Side Effect: Swelling of Abdomen (Ascites)

What is Swelling of Abdomen (Ascites)?

Ascites is the accumulation of fluid within the abdominal cavity. This can be caused by a variety of conditions, including cancer.

What does Swelling of Abdomen (Ascites) look like?

The appearance of ascites can vary, but it typically appears as a distended abdomen that is tense and often accompanied by discomfort or pain. The skin over the abdomen may appear stretched and shiny due to the accumulation of fluid underneath. The fluid can also be felt as a fluid wave when the abdomen is tapped or percussed.

Who gets Swelling of Abdomen (Ascites)?

In patients with cancer, ascites may be caused by several factors, including the spread of cancer cells to the peritoneum, the blockage of lymphatic vessels, or the side effects of chemotherapy or radiation therapy. It can also happen when cancer spreads to the liver. Additionally, patients with advanced stages of cancer and patients with breast, colon, gastrointestinal tract, ovarian, pancreatic, or uterine cancers, are at a higher risk for developing ascites.

How to prevent Swelling of Abdomen (Ascites)

Preventing ascites involves managing the underlying cancer and minimizing the side effects of treatment. In addition, limiting sodium intake and monitoring fluid intake may also be helpful.

How to treat Swelling of Abdomen (Ascites)

Treatment of ascites depends on the underlying cause and severity of the condition. In mild cases treatment might not be needed or symptoms might be managed with the use of diuretics, such as spironolactone (Aldactone®) or furosemide (Lasix®), to help the body eliminate excess fluid. In some cases, paracentesis, a procedure in which excess fluid is drained from the abdomen, may be necessary. In more severe cases, shunting procedures or placement of a peritoneal catheter may be necessary.

References

1) Maeda H, Kobayashi M, Sakamoto J. Evaluation and treatment of malignant ascites secondary to gastric cancer. World J Gastroenterol 2015;21(39):10936-10947


2) Malayev Y, Levene R, Gonzalez F. Palliative Chemotherapy for Malignant Ascites Secondary to Ovarian Cancer. Am J Hosp Palliat Care 2012;29(7):515-521

Created: May 23, 2024 Updated: July 16, 2024