Ascites occurs when excess fluid accumulates in the abdominal cavity, causing the belly to swell and organs to be compressed. It most often develops from liver disease such as cirrhosis but can also result from heart failure, kidney dysfunction, infections, or certain cancers. Early recognition and management can help relieve symptoms and address the underlying cause.
Ascites can present with a variety of signs, including:
Several conditions can lead to the fluid accumulation seen in ascites:
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The ICD-10 code for cirrhosis of the liver with ascites is K74.69, used by healthcare providers for accurate diagnosis and billing.
Ascites typically causes a feeling of fullness or tightness in the abdomen, bloating, discomfort, and can make breathing more difficult when lying down.
Liver scarring from cirrhosis increases pressure in the portal veins, forcing fluid to leak into the abdominal cavity and resulting in ascites.
The code for alcoholic liver cirrhosis without ascites is K70.30, indicating liver damage from alcohol consumption without fluid accumulation.
When the heart cannot pump effectively, blood backs up into the veins, raising abdominal venous pressure and pushing fluid into the peritoneal space.
Home drainage is only recommended under strict medical supervision and after proper training. Paracentesis in a clinic is generally safer and more controlled.
Belly fat is soft and evenly distributed, whereas ascites causes a firm, distended abdomen that may shift when you change position.
Heart-related ascites occurs when congestive heart failure raises pressure in the veins, leading to fluid buildup in the abdominal cavity.
Cirrhosis with ascites means advanced liver scarring has led to fluid accumulation in the belly, indicating significant liver dysfunction.
Prognosis varies based on the underlying cause and effectiveness of treatment. Many patients manage symptoms and maintain quality of life with appropriate care.
