What are complications of ascites?

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What are complications of ascites?

Ascites can lead to:

  • Abdominal problems: The fluid buildup may lead to pain, discomfort and difficulty breathing. These symptoms can interfere with your ability to eat, walk and do daily activities.
  • Infection: The fluids can become infected, called spontaneous bacterial peritonitis. You may have fever and stomach pain. Call your healthcare provider if you have these symptoms. You’ll need IV antibiotics and long-term antibiotic treatment to keep the infection from coming back.
  • Hepatic hydrothorax, or fluid in the lungs: Abdominal fluid fills the lung, usually on the right side. You may experience shortness of breath, cough, chest discomfort and hypoxemia (lack of oxygen in the blood). You may need thoracentesis to remove the fluid.
  • Ascites-related hernias: The increase in abdominal pressure can lead to hernias, specifically umbilical and inguinal hernias. Your healthcare provider will discuss your treatment options.
  • Kidney failure: If cirrhosis worsens, it may lead to kidney failure (hepatorenal syndrome).

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