Ascites history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
The hallmark of ascites is abdominal distention. A positive history of cirrhosis and liver failure is suggestive of ascites. The most common symptoms of ascites include abdominal discomfort, shortness of breath, and weight gain.
History
- The hallmark of ascites is abdominal distention. A positive history of cirrhosis and liver failure is suggestive of ascites. The most common symptoms of ascites include abdominal discomfort, shortness of breath, and weight gain.[1]
History
Patients with ascites may have a positive history of:[2]
- Acute liver failure
- Hepatic failure
- Hepatorenal syndrome
- Liver fibrosis
- Liver cirrhosis
- Budd-Chiari syndrome
- Cancer
- Cirrhosis
- Constrictive pericarditis
- Heart failure
- Nephrotic syndrome
- Pancreatitis
- Serositis
- Tuberculosis
Common Symptoms
Common symptoms of ascites include:[3]
- Abdominal distension
- Abdominal discomfort
- Shortness of breath
- Weight gain
- Early satiety
- Confusion
- Hematemesis
Less Common Symptoms
Less common symptoms of ascites include:[4]
- Weight loss
- Orthopnea
- Peripheral edema
- Diarrhea and steatorrhea
- Malnutrition
- Edema
- Nausea
- Night sweats
- Bruising
- Gynecomastia
- Fatigue
References
- ↑ Aalami OO, Allen DB, Organ CH (2000). "Chylous ascites: a collective review". Surgery. 128 (5): 761–78. doi:10.1067/msy.2000.109502. PMID 11056439.
- ↑ Browse NL, Wilson NM, Russo F, al-Hassan H, Allen DR (1992). "Aetiology and treatment of chylous ascites". Br J Surg. 79 (11): 1145–50. PMID 1467885.
- ↑ Steinemann DC, Dindo D, Clavien PA, Nocito A (2011). "Atraumatic chylous ascites: systematic review on symptoms and causes". J. Am. Coll. Surg. 212 (5): 899–905.e1–4. doi:10.1016/j.jamcollsurg.2011.01.010. PMID 21398159.
- ↑ Press OW, Press NO, Kaufman SD (1982). "Evaluation and management of chylous ascites". Ann. Intern. Med. 96 (3): 358–64. PMID 7059101.