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When Is The Time To Consult A Doctor For Abdominal Distension?

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Posted on Tue, 5 May 2015
Question: When do i know its time to go in to the hospital for distended abdomen due to Hep C
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
Abdominal distention is likely due to Ascites

Detailed Answer:
Hello and Welcome

I appreciate your concern

You should plan your visit to a gastroenterologist , sooner rather than later. Hepatitis C can lead to cirrhosis of the liver if left untreated. Cirrhosis can lead to portal hypertension which causes ascites. Ascites presents as Abdominal distention ,Bulging flanks and Shifting dullness upon a physical examination. If indeed its ascites , In case of mild to moderate ascites, treatment consists of diuretics, albumin and water restriction. Transjugular intrahepatic porto systemic shunt (TIPS) and Therapeutic Paracentesis should be reserved for large or diuretic resistant ascites. Bilirubin, Albumin, Pro thrombin levels in the blood and encephalopathy assessment should be done to know about the synthetic capability of the liver. Urea/BUN , electrolytes and creatinine levels should be done to rule out HRS ( Hepatorenal syndrome).

Please consult your doctor before deciding on any further course of action

wishing you best of health

thanks
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Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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When Is The Time To Consult A Doctor For Abdominal Distension?

Brief Answer: Abdominal distention is likely due to Ascites Detailed Answer: Hello and Welcome I appreciate your concern You should plan your visit to a gastroenterologist , sooner rather than later. Hepatitis C can lead to cirrhosis of the liver if left untreated. Cirrhosis can lead to portal hypertension which causes ascites. Ascites presents as Abdominal distention ,Bulging flanks and Shifting dullness upon a physical examination. If indeed its ascites , In case of mild to moderate ascites, treatment consists of diuretics, albumin and water restriction. Transjugular intrahepatic porto systemic shunt (TIPS) and Therapeutic Paracentesis should be reserved for large or diuretic resistant ascites. Bilirubin, Albumin, Pro thrombin levels in the blood and encephalopathy assessment should be done to know about the synthetic capability of the liver. Urea/BUN , electrolytes and creatinine levels should be done to rule out HRS ( Hepatorenal syndrome). Please consult your doctor before deciding on any further course of action wishing you best of health thanks