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** Fluid retention in the abdomen ( ascites )
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** and abdomen
** and ascites
Fluid and retention
Fluid and abdomen
Fluid is introduced through a permanent tube in the abdomen and flushed out either every night while the patient sleeps ( automatic peritoneal dialysis ) or via regular exchanges throughout the day ( continuous ambulatory peritoneal dialysis ).
Fluid and ascites
Fluid may therefore accumulate in the skin of the legs in the form of edema ( swelling ), and in the abdominal cavity in the form of ascites ; decreased exercise tolerance and exertional chest pain may occur.
retention and abdomen
Cirrhosis itself may lead to additional and more serious complications, including bleeding from dilated veins in the esophagus ( esophageal varices ) and stomach ( gastric varices ) and severe fluid retention in the abdomen ( ascites ).
Regardless of the cause, sequestration of fluid within the abdomen leads to additional fluid retention by the kidneys due to stimulatory effect on blood pressure hormones, notably aldosterone.
abdomen and ascites
Liver cirrhosis may lead to portal hypertension, ascites ( accumulation of fluid in the abdomen ), easy bruising or bleeding, varices ( enlarged veins, especially in the stomach and esophagus ), jaundice, and a syndrome of cognitive impairment known as hepatic encephalopathy.
Ascites is detected on physical examination of the abdomen by visible bulging of the flanks in the reclining patient (" flank bulging "), " shifting dullness " ( difference in percussion note in the flanks that shifts when the patient 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 ).
In those with severe ascites causing a tense abdomen, hospitalization is generally necessary for paracentesis.
The increased portal pressure causes: 1 ) increased filtration of vascular fluid with the formation of ascites in the abdomen ; and 2 ) collateral venous flow through alternative veins leading to oesophageal, gastric and rectal varices.
Alcoholic hepatitis is characterized by a variable constellation of symptoms, which may include feeling unwell, enlargement of the liver, development of fluid in the abdomen ( ascites ), and modest elevation of liver enzyme levels ( as determined by liver function tests ).
Edema is commonly observed in the feet and legs, particularly in individuals with poorly functioning venous valves, and in the belly or abdomen ( ascites ), and around the eyes, but can occur anywhere, especially in response to gravity.
Two forms of hepatorenal syndrome have been defined: Type 1 HRS entails a rapidly progressive decline in kidney function, while type 2 HRS is associated with ascites ( fluid accumulation in the abdomen ) that does not improve with standard diuretic medications.
Type 2 HRS is thought to be part of a spectrum of illness associated with increased pressures in the portal vein circulation, which begins with the development of fluid in the abdomen ( ascites ).
Also, large volume paracentesis — which is the removal of ascites fluid from the abdomen using a needle or catheter in order to relieve discomfort — may cause enough alteration in hemodynamics to precipitate HRS, and should be avoided in individuals at risk.
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