
Ascites Tap (Paracentesis)
Care Before the Procedure
- Empty your bladder before the procedure if instructed.
- Inform your doctor about blood thinners or bleeding disorders.
- Fast for a few hours if advised by your physician.
- Arrange someone to accompany you if sedation is planned.
Care During the Procedure
- You will lie on your back or slightly tilted.
- The abdomen is cleaned and draped with sterile sheets.
- Local anesthesia is applied to numb the area.
- A thin needle or catheter is inserted to drain fluid, sometimes guided by ultrasound.
- Fluid may be collected for lab testing while excess fluid is removed to relieve pressure.
Care After the Procedure
- Apply pressure and a sterile dressing at the puncture site.
- Rest and avoid heavy lifting for 24 hours.
- Monitor for bleeding, infection, or worsening abdominal pain.
- Report fever, persistent pain, swelling, or redness at the site.
- Follow-up may include blood tests or repeat imaging to assess fluid reaccumulation.
Eligibility
- Patients with painful or tense abdominal swelling due to fluid accumulation.
- Liver disease patients with ascites (e.g., cirrhosis).
- Suspected infection in the abdominal fluid (spontaneous bacterial peritonitis).
- Cancer-related ascites to diagnose or relieve symptoms.
- Kidney disease or heart failure causing fluid buildup in the abdomen.
- Empty your bladder before the procedure if instructed.
- Inform your doctor about blood thinners or bleeding disorders.
- Fast for a few hours if advised by your physician.
- Arrange someone to accompany you if sedation is planned.
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