure.Sometimes ascites is an indicator of malnutrition, general edema syndrome in various kidney diseases, or occur as a result of the defeat of the abdominal cavity (tuberculosis, cancer and so on.).
Ascites causes of increased intra-abdominal pressure and marginalization of the diaphragm into the chest cavity.In turn, there are infringements of activity of the abdominal cavity, the lungs deteriorate respiratory movements, increased blood flow resistance and impaired cardiac function.
In some cases ascites progressing fast enough (for cancer of the peritoneum, or theliver, portal vein thrombosis), and in others - is not noticeable for several months (cirrhosis).
Ascites - Symptoms
symptom is the presence of ascites in the abdominal cavity of at least one liter of liquid.On examination, a marked increase in the abdomen, and in the vertical position, it looks saggy, often found protrusion of the navel;horizontal belly of the patient, as it were flattened, and the side of the vybuhayut.In the case of progressive portal hypertension in the stomach can be seen extended venous network, which collaterals placed around the navel and in the form of rays away from him, forming a typical figure.
Ascites - diagnostics
the diagnosis of ascites is very important to determine the underlying disease, if it has been revealed until ascites.When systemic diseases other than ascites, peripheral edema visible, pronounced pulmonary congestion;with liver disease or diseases of other organs of the peritoneal ascites generally represents a disproportionate or isolated peripheral edema.
Quite often, in the case of liver cirrhosis with portal hypertension serving ascites may be accompanied by bleeding from esophageal varices.In heart failure, ascites in addition to manifest swelling in the feet and legs, arrhythmias on the ECG and myocardial injury symptoms.If there is renal failure, ascites is accompanied by swelling of the skin and subcutaneous tissue.Of great importance is the puncture of the abdominal cavity with ascites further research in the laboratory.
Ascites - Treatment
Treatment of ascites focus on major diseases.Also carry out activities that contribute to reduction of portal hypertension and the restoration of water-salt metabolism, use of aldosterone antagonists, diuretics.If drug therapy will not be effective, and ascites will worsen, the patient should be assigned to in-patient treatment, where he will make a puncture of the abdominal cavity, if necessary.
This procedure is performed in the sitting position of the patient (if any complications the patient is laid on its side) after the complete emptying of the bladder with the rules of asepsis and antisepsis.After local anesthesia is performed by a puncture trocar midline of the abdomen, which connects the stomach so those who are invited to the iliac crest or between the navel and the pubis.The liquid must be let out slowly (because of a possible collapse) and generally no more than six liters in a single puncture.
Repeated puncture can cause adhesions gland or intestines to the abdominal wall or lead to inflammation of the abdominal cavity, which in turn poses a threat of severe complications with further punctures.