Tuberculous ascites usually does not have liver palms.
Tuberculous ascites is mostly caused by tuberculous peritonitis, and the patient mainly presents with systemic tuberculosis symptoms and abdominal manifestations, and will not present liver palms.
Systemic tuberculosis symptoms include low fever, night sweats, fatigue, emaciation, etc. Exudative, caseous or complicated with caseous pneumonia are more serious, and high fever can occur.
Abdominal manifestations include abdominal pain, abdominal pressure, abdominal rubbing sensation, abdominal mass, abdominal fluid accumulation, etc. The pain is mostly persistent and vague, and if there is acute abdomen or intestinal perforation, there can be obvious abdominal pain with abdominal muscle tension.
Liver palms refers to the redness of palms caused by local capillary expansion due to reduced inactivation of hormones by the liver and increased estrogen levels in the body when liver insufficiency occurs. Tuberculous peritonitis does not usually cause significant damage to liver function, and thus liver palms do not usually occur.
It is recommended that the patient should go to the hospital as soon as possible to get a clear diagnosis and be treated accordingly.