The danger of repeated swelling of the abdomen is that subsequent punctures can lead to fusion of the omentum or intestines with the anterior wall of the abdominal cavity. And this is already fraught with inflammation and possible severe complications.
What is abdominal swelling and why does it develop?
A disease characterized by the accumulation of excess fluid in the abdominal cavity and leading to abdominal swelling is called ascites. In the process of the development of pathology, the patient changes in figure, and the first clear sign is an increase in the abdomen.
If the patient is in a supine position, his abdomen, as it were, spreads out with protruding side surfaces. When in an upright position, a swollen abdominal cavity can be compared to pregnancy, it can be so big. In this case, the navel in most patients is bulging.
A sign of ascites caused by progressive portal hypertension is a prominent venous network with collaterals placed around the umbilicus. The so-called "sun" is formed because of the veins extending from it in different directions.
Ascites in women, caused by ovarian disease, is treated at home by applying lotions using a decoction of chamomile.
There are several reasons why the stomach may swell:
- kidney disease;
- alimentary dystrophy;
- heart failure;
- violation of lymph outflow;
- the presence of a rapidly growing tumor.
Diagnosis of ascites
An important stage in the diagnosis of ascites is the identification of the causes that provoked the disease. The main disease, which has its own characteristic features, is complemented by congestion in the lungs and peripheral edema.
If cirrhosis of the liver and portal hypertension turned out to be the factors in the development of abdominal edema, the disease may be accompanied by bleeding from burst varicose veins of the esophagus. In the case of renal failure, ascites is supplemented by edema of the subcutaneous tissue.
In patients with heart failure, not only the abdomen swells, but also the feet and legs. The cardiologist determines the symptoms of myocardial damage, and from the ECG results it becomes clear that the heart rhythm is disturbed.
How is abdominal swelling treated?
Treatment of ascites begins with the treatment of the underlying disease. Diuretics are prescribed to speed up the elimination of accumulated fluid. The disturbed water-salt metabolism is corrected and portal hypertension disappears.
In men, the main treatment for testicular ascites may be supplemented with castor oil lubrication. The procedure is carried out in the morning and in the evening for 14 days. Then they take a week break.
If medication is not effective, the fluid is pumped out in a procedure called abdominal paracentesis. Before it is carried out, the patient empties the bladder and takes a sitting position (in severe cases, it is laid on its side).
Laparocentesis is performed, or puncture after the introduction of local anesthesia along the midline of the abdomen, connecting the navel and the pubis, or the umbilicus and the iliac crest. For one puncture, it is allowed to take no more than 6 liters of fluid, avoiding the development of collapse.
With significant portal hypertension, which cannot be dealt with in any way, the doctor may insist on surgical intervention, seeking to reduce its manifestations. During the operation, conditions are created for the absorption of the accumulated ascitic fluid by neighboring tissues. So, the patient undergoes omentohepatophrenopexy - hemming the omentum to the diaphragm and liver.