Do you have any concerns about lower extremity compression (e.g., compression stockings, intermittent pneumatic compression, etc.) worsening ascites in a patient with portal hypertension?

This is an interesting question, and I have to admit, not one I've thought about regularly. When I think of lower extremity compression and the contraindications, portal hypertension and ascites are not contraindications that immediately come to mind. I do understand the reasoning behind the question, in that if there is edema that is being managed, the fluid that is not going to the legs could potentially end up as ascites.

Overall, there isn't great evidence for or against use, and guidelines ...