Dear Chris,
Welcome to the site. Big hugs to you and your mom. I have not witnessed the bleeding aspect, but I did witness the ascites aspect with my friend. Early on, the ascites was able to be treated with a diuretic. However, as her organs started to go into failure, the only way to remove the excess fluid buildup was to go into the doctor to have the fluid drained. In retrospect, the ascites came towards the end of my friend’s journey. However, please note that my friend stopped aggressive treatment after she was deemed unresctable. I have noticed that many other cholangio patients on here have been able to find to effectively deal with the ascites over prolonged periods of time. In other words, my friend’s experience is just one of many – the information I’m sharing with you does not necessarily translate to your mom. Hopefully some of those on this site that have been met with success versus ascites will share their information with you.