How is ascites formed?

Patient's question:

I am 38 years old. Recently, I feel that my liver is very tired. I haven't had much appetite, and at night, I always feel a sharp pain in my stomach. I went to a nearby hospital for a check-up and was told it was liver disease. They advised me to get an injection. Could you please explain how ascites is formed?

Doctor's answer:

First, there are several reasons for ascites. The first situation is that prolonged liver damage can lead to cirrhosis, and when it reaches the decompensation stage, it can cause ascites. The first situation may also be due to the inability of the liver to produce enough protein, resulting in an imbalance in the pressure gradient between blood vessels and the abdominal cavity. The second situation may be caused by portal hypertension, where the pressure in the portal veins increases.

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