investigations for ascites 2ry to schistosomiasis

1. Liver Function Tests: A comprehensive panel of liver function tests can help determine if there is any liver damage or dysfunction due to schistosomiasis.

2. Abdominal Ultrasound: An ultrasound of the abdomen can help visualize any fluid accumulation in the abdominal cavity, as well as detect any changes in the liver and other abdominal organs.

3. Serum Ascites Albumin Gradient (SAAG): This test can help differentiate between ascites resulting from portal hypertension (such as in liver cirrhosis) and other causes.

4. Ascitic Fluid Analysis: A sample of the ascitic fluid can be examined for the presence of schistosome eggs, as well as other signs of infection or inflammation.

5. Schistosoma serology: Blood tests can detect antibodies or antigens specific to Schistosoma species, helping confirm the diagnosis of schistosomiasis.

6. Imaging studies: CT scans or MRIs of the abdomen may be recommended to further evaluate the extent of organ damage and the presence of ascites.

7. Liver biopsy: In some cases, a liver biopsy may be performed to assess the degree of liver fibrosis and inflammation caused by schistosomiasis.