What are the symptoms associated with cirrhotic ascites?

  Cirrhosis is a very common disease in China, and the advanced stage of cirrhosis can cause a large amount of peritoneal fluid to seriously affect the health of patients. Previously, we introduced together the common causes of cirrhosis, clinical manifestations, diagnostic methods, and treatment principles, and what clinical symptoms patients with cirrhotic ascites often have.  The most common type of cirrhosis in our country is hepatitis cirrhosis, followed by alcoholic cirrhosis, schistosomiasis cirrhosis, and drug-related cirrhosis are also relatively common. In general, patients with hepatitis have a hardened liver texture and fibrous tissue proliferation with the prolongation of the disease, which can manifest as different degrees of cirrhosis. Patients with early stage cirrhosis often have no specific clinical manifestations. Sometimes only blood tests for liver function suggest mildly elevated transaminases and bilirubin indicators. The advanced stage of cirrhosis will cause a significant decrease in the patient’s albumin synthesis ability, a decrease in vascular colloid osmotic pressure, and the formation of a large amount of abdominal fluid, and the patient will have obvious abdominal distension, abdominal pain, nausea, vomiting and other uncomfortable symptoms. At the same time, because a large number of intestinal tubes float in ascites, it will cause the intestinal peristaltic function to be weakened, resulting in the patient’s intestinal bowel movement and exhaustion to be weakened, which will aggravate abdominal distension.  In addition, a large amount of fluid in the abdominal cavity will cause disorders of electrolyte metabolism in patients, who will develop hyponatremia, hypokalemia, hypocalcemia and so on. At the same time, cirrhosis will lead to a decrease in the liver’s ability to metabolize blood ammonia, causing patients to have elevated blood ammonia and serious complications of hepatic encephalopathy.