The volume of ascites varies from being detectable only with imaging tests, such as abdominal ultrasound, to obvious bloating
of the abdomen.
The development of ascites signals worsening portal hypertension due to advancing liver scarring and deterioration of liver function. Stage 3 cirrhosis signals decompensated cirrhosis, meaning the liver is failing. Once decompensated cirrhosis develops, liver scarring is irreversible and evaluation for liver transplantation is generally recommended.