Ascites is a relatively common symptom, which is mostly caused by liver disease. At this time, the patient's liver will become enlarged, causing pain in the liver area. The patient will often have a yellow complexion and symptoms of jaundice. The patient will have signs of cirrhosis, which will cause other organs to be affected and cause digestive tract symptoms, leading to digestive tract bleeding, etc. 1. Enlarged liver About 90% of patients with ascites have enlarged livers, which are progressive, hard, uneven, with nodules or lumps of varying sizes, blunt and irregular edges, and often with varying degrees of tenderness. When liver cancer protrudes under the right costal arch or xiphoid process, the upper abdomen may appear locally bulging or full, which is a symptom of ascites. 2. Pain in the liver area More than 30% of patients have symptoms of ascites including pain in the liver area, which is equivalent to the location of the tumor and is mostly persistent or dull pain. Liver pain is caused by the rapid growth of the tumor, which causes the liver capsule to be stretched. If the lesion invades the diaphragm, the pain may involve the right shoulder. When a cancerous nodule ruptures, it may suddenly cause severe pain and symptoms and signs of peritonitis. 3. Jaundice Jaundice in patients with ascites is a symptom of ascites, which usually appears in the late stage. It may be caused by liver cell damage, or by compression or invasion of the bile duct near the liver porta hepatis by cancerous masses, or by bile duct obstruction caused by the detachment of cancerous tissue and blood clots. 4. Signs of cirrhosis in patients with ascites Symptoms of ascites Patients with liver cancer and portal hypertension accompanied by cirrhosis may have splenomegaly, ascites, and formation of venous collateral circulation. The ascites increases rapidly, usually as transudate. Bloody ascites is mostly caused by cancer invading the liver capsule or rupturing into the abdominal cavity, and occasionally by peritoneal metastasis. 5. Metastatic lesions in patients with ascites are also a symptom of ascites If metastasis occurs to the lungs, bones, chest cavity, etc., corresponding symptoms may occur. Pleural metastasis is more common on the right side and may be accompanied by signs of pleural effusion. Bone or spinal metastasis may cause local tenderness or nerve compression symptoms, and intracranial metastasis may cause neurological localization signs. The above is the expert’s explanation of the symptoms of ascites. I hope it can help you answer your questions. Experts remind everyone that if you suffer from any disease in your daily life, you must not delay treatment, as this is very dangerous. Some diseases will worsen or cause other diseases. |
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