The ascites is a condition that results due to the amount of extra fluid that is deposited in the abdominal cavity leading to the belly becoming swollen and compressing the organs. It is most commonly caused by liver disease including cirrhosis but may be caused by heart failure, kidney disease, infections or some types of cancers. The symptoms can be alleviated through early identification and treatment of the problem.
Ascites can present with a variety of signs, including:
Several conditions can lead to the fluid accumulation seen in ascites:
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Cirrhosis of the liver with ascites is assigned the ICD-10 code K74.69. It is used for both diagnosis and medical billing purposes.
Ascites typically causes a sensation of abdominal fullness or tightness, bloating, and discomfort. It can also make it harder to breathe, especially when lying down.
In cirrhosis, liver scarring increases pressure in the portal vein system. This pressure forces fluid to leak into the abdominal cavity, leading to the development of ascites.
The ICD-10 code for alcoholic liver cirrhosis without ascites is K70.30, indicating liver damage caused by alcohol intake without fluid accumulation.
Heart failure can cause ascites when the heart is unable to pump effectively, causing blood to back up into the veins. This increases pressure in the abdominal veins and pushes fluid into the peritoneal cavity.
Home drainage of ascites is possible but must be done under strict medical supervision and with proper training. However, in-clinic paracentesis is generally safer and more controlled.
Belly fat is soft and evenly distributed, while ascites results in a firm, distended abdomen. In some cases, the fluid in ascites shifts with changes in position, which does not happen with fat.
Heart-related ascites occurs due to increased venous pressure from congestive heart failure, leading to fluid accumulation in the abdominal cavity.
Ascites cirrhosis refers to fluid accumulation in the abdomen caused by advanced liver scarring. It indicates that the liver function is severely impaired.
Life expectancy varies depending on the underlying cause and the response to treatment. With proper medical care and management, many individuals can live with manageable symptoms for an extended period.
