What should I do if I have ascites?
Sep 13, 2022
Source: Cainiu Health
Dr. Zhao Haiming
Introduction
There are many causes of ascites, and treatment varies depending on the underlying cause. Malignant ascites is usually managed initially by draining the fluid to restore bowel function, followed by treatments such as local chemotherapy, selected according to the patient's physical condition and clinical stage. Non-malignant ascites, such as that caused by cirrhosis, should be treated with albumin. Tuberculous peritonitis is treated with anti-tuberculosis therapy. Other rare bacterial infections should be managed with appropriate anti-infective treatment.
Due to the rapid pace of social development, some people pay insufficient attention to their lifestyle and dietary habits, leading to the occurrence of diseases. What should be done if ascites develops?
What to do about ascites
Ascites can result from various causes, and treatment depends on identifying and addressing the underlying condition. For malignant ascites, fluid is typically drained first to quickly restore bowel function. Depending on the patient’s physical condition and clinical stage, different treatments such as localized chemotherapy may be selected. Non-malignant ascites, such as that caused by liver cirrhosis, should be treated with albumin supplementation. Tuberculous peritonitis requires anti-tuberculosis therapy. Other rare bacterial infections causing ascites should be managed with appropriate antimicrobial treatment. In general, treating the root cause is crucial. To assist in diagnosis, it is recommended to withdraw a small amount of ascitic fluid for relevant laboratory tests.
The presentation depends on the cause of the ascites. If ascites is due to liver failure, symptoms of liver disease such as jaundice may accompany it, along with signs of a wasting condition characterized by weight loss and hypoalbuminemia. If ascites results from other causes, symptoms corresponding to those specific conditions will be present. Additionally, the most common symptoms of ascites include abdominal bloating and visibly increased abdominal girth.
Patients with ascites should first pay attention to personal hygiene, rest in bed as much as possible, and stay in a quiet and comfortable environment. Fluid intake should be strictly limited, and a moderate amount of fresh fruits and vegetables should be consumed. We hope this information is helpful to you. Wishing you good health and happiness.
