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HomeProceduresAscites Tap (Paracentesis)

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.
  • 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.
  • 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.
  • 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.

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Internal Medicine

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Internal Medicine

Our Internal Medicine service offers both primary and specialist consultative care for adults with acute illnesses, chronic conditions and complex multisystem problems. With physicians who manage long-term diseases such as diabetes, heart disease, hypertension and respiratory conditions, while also treating infections, injuries and musculoskeletal concerns. We offer consultant-led inpatient care through a dedicated hospitalist service and an Acute Medicine Unit with 24-hour doctor and nurse coverage, supported by round-the-clock diagnostics (radiology, pathology and microbiology). Advanced treatments include non-invasive ventilation, high-flow nasal oxygen, plasmapheresis and coordinated plasma therapies, together with integrated physiotherapy and rehabilitation. Our team works closely with surgical and speciality colleagues for complex cases, and we provide home-care, adult immunisation, preventive & executive health checks, and visa medicals for international patients.

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