Ask a doctor - Is ascites a sign of liver failure?

Q. Is ascites a sign of liver failure?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Yes, ascites can be a sign of advanced liver disease and, in some cases, may indicate liver failure. Liver cirrhosis is one of the most common causes of ascites. Cirrhosis is a condition in which the liver tissue is replaced by scar tissue due to chronic liver damage. As cirrhosis progresses, the liver loses its ability to function properly, leading to various complications, including the accumulation of fluid in the abdominal cavity (ascites).

The development of ascites in the context of liver disease is often associated with portal hypertension, a condition where increased pressure in the portal vein impairs blood flow through the liver. This results in fluid leakage into the abdominal cavity.

While ascites is a significant manifestation of advanced liver disease, it doesn't necessarily mean immediate liver failure. However, it is a serious complication that requires medical attention. Ascites can contribute to further deterioration of liver function and is often indicative of an advanced stage of liver disease.

Addressing the underlying liver condition, adopting lifestyle changes, and following medical recommendations are crucial in managing ascites and preventing further progression of liver disease. In severe cases, when liver function is severely compromised, a liver transplant may be considered as a treatment option. Individuals with symptoms of ascites or known liver disease should seek prompt medical evaluation for a proper diagnosis and appropriate management.