Mild to moderate ascites in hindi

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 obesityand diabetes.

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.

Mild to moderate ascites in hindi

Federal government websites often end in. The site is secure. Ascites is the pathologic accumulation of fluid within the peritoneal cavity. Because many diseases can cause ascites, in particular cirrhosis, samples of ascitic fluid are commonly analyzed in order to develop a differential diagnosis. The concept of transudate versus exudate, as determined by total protein measurements, is outdated and the use of serum-ascites albumin gradient as an indicator of portal hypertension is more accurate. Lactate dehydrogenase LDH , vascular endothelial growth factor VEGF , and other tumor markers can be helpful in distinguishing between malignant and benign conditions. Glucose and adenosine deaminase levels may support a diagnosis of tuberculous disease, and amylase level may indicate a diagnosis of pancreatitis. Given the specificity and sensitivity of laboratory results, accurate diagnosis should be based on both laboratory data and clinical judgment. Ascites is defined as pathological fluid accumulation within the abdominal cavity. Ascites usually carries an unfavorable prognosis. Combined analysis of laboratory data of ascitic fluid samples and clinical and pathological data is essential for establishing a differential diagnosis. This review aims to assess critically the value of ascitic fluid analysis in the diagnosis of ascites, especially cirrhotic ascites.

Vascular endothelial growth factor VEGF levels as a tool to discriminate between malignant and nonmalignant ascites. Spontaneous bacterial peritonitishepatorenal syndromelow blood sodium [3] [4].

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 in the portal vein the large vein that brings blood from the intestine to the liver and its branches. Cirrhosis scarring that distorts The scar If large amounts of fluid accumulate, the abdomen becomes very large, sometimes making people lose their appetite and feel short of breath and uncomfortable. Characteristic manifestations include Jaundice a yellowish discoloration of the skin and whites of the eyes Cholestasis reduction or stoppage

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Mild to moderate ascites in hindi

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Management of cirrhosis and ascites. This may reveal the size and shape of the abdominal organs, and Doppler studies may show the direction of flow in the portal vein, as well as detecting Budd—Chiari syndrome thrombosis of the hepatic vein and portal vein thrombosis. Gastroenterology and Hepatology. Signs and symptoms relating to the human digestive system or abdomen. Portal hypertension plays an important role in the production of ascites by raising capillary hydrostatic pressure within the splanchnic bed. Ascitic fluid viscosity is a newly proposed indicator in differentiating ascites. 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. Additional tests will be performed if indicated such as microbiological culture , Gram stain , and cytopathology. Saunders, pp. Diagnostic value of ascitic fluid lactic dehydrogenase, protein, and WBC levels. The American Journal of Digestive Diseases. Significant symptoms may not be present if the fluid volume is low.

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Ascitic fluid analysis in malignancy-related ascites. In addition, a small sample of ascitic fluid can be withdrawn by inserting a needle through the wall of the abdomen—a procedure called diagnostic paracentesis Paracentesis Paracentesis is the insertion of a needle into the abdominal cavity for the removal of fluid. Other complications of ascites include spontaneous bacterial peritonitis SBP , due to decreased antibacterial factors in the ascitic fluid such as complement. The scar Bacterial infections in cirrhosis: epidemiological changes with invasive procedures and norfloxacin prophylaxis. Swelling may be widespread or confined to a single limb or part of a limb. Types of ascites and their pathogenesis Under normal circumstances, the amount of peritoneal fluid depends on a balance between plasma flowing into and out of the blood and lymphatic vessels. Refractory ascites is less common, difficult to treat, and exists in two subtypes: i diuretic intractable ascites makes up the majority of refractory ascites cases, where diuretic treatment is difficult due to diuretic-induced complications such as elevated creatinine and hypokalemia ; ii diuretic resistant ascites does not respond to diuretic treatment. S2CID Amylase Amylase-rich ascitic fluid commonly occurs in cases of pancreatic duct damage or obstruction due to pancreatitis or pancreatic trauma. Howship—Romberg sign Hannington-Kiff sign. Dig Dis Sci. Laboratory analysis of the fluid can help determine the cause. National Library of Medicine.