Gastroenterology

Paracentesis

A procedure to remove fluid buildup from the abdominal cavity.

Close,Up,Of,Release,Ascites,In,Abdomen,In,Abdominal,Paracentesis

What is Paracentesis?

Paracentesis is a medical procedure used to remove excess fluid, called ascites, from the abdominal cavity. Ascites often develops in people with advanced liver disease, heart failure, or certain cancers. During the procedure, a thin needle or catheter is inserted into the abdomen, usually under ultrasound guidance, to safely drain the fluid. Paracentesis is not only diagnostic, helping doctors analyze the fluid for infections or cancer cells, but also therapeutic, providing relief from discomfort caused by swelling and pressure.

This procedure helps to:

  • Relieve abdominal swelling and pressure.
  • Improve breathing and mobility in patients with severe ascites.
  • Diagnose infection, cancer, or other causes of fluid buildup.
  • Reduce discomfort such as bloating or pain.
  • Guide long-term management of liver or heart conditions.

What to expect after Paracentesis?

The procedure is performed under local anesthesia and typically takes less than an hour. Patients may feel immediate relief from discomfort once the fluid is drained. Recovery is quick, but monitoring is required afterward, especially if large volumes of fluid are removed.

  • Mild tenderness at the insertion site.
  • Bandage applied to prevent leakage.
  • Noticeable relief from pressure and bloating.
  • Patients can usually return home the same day.
  • Follow-up testing may be required to analyze the fluid.

Why is it performed?

  • To relieve discomfort caused by ascites.
  • To diagnose the cause of fluid buildup.
  • To monitor progression of chronic liver disease.
  • To detect infections such as spontaneous bacterial peritonitis.
  • To improve quality of life in patients with severe swelling.

Risks and Considerations

  • Slight risk of infection at the puncture site.
  • Rare risk of bleeding or injury to abdominal organs.
  • Fluid leakage from the insertion site.
  • Drop in blood pressure if large amounts are removed too quickly.
  • Safe and effective when performed by trained specialists.

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

FAQs

Is paracentesis painful?
Local anesthesia prevents pain, though patients may feel slight pressure.
Usually less than 60 minutes, depending on the volume of fluid removed.
Yes, most patients are discharged after brief observation.
It depends on the individual, but sometimes several liters can be safely drained.
If you notice fever, worsening abdominal pain, or leakage that does not stop.

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