Peritoneal fluid excess
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In medical terms, Peritoneal fluid excess is also known as abdominal dropsy, hydro peritoneum, ascites and peritoneal cavity fluid.


Peritoneal fluid excess is the presence of excess fluid in the abdominal tissues and organs particularly in the peritoneal cavity. The abdominal membrane Peritoneum has two layers: one covers the wall of the abdomen while the other covers the organs inside the abdomen. This membrane naturally produces liquid within the abdominal cavity to help the organs glide smoothly. When this fluid accumulates or builds up, Peritoneal fluid excess develops.

Although Peritoneal fluid excess is likely to occur because of liver disorders, other conditions can become a factor as well including Cancer. Cancer of the ovary, breast, colon, lung, stomach, and pancreas are the known triggers of Peritoneal fluid excess. Since Cancer cells may spread to organs other than the major site of attack, they also have the tendencies to affect the liver and irritate the abdomen. Both cases cause the fluid build up in the process.


Some other conditions that can be factor in Peritoneal fluid excess include heart failure, Pancreatitis, Tuberculosis, and kidney disorders. Peritoneal fluid excess also often occur to people who have chronic alcoholic practices. If the livers are damaged, a patient is a shoe in for this kind of disease.

At the onset, Peritoneal fluid excess can be asymptomatic. No signs or noticeable differences in the patient’s health state could surmise its occurrence. But when the condition starts to worsen, the patient will usually complain about abdominal distension and shortness of breath. The abdominal stretch from within incurs heaviness and pressure.

Other symptoms of Peritoneal fluid excess include swollen legs, gynecomastia, blood in vomit, and some mental changes. If Peritoneal fluid excess is caused by Cancer, the patient is also likely to experience fatigue and chronic weight loss. If it is caused by heart failure, the patient will add wheezing and the inability to participate in strenuous activities such as performing physical exercises to the list of complains.


A thorough physical examination of the abdomen is the first step of an Peritoneal fluid excess diagnosis. Flank bulging, shifting dullness, and fluid thrill are some of the findings that will strengthen an Peritoneal fluid excess diagnosis. Flank bulging pertains to the visible bump that shows up as the patient reclines. Shifting dullness, meanwhile, pertains to the difference in the abdomen as the patient changes lying position. Fluid thrill is about the wave-like effect that occurs when the abdomen is pushed.

After the physical exam, the patient who is a candidate for Peritoneal fluid excess may be required to go through a series of tests which may include CBC, ultrasound, CT scan, MRI, Laparoscopy, liver biopsy, Angiography, and diagnostic Paracentesis.

Peritoneal fluid excess is treated immediately after diagnosis to prevent further complications, to relieve the patient’s symptoms, and to stop the progress of the condition. The first line of treatment for those causes is the use of medication. Diuretics like Spironolactone, Triamterene, and Amiloride are the common prescription for Peritoneal fluid excess treatment. If infection develops as a sign of complication, antibiotics are also prescribed. The use of medicine must be cautiously administered to patients with Peritoneal fluid excess. Further damage to the liver due to drug use would only aggravate the condition.
peritoneal fluid excess
Image: Peritoneal fluid excess

Patients with Peritoneal fluid excess are also restricted from salt, water, and most especially, alcohol. Salt restriction allows for the production of more urine and is found truly effective in delaying the fluid build up. Water restriction, on the other hand, is prescribed if hyponatremia develops. Strict alcohol restriction, meanwhile, is needed to avoid further liver impairment, which aggravates Peritoneal fluid excess.


Paracentesis or the extraction of fluid from the abdominal cavity through a needle is both useful as a diagnostic process in patients with mild Peritoneal fluid excess and as a form of treatment in patients with severe Peritoneal fluid excess. Therapeutic Paracentesis is administered professionally. The patient undergoing this process is required to be hospitalized. Since this form of therapy can cause the serum albumin levels in the blood to dry up, an albumin administration is often done alongside.

Another treatment option for Peritoneal fluid excess is surgery. If the condition keeps coming back despite undergoing the above mentioned treatments, the doctor may suggest performing a surgical procedure. This is mainly directed to divert the blood flow from the liver.

Liver transplantation is also sometimes used in a minority of Peritoneal fluid excess patients. This is often prescribed to Peritoneal fluid excess patients who also have chronic liver failure. If the patient is not reacting to any of the medical therapies, an indication to undergo liver transplant is more likely.

Peritoneal fluid excess relapse may happen. To avoid this, patients must continuously limit their salt and alcohol intake. Avoid using drugs, including those bought over-the-counter, without first consulting a health professional. Further damage to the liver would surely increase the risks of recurrence.

The use of diuretics or water pill therapy is also effective in preventing relapse. The doctor is the best source of advice on effective measures to continuously enjoy an Peritoneal fluid excess-free life after treatment.


To avoid becoming a victim of Peritoneal fluid excess, you must consistently mind your liver’s health. Avoid chronic use of alcohol to keep a healthy, well-functioning liver. Remember to practice safe sex and to avoid sharing IV needles at all times. Those practices are common triggers for contracting hepatitis. Also, you must undergo regular blood tests as directed by your doctor if you are using medications that are harsh to the liver.

The liver is a vital body organ. It has significant roles in metabolism and detoxification. If it does not perform well, you will get not just Peritoneal fluid excess but a whole lot of severe, more serious ailments that can be fatal.

Since other health conditions have been found to figure out in the occurrence of Peritoneal fluid excess, you must not focus your mind on taking care of your liver. Keeping healthy practices would surely help to keep you safe against Peritoneal fluid excess. Eat a balanced meal at all times and perform physical exercises regularly. A healthy lifestyle would surely help to keep toxins in check. It will also help generate a smooth flow of action inside your body, which will keep you safe not just from Peritoneal fluid excess but from other destructive health conditions as well.
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Medication commonly used for these disease:

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