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Dr Usman Javaid
Dr Usman Javaid
Gastroenterologist
Liver & Hepatology

Ascites (Fluid in the Abdomen) — treatment in Lahore

Also known as: Abdominal Fluid · Peritoneal Effusion

Ascites is the build-up of fluid in the abdominal cavity, most often a sign of advanced liver disease. Heart failure, kidney disease, and certain cancers can also cause it. Diagnostic tap usually identifies the cause quickly.

Dr Usman Javaid
Medically reviewed
Dr Usman Javaid · MPH, FRSPH (UK)
Last reviewed
Evidence-based

Overview

Most often a sign of advanced liver disease, ascites can also come from heart, kidney, or malignant causes. Diagnostic tap is usually the fastest answer.

Signs & symptoms of Ascites (Fluid in the Abdomen)

If you recognize one or more of these, it may be worth a consultation:

  • Abdominal swelling and tightness
  • Weight gain
  • Shortness of breath
  • Loss of appetite

Causes & risk factors

Several factors can contribute to Ascites (Fluid in the Abdomen). Identifying yours guides the treatment plan.

  • Cirrhosis (most common cause)
  • Heart failure
  • Kidney failure
  • Nephrotic syndrome
  • Tuberculous peritonitis
  • Malignancy (peritoneal spread)

How Ascites (Fluid in the Abdomen) is diagnosed

We order tests selectively — only what changes the plan.

  • Abdominal ultrasound
  • Diagnostic paracentesis
  • Liver and kidney function tests

Treatment options

Treatment for Ascites (Fluid in the Abdomen) is personalized — the right plan depends on your symptoms, test results, and life situation.

  1. 1 Salt restriction and diuretics for cirrhotic ascites
  2. 2 Therapeutic paracentesis for large-volume ascites
  3. 3 Albumin infusion
  4. 4 Treat underlying cause
  5. 5 Antibiotics for spontaneous bacterial peritonitis (SBP)

When should you see a doctor about Ascites (Fluid in the Abdomen)?

Reach out without delay if you notice any of the following.

  • Progressive abdominal swelling
  • Shortness of breath
  • Fever in a patient with known ascites
  • Confusion in a cirrhotic patient

Related services

How we treat Ascites (Fluid in the Abdomen) at Javaid Poly Clinic.

Dr Usman Javaid
Author & medical reviewer

Dr Usman Javaid

Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.

This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.

Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Ascites (Fluid in the Abdomen) or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.

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