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Abdominal Tap

What is Abdominal Tap?

Abdominal tap, or paracentesis, is a procedure to remove excess fluid from the abdominal cavity, which is the area between the abdominal wall and the spine. Excess fluid in the abdomen is called “ascites.” Normally, there should be no ascites within the abdominal cavity. This fluid in the abdominal cavity can cause bloating, pain, and breathing difficulties. An abdominal tap is done to remove excess fluid and determine the cause of the fluid buildup.

What Happens During an Abdominal Tap Procedure?

Before you have an abdominal tap, your doctor will take your medical history and give you a physical exam. They may also order other laboratory tests. The abdominal tap can be done in the doctor’s office, a treatment room, or in the hospital. You shouldn’t eat or drink anything 12 hours before the procedure. You’ll also need to empty your bladder. An abdominal tap procedure takes about 15 to 20 minutes, and no general anesthesia is required. An abdominal tap involves the following steps:
1. The procedure area is cleaned and shaved.
2. Your doctor then applies a local anesthetic. This numbs the area to prevent any pain or discomfort. For larger fluid removal, your doctor may need to make a small cut in the skin to accommodate the needle.
3. Once the area is ready, your doctor inserts the need tap into the skin. The needle itself only goes 1 to 2 inches deep. Here, the fluid is extracted with the syringe.
4. Then, your doctor will remove the needle. Your doctor may or may not use ultrasound during the abdominal tap. The amount of fluid removed depends largely on the original purpose of the procedure. Your doctor may perform a small diagnostic tap, or they may perform a large-volume tap. During a large-volume tap, your doctor will remove several liters of fluid to decrease the pressure and pain. If this is the case, a tube may be attached between the needle and syringe to help your doctor get more fluids.
After the procedure, your doctor will dress the wound and make any necessary stitches. If a diagnosis is needed, the bottle of fluid will be submitted to a laboratory.

What Are the Risks Associated with an Abdominal Tap?

Risks associated with an abdominal tap are rare, but the most common risks are minor trouble breathing and fluid leakage right after the procedure. Usually, you’ll have to wait to leave the doctor’s office or hospital until those clear up. Other risks include:
a drop in blood pressure, which only occurs if a significant volume of fluid is removed
an accidental puncture of a blood vessel, the bowel, or the bladder
an acute kidney injury
an infection
Certain risk factors may also increase the chances for complications, especially if you have cirrhosis. You may also be more likely to develop an infection if you’re a smoker or drink too much alcohol on a regular basis. Poor nutrition can also increase the risk for infection.

Once you’re at home, call your doctor immediately if you develop any of these symptoms:
-a fever
-redness around the needle puncture site
-swelling around the needle puncture site
-increased pain
-leakage of fluid
-a cough
-shortness of breath
-chest pain
-increased abdominal swelling

Understanding the Results of an Abdominal Tap:
Cirrhosis is the most common cause of abdominal fluid buildup that requires a diagnostic abdominal tap. Since cirrhosis is irreversible, treatment for this condition concentrates on preventing further liver damage. Ascites in such cases is often a sign that liver failure is imminent. Other possible results and causes of this type of fluid retention are:
an abdominal injury
an infection
liver disease
bowel damage
leakage of lymphatic fluid
heart disease
kidney disease
pancreatic disease
a tumor
low levels of proteins in the blood
internal bleeding
Depending on the results of the abdominal tap and any other test performed, further medical care may be needed. Your doctor may recommend that you monitor your body weight to catch more fluid buildup. Further tests may also need to be done, such as ultrasounds, CT scans, and blood tests.

Outlook and Recovery:
An excess fluid buildup in the abdominal cavity isn’t normal. Therefore, an abdominal tap is necessary to remove the fluids and determine the cause of buildup. Recovering from the procedure is usually straightforward, and you’ll likely be able to resume normal activities once the wound heals. Check with your doctor about exercise and other physical activities after the procedure, especially if you have stitches.The outlook depends on the underlying cause of ascites. Depending on your condition, you may require multiple abdominal taps in the future if fluid continues to build up in your abdominal cavity. people with liver disease who develop ascites have a 30 and 40 percent chance of surviving five years. At this point, a liver transplant is necessary.

पेरीटोनियल टॅप:
पोटदुखी आणि पेटी दरम्यानच्या क्षेत्रामधून द्रव काढण्यासाठी ओटीपोटा टॅप वापरला जातो. या जागेला ओटीपोटी गुहा म्हणतात.

