Ascites is the abnormal buildup of fluid in the abdomen, causing swelling. It can be caused by certain types of cancer, especially advanced cancer that has spread to the peritoneal cavity. When cancer cells are present in the fluid, it is called malignant ascites.
In addition to cancer-related causes, ascites can also be caused by conditions such as liver disease, kidney failure, chronic hepatitis, congestive heart failure, and infection. Symptoms of ascites include abdominal swelling, bloating, weight gain, shortness of breath, and other symptoms like appetite loss, fatigue, and swelling in the legs.
To diagnose ascites, your doctor may perform a physical exam and use imaging tests like ultrasound or CT scans. Paracentesis, a procedure to remove ascitic fluid from the abdomen, may also be done to analyze the fluid and determine the cause of ascites.
Treatment for malignant ascites depends on the severity of symptoms and the type of cancer. Cancer treatments like chemotherapy, hormone therapy, or surgery may be used to reduce symptoms. Diuretics, dietary changes, paracentesis, and surgery may also be recommended.
It is important to talk to your doctor about any symptoms of ascites you may be experiencing. Ask questions about the causes of ascites, treatment options, and the likelihood of recurrence. Clinical trials are also available to explore better ways to prevent and treat ascites.
Finding support if you have ascites is crucial. Your doctor can provide information about clinical trials, and you can also search for trials online. Remember to communicate openly with your healthcare provider to ensure the best possible care for managing ascites in cancer patients.
