Why do people develop hepatic ascites?

Sep 29, 2024 Source: Cainiu Health
Dr. Gao Jun
Introduction
Long-term unhealthy dietary habits may lead to liver cirrhosis, resulting in destruction of liver structure, obstruction of portal venous blood flow, increased portal pressure, and promoting fluid leakage from blood vessels into the abdominal cavity, thereby causing ascites. This condition may also be accompanied by symptoms such as jaundice, spider angiomas, and rupture bleeding of esophageal and gastric varices. It is recommended to follow medical guidance and use medications for treatment.

In general, hepatic ascites may be caused by factors such as excessive alcohol consumption, aging, liver cirrhosis, peritonitis, and hepatic venous occlusion. If discomfort occurs, it is recommended to seek medical attention promptly. Specific analyses are as follows:

1. Excessive Alcohol Consumption

Long-term heavy drinking can damage liver cells, promote liver fibrosis and cirrhosis, and thus lead to hepatic ascites. Usually, there are no other obvious symptoms. It is recommended to drink in moderation and adjust dietary habits appropriately.

2. Aging

With advancing age, liver function gradually declines. In particular, the incidence of liver diseases increases among the elderly, which may subsequently trigger hepatic ascites. Generally, no other significant symptoms are present. Adopting a healthy lifestyle—such as abstaining from alcohol, maintaining a balanced diet, and engaging in moderate exercise—can help slow down the process of liver aging.

3. Liver Cirrhosis

Prolonged unhealthy dietary habits may lead to liver cirrhosis, resulting in structural destruction of the liver, obstruction of portal venous blood flow, increased portal pressure, and leakage of fluid from blood vessels into the abdominal cavity, thereby forming hepatic ascites. This condition may also be accompanied by symptoms such as jaundice, spider angiomas, and bleeding from esophageal and gastric varices. It is recommended to follow a physician's guidance and use medications such as entecavir tablets, sofosbuvir tablets, and polyene phosphatidylcholine capsules for treatment.

4. Peritonitis

Peritonitis is an inflammation of the peritoneum caused by infection with pathogens such as bacteria or viruses, or chemical irritation. The inflammation increases vascular permeability, leading to fluid leakage into the abdominal cavity and the formation of ascites. Symptoms often include abdominal pain, abdominal muscle rigidity, and fever. It is recommended to follow medical advice and take medications such as amoxicillin capsules, clarithromycin capsules, and metronidazole tablets for treatment.

5. Hepatic Venous Occlusive Disease

Hepatic venous occlusive disease occurs due to blockage of the hepatic veins or inferior vena cava, impairing blood return, leading to portal hypertension and hepatic ascites. It is usually accompanied by symptoms such as liver area pain and lower limb edema. It is recommended to visit a正规 hospital where procedures such as interventional surgery or liver transplantation may be performed under a physician’s care.

In daily diet, spicy and raw cold foods should be avoided to prevent bodily discomfort.

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