ASCITES AYURVEDIC TREATMENT
The presence of an abnormal accumulation of fluid
within the peritoneal cavity. Detectable when over 500ml. Contains high amount
of proteins and electrolytes.
Causes:
Most commonly caused by obstruction in the hepatic-portal
circulation in particular cirrhosis of the liver. The ascetic fluid escapes
from the abdominal vessels such as the lymphatics and veins.
Other causes of ascites include; congestive heart
failure, neoplastic conditions, kidney problems such as nephrosis and
proteinuria, peritonitis. Ascites can also be caused by abdominal infections
such as parasites and funguses.
Examination:
Observation: When a large amount of ascetic fluid
is presence the abdomen looks uniformly distended. Palpation: generalised
gentle palpation will show evidence of abnormal swelling but the following
tests are ore diagnostic. Percussion: In the supine position there will be
dullness around the flanges and resonance around the umbilical region.
Shifting dullness test: place the patient on their
side and after 30 seconds perform percussion. The ascetic fluid will shift with
gravity towards the side they are lying on. Percussion will produce dull sounds
on the lower part of the abdomen and resonant sounds on the top side. Other
tests include fluid thrill and fluid tap.
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Source : www.aagyarthayurved.com
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