Abdominal paracentesis uses a needle to remove fluid from the belly.
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Ascites is the build-up of fluid in the belly. This procedure may be done to:
This may need to be repeated. Fluid may return if the cause has not been treated.
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
If the procedure is not being done to provide emergency care, the care team may meet with you to talk about:
Local anesthesia will be used. The area will be numbed.
A numbing medicine will be injected. Imaging may be used to help guide the needle and insert it into the belly. Fluid will be drawn out through the needle. The amount of fluid that is removed depends on why the procedure is being done.
A sample of fluid may be sent for testing.
About 10 to 15 minutes, depending on how much fluid needs to be removed
Pain and swelling are common at the needle insertion site. Medicine and home care can help.
Most people can go home the same day. If you have any problems, you may need to stay longer.
You may be given pain medicines.
Most people can go back to normal activities in 24 hours. It depends on the reason why the fluid was removed.
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
American Cancer Society
Family Doctor—American Academy of Family Physicians
Canadian Association of Gastroenterology
Ascites. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/ascites. Accessed November 23, 2020.
Piano S, Tonon M, et al. Management of ascites and hepatorenal syndrome. Hepatol Int. 2018 Feb;12(Suppl 1):122-134.
Last reviewed September 2020 by EBSCO Medical Review Board Marcin Chwistek, MD