Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

about ascites

Hi, I have been reading up on ascites and have a few questions. With liver damage and portal hypertension I've read that the ascitic fluid is "protein rich" yet a patient with a nutrition and protein deficiency has ascites from a lack of protein to create osmotic pressure. If protein is what holds fluid in the vascular space and a lack of protein causes ascites then how does ascitic fluid in portal hypertension yield "protein rich" fluid? How is the protein crossing into the vascular space?

Featured Replies

  • Author

If protein is what "keeps" fluid in vascular spaces and a lack of protein causes ascites as in malnutrition, then how is ascitic fluid caused by portal hypertension "protein rich"?

Ascitic fluid is not actually "albumin-rich" in cases of portal hypertension. Albumin content is always lower than one in serum in transsudate.

SAAG: The SAAG is the best single test for classifying ascites into portal hypertensive (SAAG >1.1 g/dL) and non–portal hypertensive (SAAG

Ascites Workup: Approach Considerations, Laboratory Studies, Imaging Studies

The probem is the sheer amount of this fluid and therefore the amount of protein trapped in there.

  • Author

Ok, but how does the protein leave vascular volume? It states protein remains within vascular spaces to keep osmotic pressure and endothelial cells do not permit their passage except in cases of burns and such when inflammatory substances cytokines are present. How and why is protein getting in there? I understand ascites in cases of malnutrition makes perfect sense: low blood protein=low osmotic pull= fluid in peritoneal cavity but the cirrhosis ascites which states is a protein rich fluid I'm lost

Pressure in vein increases, the vein's wall is naturally more porous than arteries and has less collagen bundles, and water and albumin molecules are pushed out. Imagine putting some cottage cheese out in a sieve to drain, and then actively pressing on it - first, you 'll get only whey, then the cheese starts to escape as well, although most of it probably continue to stay in. Portal vein normally has only 8 mm Hg pressure, if it goes over 20, this purely mechanical process starts.

I hate Wiki as a source but the link below has everything you need to know about ascitis:

Ascites - Wikipedia, the free encyclopedia

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.