CAUSE Ascites tends to occur in chronic disease (chronic)
Ascites is a collection of fluid in the abdominal cavity.
Ascites tends to occur in chronic disease (chronic). Mostcommonly occurs in cirrhosis, especially those because byalcoholism. Ascites can also occur in non-liver disease, like of cancer, heart failure, kidney failure and tuberculosis.
In people with liver disease, fluid seeps from the surface of the liver and intestine. This is influenced by factors as follows: - portal hypertension
- decreased ability of blood vessels to retain fluid
- fluid retention by the kidney
- changes in various hormones and chemicals that regulate body flu ids.
The cause of ascites:
Abnormalities in liver
- Cirrhosis, especially that caused by alcoholism
- alcoholic hepatitis without cirrhosis
- chronic hepatitis
- Blockage of the hepatic vein
Abnormalities outside the liver
- Heart failure
- Kidney failure, especially nephrotic syndrome
- Pericarditis konstriktiva
- Karsinomatosis, where of cancer spread to the abdominal cavity
- Reduced thyroid activity
- Inflammation of the pancreas.
If the amount of fluid collected is not too much, usually have no symptoms. The amount of fluid that very much can cause abdominal swelling and discomfort, and shortness of breath. The amount of fluid that very much, causing tense stomach and navel be flat, even pushed out. In some patients, also swollen ankles (edema).
On examination the abdomen percussion, will dull the sound (muffled). Ultrasound is used to determine the existence of ascites and find the cause. Parasintesis diagnostic done to obtain fluid samples which will then be examined in the laboratory.
Basic treatment of ascites is bed rest and a diet low in salt, which is usually combined with diuretics to fluids excreted through the kidneys more numerous. If there is shortness of breath or difficulty eating, do parasintesis therapeutic, where the needle is inserted to drain fluids collected. But the fluid tends to be collected again, if not given a diuretic drug.
A large number of albumin often go wasted into the stomach fluid, so it may take the administration of albumin intravenously (through a vein). Sometimes an infection in ascites fluid, particularly in alcoholic cirrhosis. This infection is called spontaneous bacterial peritonitis, were treated with antibiotics.
Posted by Prast kumara at 9:55 AM