I thought ascites was part of end stage cirrhosis...it seems like he would be laying in bed sick all day. How does he have the energy to workout everyday and ride his bike all over town?
Not at all, I have seen many with ascites due to cirrhosis and they can still function quite fine at times. They have good and bad days, I can only imagine the amount of drugs he is on.
It is ascites, why i don't know, I suspect liver fibrosis but who knows as there a few other causes. How he functions the way he does I do not know, the patients I have seen can hike etc but require puffers amongst other things to do so.