Suggest remedy for abdominal distensions
Patient: Sir I had abdominal distension and fullness sincce5 days,intermitant episodes of indigestion and malaise  since 1 mth, wt loss about 10 kgs in 4 mths,I was thinking it 2 be a indigestion entity,but, yesterday I had a bout of severe lower abdominal pain lasting for half a minute or so,after this I had a check ultrasound which showed, moderate ascitis ileal and omental thickening,lymp nodes with loss of hilum and caseation largest ms 4 cms. Now today - am getting intermitant bouts of crampy pain lasting for about 15 second,I had 3-4 such bouts in entite day 2 day,I have send blood for routine investigations ,pls advice me regarding any specific diagnostic tests to be done for adequte diagnosis before I consult u personally,whether a therapeutic tap is imediately indicated and what should !e my plan of action? Thanking u -  mr.p.gharat Doctor: Ascites could be of varied reasons if its so minimal less than 50 ml tapping is not necessary is its more diagnostic tapping can be done. Lymph node enlargement can be tubercular mesentric adenitis. I would suggest a ct abdomen to rule out few causes. Its better to consult tour physician at the earliest