Ask a doctor - Is ascites life threatening?

Q. Is ascites life threatening?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Ascites can indeed be life-threatening, especially if left untreated or if it's a symptom of a serious underlying condition. Ascites is a condition characterized by the accumulation of fluid in the abdomen. This fluid buildup can put pressure on your organs, particularly the lungs and the digestive system, leading to various complications.

One of the primary dangers of ascites is the risk of infection. The fluid in the abdomen can become a breeding ground for bacteria, leading to a condition called spontaneous bacterial peritonitis (SBP). SBP can quickly become serious and even life-threatening if not promptly treated with antibiotics.

Additionally, ascites can cause complications such as kidney problems, electrolyte imbalances, and difficulty breathing due to pressure on the lungs. In severe cases, ascites can lead to hepatic encephalopathy, a condition where toxins build up in the bloodstream due to liver dysfunction, affecting brain function and potentially leading to coma.

Furthermore, ascites often indicates an underlying liver disease, such as cirrhosis, which can be a serious condition on its own. If ascites is a result of liver disease, managing the underlying cause is crucial to prevent further complications.

In summary, while ascites itself may not always be immediately life-threatening, it can lead to serious complications if left untreated, particularly when it's a symptom of an underlying condition like liver disease. Seeking prompt medical attention and proper management are essential for mitigating the risks associated with ascites.