Brief Answer: Most likely hernia is the reason. Detailed Answer: Hello! Thank you for the query. Such pain which changes with body position is most likely caused by your hernia. Due to intestines presence in the hernia there is a risk of bowels obstruction or fatty tissue (omentum) necrosis. Ascites even makes it worse as a pressure in the abdominal cavity is higher than regular. Obstruction is more possible if you have any bloating, cramps, diarrhea and or constipation. Due to ascites and repeated paracentesis(fluid drain) for sure you have some adhesions in the abdominal cavity which additionally impedes bowels movements. Infection due to fluid drain is also possible, however you should have abdominal pain which is more intense when releasing the pressure (it is called Blumbergs sign - please put your hand on the abdomen and press it, than release the pressure - if this is more painful than pressing, inflammation in the abdominal cavity is present). I suggest you to consult your doctor and have abdominal X-ray, ultrasound, blood work. Hope this will help. Feel free to ask further questions. Regards.

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Brief Answer: . Detailed Answer: More frequent stools can occur due to hernia stuck. It may also indicate some mild gastrointestinal infection as well. When hernia will cause any problems (like fat or intestine stuck) is unpredictable. For sure you have higher risk of such episode due to ascites. But it is hard to give exact reason of hernia problems. Please consult your doctor as surgery might be necessary to fix your hernia. Regards.

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