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Ascites
Discover comprehensive ascites care in Houston with Dr. Nghia Nguyen at GastroDoxs. Early detection paired with personalized treatment—from dietary changes and diuretics to minimally invasive drainage and TIPS—reduces discomfort and enhances outcomes. Trust our expert team for guidance and support.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Ascites?
Ascites is the abnormal buildup of fluid in the abdominal cavity, causing your belly to feel swollen, tight, or uncomfortable. It's most commonly related to liver disease but can also arise from heart, kidney, or cancer-related issues.
Common Causes and Risk Factors
Cirrhosis of the liver - scarring that lets fluid leak into the abdomen
Heart failure - weakened cardiac output leading to fluid backup
Kidney disease - impaired fluid regulation
Cancer or infections - inflammation of the abdominal lining
Heavy alcohol use, hepatitis, obesity, or family history of liver disease
Signs and Symptoms
Swollen, distended, or tight abdomen
Mild bloating or unexplained weight gain
Shortness of breath from abdominal pressure on the lungs
Abdominal pain or general discomfort
Feeling full quickly, loss of appetite, or nausea
How Dr. Nghia Nguyen Diagnoses Ascites?
Dr. Nguyen uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms, alcohol use, liver-disease risk factors and performs a focused abdominal exam to check for fluid wave or shifting dullness.
Blood Tests
He orders liver panels (AST, ALT, albumin), kidney function tests and electrolytes to identify underlying causes and assess overall organ function.
Imaging Studies
Abdominal ultrasound to confirm fluid presence, assess liver texture and rule out masses.
CT scan when more detailed visualization is needed (for example, to evaluate cancer or infection).
Paracentesis
He performs a minimally invasive needle drainage in the office or hospital, both to relieve pressure and to send fluid for cell count, albumin gradient and cultures.
Treatment
Our Team offers a full range of care for ascites.
1. Lifestyle and Diet Modifications
Low-sodium diet: limit salt to under 2,000 mg per day
Fluid monitoring: track intake and output to balance fluid levels
Protein support: include lean meats, dairy, or plant-based proteins
Gentle exercise: walking or light activity to help mobilize excess fluid
2. Medications
Diuretics such as spironolactone and furosemide to promote fluid elimination
Albumin infusions after paracentesis to support blood pressure and volume
3. Minimally Invasive or Advanced Procedures
Paracentesis: in-office fluid drainage for rapid symptom relief
TIPS procedure: placement of a stent to lower portal pressure and reduce fluid buildup
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What are the early signs of ascites?
Mild bloating, slight weight gain, or a full feeling in your belly.
What is the ICD-10 code for ascites?
R18 - it helps your doctor and insurance company track your condition.
Can I live a normal life with ascites and liver disease?
Yes. With good treatment, a healthy diet, and regular checkups, many people stay active.
How long can someone live with ascites?
It depends on the cause and how well it's managed. Early treatment improves your chances.
Is ascites reversible?
Sometimes. If you treat the underlying cause—like liver problems—you may reduce or stop the fluid buildup.
When should I call Dr. Nguyen?
Call right away if you notice new swelling, pain, fever, or trouble breathing.
