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Severe abdominal pain while draining paracentesis tube. Reason?

I am a hospice on call nurse, Pt has Paracentesis tube in, has had it drained in the past with no problems. Yesterday, she had abd pain during the drainage, so it was stopped after 100ml was drained. The abd pain stopped. Today she had nausea, the thinking was, we needed to complete the drainage process. So, she was drained for 50 to 100ml again, but she had the severe abd pain with it again. Why the pain? how to prevent it in the future?
Asked On : Wed, 1 May 2013
Answers:  1 Views:  70
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General & Family Physician 's  Response
Hi welcome to Health care magic forum.
Thanks for calling H.C.M.Forum.
Your patient for paracentesis had the tube in, when you tried it there was pain, after stopping the procedure it has stopped. Next day she had nausea, and it was tried again, and had severe pain again.
As the tube was in position for days, there are plenty of chances of infection. The pain depends upon the diagnosis for which it is done. if it is done for tuberculosis or malignancy, the disease might have increased.
Contraindications are distended urinary bladder, distended abdomen, or adhesions.
I advise you to consult a surgeon for diagnosis for diagnosis of the cause. You may need to have M.R.I. besides other tests for confirmation.
Wishing for a comfertable time to her.
Best regards for the procedure.
Answered: Sun, 5 May 2013
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