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Paracentesis / Ascitic Fluid Management
About Paracentesis / Ascitic Fluid Management
Paracentesis is a procedure used to remove excess fluid (ascites) from the abdomen, commonly seen in liver disease and certain...
Paracentesis is a procedure used to remove excess fluid (ascites) from the abdomen, commonly seen in liver disease and certain cancers. It relieves discomfort and helps diagnose the cause of fluid accumulation.
Overview
A sterile needle or catheter is inserted into the abdominal cavity to drain fluid safely. Paracentesis is used for: Symptom relief Infection detection Fluid analysis Management of severe abdominal distension Large-volume paracentesis may require albumin replacement therapy.
Understanding The Procedure
Symptoms Paracentesis / Ascitic Fluid Management
- ⦾ Abdominal swelling and tightness
- ⦾ Difficulty breathing due to fluid pressure
- ⦾ Abdominal discomfort or pain
- ⦾ Poor appetite and early fullness
- ⦾ Fever or suspected abdominal infection
Risks
- ⦾ Bleeding or infection
- ⦾ Low blood pressure after drainage
- ⦾ Fluid leakage from puncture site
- ⦾ Kidney dysfunction in severe liver disease
- ⦾ Rare bowel injury
Post-Operative Care
- ⦾ Monitor blood pressure and hydration
- ⦾ Follow salt-restricted diet if advised
- ⦾ Observe puncture site for leakage
- ⦾ Attend regular liver disease follow-up visits
- ⦾ Report fever or worsening abdominal pain immediately
Long Term Outlook
Paracentesis improves comfort, breathing, and mobility while supporting ongoing management of chronic liver disease and ascites.
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