What are the symptoms of hepatic ascites?

Sep 30, 2024 Source: Cainiu Health
Disease description:

Recently, I suddenly experienced abdominal bloating and loss of appetite. I'm worried that I may have developed ascites. What are the symptoms of ascites?

Doctor's answer (1)
Dr. Shen Yonghua

The main symptoms of hepatic ascites include the following aspects:

1. Abdominal distension: This is the most direct manifestation of hepatic ascites. The patient's abdomen is visibly enlarged, appearing as a frog-like abdomen, with a fluctuant sensation upon palpation.

2. Abdominal discomfort or pain: As the volume of ascites increases, patients may experience abdominal fullness, heaviness, or dull pain, which is particularly noticeable after eating.

3. Lower limb edema: Due to impaired liver function affecting protein synthesis, hypoalbuminemia develops, leading to systemic edema, most commonly seen as lower limb edema.

4. Dyspnea: Large volumes of ascites can compress the diaphragm, impairing lung expansion and causing shortness of breath and difficulty breathing.

5. Loss of appetite, nausea, and vomiting: Abnormal liver function affects digestion and absorption, leading to symptoms such as anorexia, nausea, and vomiting.

6. Weight gain: Rapid weight gain within a short period, especially increased abdominal girth, is a symptomatic manifestation of hepatic ascites.

If symptoms occur, seek medical attention promptly for examination and treatment.