How can you tell if you have fluid in your abdomen?

What are the symptoms of ascites?

  1. Swelling in the abdomen.
  2. Weight gain.
  3. Sense of fullness.
  4. Bloating.
  5. Sense of heaviness.
  6. Nausea or indigestion.
  7. Vomiting.
  8. Swelling in the lower legs.

What does fluid in the abdomen sound like?

The anterior gas-filled abdomen normally has a tympanitic sound to percussion, which is replaced by dullness where solid viscera, fluid, or stool predominate. The flanks are duller as posterior solid structures predominate, and the right upper quadrant is somewhat duller over the liver.

What percussion sound is typical for ascites?

In a person with ascites, the flanks will sound dull and the midline should sound tympanic, creating an air-fluid level. Test for shifting dullness, which is a way to confirm that the dullness is caused by ascites.

How do you elicit fluid thrill?

To elicit a fluid thrill, the child should lie supine. Place one hand flat on the flank and tap or flick the opposite flank briskly with the other hand. If fluid is present, a wave is felt by the former hand.

Is your abdomen hard or soft with ascites?

The shape of the abdomen may suggest that it contains fluid rather than fat. A person with ascites may also have a distended abdomen, which is hard and swollen. They may also experience rapid changes in weight and body shape.

What causes fluid in the abdomen?

What is ascites? Ascites is the medical term for a buildup of fluid in the abdomen. It can happen when the blood pressure of the portal vein — which runs from the digestive organs to the liver — gets too high. This increased pressure reduces kidney and liver function, causing fluid to accumulate.

Is an ascites belly hard or soft?

Both ascites and beer belly result in a large, protruding hard belly that can resemble that of a pregnant woman’s belly. Ascites often results in a rapid weight gain in contrast to a more gradual gain with beer belly development.

What is a positive fluid wave test?

• Test is positive if the impulse is felt, implying that it was passed by ascitic fluid. Shifting Dullness Test. • Patient lies supine. • Examiner percusses from mid-abdomen to flank area and notes change from tympany to dullness.

How do you palpate abdominal ascites?

Another physical sign of ascites is demonstration of a transmitted fluid wave. The patient or an assistant presses a hand firmly against the abdominal wall in the umbilical region. The examiner places the flat of the left hand on the right flank and then taps the left flank with his right hand.

What does ascites look like when lying down?

The shape of the abdomen often suggests ascites fluid. On lying down, the flanks are full but on standing the ascites fluid accumulates in the lower abdomen. The high intra-abdominal pressure may push out an umbilical hernia or even an inguinal hernia. There may be stigmata of other diseases.

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