Mild to moderate ascites in hindi

Ascites is the accumulation of protein-containing ascitic fluid within the abdomen. Many disorders can cause ascites, but the most common is high blood pressure in the veins that bring blood to the liver portal hypertension Portal Hypertension Portal hypertension is abnormally high blood pressure mild to moderate ascites in hindi the portal vein the large vein that brings blood from the intestine to the liver and its branches. Cirrhosis scarring that distorts

Ascites refers tofluid accumulation in the space between the lining of the abdomen and the abdominal organs. It is mainly associated with cirrhosis scarring of the liver, which can be caused by viral infections of the liver or fatty liver associated with obesity , and diabetes. Ascitis symptoms may be slow or sudden depending on the cause. Significant symptoms may not be present if the fluid volume is low. However, large fluid volumes can cause shortness of breath. Ascites is the outcome of various events.

Mild to moderate ascites in hindi

Ascites is an accumulation of serous fluid within the peritoneal cavity. It is the most common complication of liver cirrhosis. In children, hepatic, renal and cardiac disorders are the most common causes. Portal hypertension and sodium and fluid retention are key factors in the pathophysiology of ascites. Peripheral arterial vasodilatation hypothesis is the most accepted mechanism for inappropriate sodium retention and formation of ascites. Diagnostic paracentesis is indicated in children with newly diagnosed ascites and in children with suspected complications of ascites. Ascitic fluid is evaluated for cell count, protein level, and culture. The treatment of ascites due to non-liver disease depends on the underlying condition. In liver disease, diuretics as monotherapy or dual therapy and salt restriction form the mainstay of treatment in children with mild to moderate ascites. Fluid restriction is helpful in children with hyponatremia. In non-responsive ascites or in children with large ascites, large volume paracentesis LVP with albumin infusion should be performed.

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In the developed world , the most common cause is liver cirrhosis. Treatment often involves a low-salt diet , medication such as diuretics , and draining the fluid. Mild ascites is hard to notice, but severe ascites leads to abdominal distension. People with ascites generally will complain of progressive abdominal heaviness and pressure as well as shortness of breath due to mechanical impingement on the diaphragm. Ascites is detected with physical examination of the abdomen by visible bulging of the flanks in the reclining person "flank bulging" , " shifting dullness " difference in percussion note in the flanks that shifts when the person is turned on the side , or in massive ascites, with a "fluid thrill" or " fluid wave " tapping or pushing on one side will generate a wave-like effect through the fluid that can be felt in the opposite side of the abdomen. Other signs of ascites may be present due to its underlying cause. For instance, in portal hypertension perhaps due to cirrhosis or fibrosis of the liver people may also complain of leg swelling, bruising, gynecomastia , hematemesis , or mental changes due to encephalopathy.

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Mild to moderate ascites in hindi

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The role of ascitic fluid viscosity in the differential diagnosis of ascites. Management of adult patients with ascites due to cirrhosis. Cirrhosis is most common, which leads to the blockage of blood flow, resulting in an increased pressure in the major blood vessels of liver. However, in recent years, advances in molecular techniques have provided a new approach to the rapid diagnosis of bacterial infection, including tuberculosis, by PCR in small volumes of ascitic fluid 50 ml. J Emerg Med. Uncomplicated ascites is characterized by receding or nonrecurring ascites post- paracentesis , and is treatable with diet control and diuretic treatment. A combination of factors is responsible. However, placement of the shunt is an invasive procedure and can cause problems, such as deterioration of brain function hepatic encephalopathy Hepatic Encephalopathy Hepatic encephalopathy is deterioration of brain function that occurs in people with severe liver disease because toxic substances normally removed by the liver build up in the blood and reach Aliment Pharmacol Ther. August The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. References 1. Many disorders can cause ascites, but the most common is high blood pressure in the veins that bring blood to the liver portal hypertension Portal Hypertension Portal hypertension is abnormally high blood pressure in the portal vein the large vein that brings blood from the intestine to the liver and its branches. Treatment often involves a low-salt diet , medication such as diuretics , and draining the fluid. Characteristic manifestations include Jaundice a yellowish discoloration of the skin and whites of the eyes Cholestasis reduction or stoppage

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Clin Gastroenterol Hepatol. In a recent study of 1, patients with cirrhosis, Cadranel et al. Chylous ascites as a rare complication after abdominal aortic aneurysm surgery. A recent study by Gokturk et al. Lexico Dictionaries English. Ascitic fluid analysis and clinical implications Gross appearance The initial evaluation of the gross appearance of ascitic fluid can offer useful information in the differential diagnosis. Significant symptoms may not be present if the fluid volume is low. References 1. It is surrounded by the lower edge of the stomach and the first People with fatty liver may feel tired or have mild abdominal discomfort but otherwise have no symptoms Corresponding author. Conclusions Ascites can be a consequence or complication of many primary diseases and carries an unfavorable prognosis that largely depends on the underlying causes. The blockage may occur anywhere from the small and large veins that carry blood from Related Articles. Read Edit View history.