Pelvic Pain Puffiness
The danger of repeated abdominal swelling isin that subsequent punctures can lead to a fusion of the omentum or intestines with the anterior wall of the abdominal cavity. And this is fraught with its inflammation and possible serious complications.
What is the puffiness of the abdomen and why does it develop?
Disease characterized by congestion inabdominal cavity of excess fluid and leading to edema of the abdomen, called ascites. In the process of development of pathology, the patient changes in the figure, and the first bright sign is the increase in the abdomen.
If the patient is lying down, the abdomenit seems to flatten out with the bulging of the side surfaces. When in the vertical position, the swollen abdominal cavity can be compared with pregnancy, so it is great. In this case, the navel in most patients is bulging.
A sign of ascites caused by a progressiveportal hypertension, is a prominent venous network with collaterals located around the navel. The so-called "sun" is formed because of the veins that depart from it in different directions.
Ascites in women, caused by ovarian disease, are treated at home by applying lotions using a decoction of chamomile.
The reasons for which the stomach can swell are several:
- kidney disease;
- alimentary dystrophy;
- heart failure;
- violation of lymph drainage;
- the presence of a rapidly growing tumor.
An important stage in the diagnosis of ascites is thethe identification of the causes that provoked the disease. The main disease, which has its own characteristic features, is supplemented by stagnation in the lungs and peripheral edema.
If the factors of development of puffiness of the abdomenthere was cirrhosis of the liver and portal hypertension, the disease can be accompanied by bleeding from the bursting varicose veins of the esophagus. In the case of renal insufficiency, ascites is supplemented with swelling of the subcutaneous tissue.
In patients with heart failure,not only the stomach swells, but also the feet and legs. The cardiologist determines the symptoms of myocardial damage, and from the ECG results it becomes clear that the heart rhythm is broken.
How is the swelling of the abdomen treated?
Treatment of ascites begins with therapy of basicdisease. Diuretics are prescribed to accelerate the excretion of accumulated fluid. The disturbed water-salt metabolism is corrected and the portal hypertension disappears.
In men, the main treatment for ascites of the testicles can be supplemented by their lubrication with castor oil. The procedure is carried out in the morning and in the evening for 14 days. Then do a week-long break.
If the drug treatment was noteffective, the liquid is pumped out during the procedure, referred to as abdominal paracentesis. Before it is carried out, the patient empties the bladder and assumes a sitting position (in severe cases, it is laid on one side).
A laparocentesis is performed, or a puncture afterthe introduction of local anesthesia along the midline of the abdomen, connecting the navel and pubis, or the umbilicus and crest of the ilium. For one puncture it is allowed to take no more than 6 liters of fluid, avoiding the development of collapse.
With significant portal hypertension,the doctor can insist on surgical intervention, seeking to reduce its manifestations. In the course of the operation, conditions are created for the absorption of the accumulated ascites fluid by neighboring tissues. Thus, the patient undergoes omentohepatophrenopexy - hemming of the omentum to the sites of the diaphragm and liver.
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