Hello @anaestrada12,
Your article caught my eye because I've had some experience with ascites.  The first time I experienced this, a rather ignorant and ill-mannered physician suggested I was an alcoholic.  The next time I had it, the doctors suspected obstruction or vasculitis.
Happily, on both occasions the event was acute, sudden onset, and resolved spontaneously.  CT scans were a big help in getting to an underlying cause.  I would think this would be the first step in any attempt to diagnose and treat.  While the pain is significant in a patient with acute ascites, CT scans help to clear up the picture.  Though  paracentesis is relatively safe, still there is risk. (I am never eager to have someone stick a large needle in any part of my body haha)  
The CT scans were extremely helpful afterwards, as doctors tried to assess what was causing these acute episodes.  We--they and I--wanted to understand how to prevent future episodes and also to understand how to proceed safely if these occurred again.
  
I know your blogs are written for practitioners, but I hope you know that patients are also your readers.  As a patient, I view my role in any treatment plan as collaborative.   The doctor may know more, but well-written articles (such as yours) help patients to take an active role in formulating treatment plans. 

Thank you for this information.  Very valuable to all.