Conversation: The conversation between human and AI assistant.
[|Human|] Doctor My wife is having Ascitis from last 3 years and the cause not find. On the symptomatic symptom doctors gives the treatment of Tuberculosis for 22 months. Now we have done the ultrasound and finding is that there is little enlargement of liver and spleen.Dr please suggest us for doing needful.
[|AI|]  Hi welcome to the Chat Doctor You're all investigation report and detail history needed to reach up to diagnosis... Your collected fluid in abdomen can be tapped - paracentesis done and fluid sent for culture and cytological examination.... Work up also done with... -CBC with peripheral smear examination -CT scan if needed Is PS, show atypical cell and diagnosis in doubt than bone marrow aspiration like investigation needed... According to cause treatment can be instituted Otherwise for edema diuretic and low salt is advisable... Serum protein level, cardiac causes and kidney problem also should be ruled out if suspected as they can lead edema Consult nearby physician for examination and accordingly further work up Take care