Abdominal Dropsy (Ascites): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate ascites (abdominal dropsy):

Leading symptoms

  • Increase in abdominal circumference (abdominal girth increase) → abdominal tightness, possibly pronounced abdominal pain.
  • Extending flanks (when lying down).
  • Spread navel
  • Umbilical hernia
  • Dyspnea (shortness of breath)

Associated symptoms

  • Anorexia (loss of appetite) with a rapid feeling of fullness.
  • Nausea (nausea)/vomiting
  • Singultus (hiccups)
  • Gastroesophageal reflux symptomatology (reflux (backflow) of acidic gastric juice and other gastric contents into the esophagus (food pipe)).
  • Impaired intestinal motility (→ meteorism (flatulence), constipation (constipation)).
  • Malnutrition (→ muscle breakdown, increasing fatigue).
  • Formation of leg edema to anasarca (tissue fluid (edema) in the connective tissue of the subcutis with signs of dystrophy in the covering epidermal layers).

Other notes

  • Ascites is clinically detectable at a volume of approximately 500 ml (see above).