What should I do about recurring ascites?
Nov 23, 2022
Source: Cainiu Health
Dr. Zhao Haiming
Introduction
If ascites recurs repeatedly in patients with liver cirrhosis, diuretics such as spironolactone tablets and furosemide tablets can be used. If the cause is hepatitis B virus infection, antiviral medications such as entecavir dispersible tablets or tenofovir amibufenamide tablets may be administered. In cases of portal hypertension, transjugular intrahepatic portosystemic shunt (TIPS) is usually required to reduce portal pressure.
The management of recurrent ascites depends on the underlying cause. Common clinical causes include liver cirrhosis, hepatitis B virus infection, and portal hypertension.
1. Liver Cirrhosis
In patients with liver cirrhosis, reduced inactivation of antidiuretic hormone by the liver leads to decreased urine output, resulting in water and sodium retention, which in turn causes the aforementioned symptoms. Under a doctor's guidance, diuretics may be used for treatment. Commonly prescribed medications include spironolactone tablets and furosemide tablets.
2. Hepatitis B Virus Infection
If hepatitis B virus infection is present and not actively treated, it can cause ongoing damage to liver cells, leading to recurrent episodes of ascites due to cirrhosis. Antiviral medications should be used under medical supervision. Commonly used drugs include entecavir dispersible tablets and tenofovir amibufenamide tablets.
3. Portal Hypertension
Portal hypertension caused by conditions such as hepatic hemangioma or Budd-Chiari syndrome often requires procedures like transjugular intrahepatic portosystemic shunt (TIPS) to reduce portal pressure.
Additionally, recurrent ascites may also result from long-term malnutrition or diseases such as chronic nephritis and pulmonary tuberculosis. It is recommended to identify the specific cause before initiating appropriate treatment.
