ascites causes and featuresAscites is a health problem which fluid collection within intraperitoneal region. Fluid will fill the space in the lining area of abdominal cavities.

If you feel your abdomen is bigger than usual, weight increase suddenly, difficult to breath if in laying down position, pain of abdomen, heartburn, bloating,  lost of appetite, nausea and vomiting do not hesitate to see your Doctor and check with diagnostic radiography to ensure whether it’s ascites or other abnormalities.

The causes of Ascites as follows:

  • Hepatic cirrhosis
  • Heart failure
  • Peritoneal dialysis
  • Abdominal Abscess
  • Bowel obstruction
  • Malignancy ascites
  • Peritonitis
  • Pancreatitis
  • Alcohol user
  • Kidney failure
  • Peritoneal carcinomatosis
  • And so on.

There are some diagnostic tools to check ascites such as:

1. Plain Abdominal X-ray

Plain film x-ray is the examination of abdominal area without preparation. Ascites sign can be seen as black image because there are fluid collection contents or increased of density in the abdominal region. The separations of small bowel loops are enhanced also. There are poor definitions on the soft tissue, liver and spleen organs.

2. Abdominal ultrasound

Radiologist or Sonographer can detect of ascites volume if there is fluid collection in the adjacent diaphragm and liver border. The assessment result of abdominal ultrasound is simple ascites with anehoic features. Inflammatory and neoplastic septations can be detected with ultrasound machine.

Ascites ultrasound images

3. CT Scan or MRI

Both of the machines above are high technology system and appropriate sensitive for small amount of ascites within peritoneum and pelvic regions. With the advanced of these tools, ascites features will give clearly evidence on organs of liver, heart failure, cirrochis signs and so on.

For health people is better to prevent from ascites like:

  • Get vaccinated for hepatitis B and A.
  • Practice in safe sex to avoid hepatitis spreading and shared drug needles.
  • Do not drink alcohol, if you maniac drinker “Consume in moderation amount” because cirrhosis is early causes of alcohol effects.
  • Be aware if you take some medicines and always checking your liver function at laboratory to make sure whether your liver is still healthy or not.


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Filed under: Radiology

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