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Ascites

At GastroDoxs in Houston, our dedicated specialists offer compassionate ascites management and personalized treatment plans, combining advanced diagnostic tools with local expertise to relieve discomfort, address underlying liver conditions, and support long-term wellness for patients across the Greater Houston community.

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Bharat Pothuri
Symptoms

What is Ascites?

Ascites is a condition where excess fluid collects in the abdomen, causing your belly to swell and feel tight. This buildup puts pressure on internal organs and can lead to discomfort and breathing difficulties. A gastroenterologist can diagnose ascites through a physical exam and ultrasound. Early detection is key to preventing complications.

Common Symptoms

You might notice:

  • Bloating or a feeling of fullness after small meals
  • Rapid weight gain or an expanding waistline
  • Difficulty lying flat due to abdominal pressure
  • Shortness of breath from fluid pressing on the lungs
  • Swelling in the feet or ankles

Causes

Ascites can result from several underlying conditions:

  • Cirrhosis (scarring of the liver)
  • Heart failure or kidney disorders
  • Abdominal cancers or infections
  • Low protein levels in the blood
Treatment

Treatment Options for Ascites in Houston

Treatment includes dietary changes, medical therapies, and procedural care:

  • Low-sodium diet: Restricting salt intake to under 2 g per day helps minimize fluid buildup in the abdomen.
  • Diuretics: Medications such as spironolactone and furosemide encourage your kidneys to excrete excess fluid.
  • Paracentesis: A minimally invasive procedure to drain accumulated fluid and relieve abdominal pressure.
  • Treating the underlying cause: Managing liver disease, heart failure, kidney disorders, or infections to prevent recurrence.
  • Tunneled catheter placement: For refractory ascites, a long-term drain can allow at-home fluid removal under specialist guidance.
  • Ongoing monitoring: Regular follow-up visits, blood tests, and ultrasounds ensure your treatment is effective and complications are caught early.

Why Choose GastroDoxs?

If you're experiencing symptoms of ascites, don't wait to seek help. At GastroDoxs, our Houston-based, board-certified liver and GI specialists offer personalized treatment plans, from dietary guidance and diuretics to paracentesis and advanced catheter placement. We combine compassionate, patient-centered care with state-of-the-art diagnostics to manage your fluid buildup and improve your quality of life. Book your appointment today and take the first step toward lasting relief.

1.5K

Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What are the early signs of ascites?

Early signs of ascites include mild abdominal bloating, a feeling of fullness after eating small meals, and slight rapid weight gain or waistline expansion.

What is the ICD-10 code for ascites?

The general ICD-10 code for ascites is R18.

How is ascites diagnosed?

Ascites is diagnosed through a physical exam (shifting dullness or fluid wave), abdominal ultrasound, and sometimes diagnostic paracentesis (fluid analysis).

What stage of liver disease is ascites?

Ascites typically indicates decompensated cirrhosis, corresponding to Stage 3 or 4 liver disease, where the liver can no longer maintain normal fluid balance.

Can a low-salt diet help ascites?

Yes. Restricting sodium intake to under 2 grams per day reduces fluid retention and helps control ascites when combined with other treatments.

How long can someone live with ascites?

Life expectancy varies based on the underlying cause, treatment adherence, and overall health. With proper management, many patients maintain a good quality of life for years.

What does cirrhosis with ascites mean?

Cirrhosis with ascites means advanced liver scarring has led to impaired blood flow and low albumin levels, causing fluid to accumulate in the abdominal cavity.

Are there photos of mild ascites?

Yes. Many medical resources and your provider can supply educational images showing mild abdominal fluid accumulation for reference.

Who treats ascites near Houston?

Board-certified gastroenterologists and hepatologists at GastroDoxs specialize in diagnosing and managing ascites for patients in the Houston area.

When is ascites an emergency?

Ascites becomes an emergency if you experience severe abdominal pain, high fever, rapid breathing, or signs of infection (spontaneous bacterial peritonitis) and require immediate medical care.

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