चाचणी कशी केली जाते?
हे चाचणी आरोग्य सेवा प्रदात्याच्या कार्यालयात, उपचार कक्षामध्ये किंवा रुग्णालयात केले जाऊ शकते.
आवश्यक असल्यास पंचर साइट साफ आणि मुंडविली जाईल. त्यानंतर आपल्याला स्थानिक सौम्य औषधोपचार केला जातो.1 ते 2 इंच (2.5 ते 5 सें.मी.) पर्यंत पोटात सूतीची सुई घातली जाते. कधीकधी, सुई घालण्यात मदत करण्यासाठी एक लहान काप तयार केला जातो. द्रव एक सिरिंज मध्ये काढला जातो. सुई काढून टाकली जाते. पँचर साइटवर ड्रेसिंग केले जाते. जर काट बनविला गेला तर तो बंद करण्यासाठी एक किंवा दोन टाके वापरले जाऊ शकतात. कधीकधी, सुईला मार्गदर्शन करण्यासाठी अल्ट्रासाऊंडचा वापर केला जातो. अल्ट्रासाऊंड प्रतिमा तयार करण्यासाठी आणि एक्स-रे नसताना ध्वनी लाटा वापरते. तो दुखापत नाही.

2 प्रकारच्या ओटीपोटाच्या नलिका आहेत:
डायग्नोस्टिक टॅप - थोड्या प्रमाणात द्रव घेण्यात येतो आणि चाचणीसाठी प्रयोगशाळेकडे पाठविला जातो.
मोठा आवाज टॅप - ओटीपोटात वेदना आणि द्रव तयार करण्यापासून मुक्त होण्यासाठी अनेक लिटर काढले जाऊ शकतात.

चाचणीसाठी कसे तयार करावे?
आपल्या प्रदात्याला कळू द्या की आपण:

औषधासाठी किंवा अंशतः औषधांवर कोणत्याही अॅलर्जी आहेत.
- कोणत्याही औषधे घेत आहेत (हर्बल उपायांसह)
रक्तस्त्राव कोणत्याही समस्या आहेत
- गर्भवती असू शकते.

चाचणी कशी अनुभवेल?
आपण सौम्य औषधांमधून किंचित ठोके जाणवू शकता किंवा सुई घातल्याप्रमाणे दाब जाणवू शकते. जर मोठ्या प्रमाणावर द्रव काढला गेला असेल तर आपल्याला चिडचिड किंवा हलके वाटू शकते. आपल्याला त्रासदायक वाटणे किंवा हलके वाटत असल्यास प्रदात्यास सांगा.

चाचणी का केली जाते?
सामान्यतः उदरच्या गुहात फक्त द्रवपदार्थाचा थोडासा प्रमाणात समावेश असतो. विशिष्ट परिस्थितीत, या जागेत मोठ्या प्रमाणात द्रव तयार केला जाऊ शकतो. एक ओटीपोट टॅप द्रवपदार्थ तयार होण्याचे कारण किंवा संसर्गाची उपस्थिती याचे निदान करण्यात मदत करू शकते. पोटदुखी कमी करण्यासाठी मोठ्या प्रमाणात द्रव काढण्यासाठी देखील हे केले जाऊ शकते.

सामान्य परिणाम?
सामान्यतः, उदरच्या जागेमध्ये थोडे किंवा नाही तर द्रव असले पाहिजे.

असामान्य परिणाम म्हणजे काय?
ओटीपोटाच्या द्रवपदार्थात परीक्षा दर्शविली जाऊ शकते:

- कांसर जे उदर गुहामध्ये पसरले आहे (बर्याच वेळा अंडाशयाचा कर्करोग)
- यकृताची हृदयरोग
- डॅमेड आंत्र
- हृदयरोग
- संक्रमण
- किडनी रोग
- प्राकृतिक रोग

धोके :
सुईने ओटीपोटात मूत्रपिंड, मूत्राशय किंवा रक्तवाहिन्याची छिद्र होण्याची शक्यता कमी आहे. जर मोठ्या प्रमाणात द्रव काढला गेला तर ब्लड प्रेशर आणि किडनीच्या अपयश कमी होण्याची शक्यता कमी असते. संक्रमणाची थोडाही शक्यता आहे.

Dr. Ajay Rokade
Dr. Ajay Rokade
MD - Homeopathy, Family Physician Homeopath, 15 yrs, Pune
Dr. Pallavi U Bhurse
Dr. Pallavi U Bhurse
BAMS, Ayurveda Family Physician, 5 yrs, Pune
Dr. Anand Karale
Dr. Anand Karale
MS - Allopathy, Gynaecologist Obstetrician, 5 yrs, Pune
Dr. Prashant Innarkar
Dr. Prashant Innarkar
BHMS, Medical Cosmetologist Trichologist, 8 yrs, Pune
Dr. Ajaykumar Kumawat
Dr. Ajaykumar Kumawat
BHMS, Family Physician, 14 yrs, Pune