How to self-test for ascites (fluid accumulation in the abdominal cavity)

Feb 13, 2025 Source: Cainiu Health
Disease description:

Recently, my abdomen has become quite swollen. I haven't been eating excessively, and a friend mentioned that I might have ascites (fluid accumulation in the abdominal cavity). I would like to know how to perform a self-check for this condition.

Doctor's answer (1)
Dr. Gao Jun

Initial self-check methods for ascites typically include observing whether the abdomen is visibly enlarged, checking for a sense of fluid wave upon abdominal palpation, and monitoring for unexplained rapid weight gain.

Pay attention to whether the abdomen becomes distended, especially if the abdominal muscles feel tight or cold to the touch. Gently tapping on the abdomen and hearing a drum-like sound may indicate fluid accumulation. Patients with hepatic ascites often feel abdominal bloating, which becomes more pronounced as the condition progresses. Additionally, due to portal hypertension and reduced capacity of blood vessels to retain fluid, swelling in the lower extremities may occur.

It is important to note that individuals with underlying liver diseases such as hepatitis A, chronic hepatitis B, or cirrhosis should be highly alert if they experience the aforementioned symptoms. However, these methods only offer preliminary clues and are for reference only.

Medical examinations such as ultrasound, CT scan, or paracentesis are required to confirm a diagnosis of ascites. If you suspect you have hepatic ascites, seek medical attention promptly and undergo thorough evaluation and diagnosis by a qualified physician.