Ascitesis the abnormal or extra accumulation of peritoneal fluid in the abdomen (belly).

Healthcare providers use a variety of blood tests, imaging procedures, and paracentesis to diagnose ascites.

Treatment focuses on treating the underlying cause, if possible, and relieving symptoms.

Woman holding her stomach in pain

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This article reviews the symptoms, causes, diagnosis, and treatment of ascites.

The fluid sample is then examined under a microscope.

This helps differentiate benign vs. malignant (cancerous) ascites.

Treatment

The treatment of ascites depends on the cause.

It’s not uncommon for someone with ascites to need regular paracentesis to remove the fluid.

This procedure comes with a higher risk and is not commonly performed.

However, it can drastically improve the quality of life for those waiting for aliver transplant.

Summary

Ascites is the accumulation of fluid in the abdomen.

Symptoms include nausea, vomiting, feeling full when eating, loss of appetite, and shortness of breath.

You could also experience fever or abdominal pain if an infection occurs in the fluid.

Cancer treatment such as chemotherapy or surgery may be needed if the underlying cause is malignant (cancerous).

A peritoneovenous shunt and a liver transplant are other treatment possibilities.

However, they are rare and only used when other treatments have stopped working.

A Word From Verywell

The symptoms from ascites can be distressing and uncomfortable.

They can interfere with work, school, relationships, exercise, and other activities of daily living.

Frequently Asked Questions

Ascites is a symptom of an underlying health concern and requires medical attention.

Left untreated, it can be fatal or life-threatening.

It can cause infection, shortness of breath, pain, and swelling, leading to serious outcomes.

Ascites is a common complication of end-stage liver disease.

Ascites can be temporarily reversed with treatment.

Permanent reversal depends on the underlying cause.

In rare cases, you may need a liver transplant.

However, these are just averages and depend on many factors.

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