How to treat ascites in tuberculous peritonitis
Dec 29, 2022
Source: Cainiu Health
Dr. Jiang Weimin
Introduction
In general, treatment for tuberculosis is necessary. Several anti-tuberculosis drugs can be selected for therapy. Typically, a combination of streptomycin and rifampicin provides better therapeutic outcomes for tuberculous peritonitis. For patients with large amounts of ascites, the fluid should first be drained, followed by intraperitoneal injection of substances such as streptomycin or hydrocortisone.
Tuberculous peritonitis with ascites is a common clinical condition, commonly known as "abdominal muscle disease." When the disease occurs, it significantly affects patients' daily lives and may cause difficulty in breathing. Meanwhile, if not treated promptly, it could lead to more serious complications, adversely affecting the patient's health. So how is tuberculous peritonitis with ascites treated?
How is tuberculous peritonitis with ascites treated?
Generally speaking, treatment for tuberculosis is essential. Some anti-tuberculosis drugs can be selected for therapy. Typically, a combination of streptomycin and rifampicin yields better results in treating tuberculous peritonitis. For patients with large amounts of ascites, fluid should first be drained, followed by intraperitoneal injection of medications such as streptomycin or hydrocortisone. These drugs can effectively alleviate symptoms of ascites. Effective anti-tuberculosis agents should also be used in conjunction with corticosteroids when necessary, which helps relieve toxic symptoms.
Patients with tuberculous peritonitis who experience fatigue, loss of appetite, fever, abdominal pain, indigestion, or cessation of bowel movements and gas passage from the anus should seek medical attention early. In the early stages of tuberculous peritonitis, abdominal pain may not be typical—often presenting as a dull ache, usually mild and located around the umbilicus or lower abdomen—and small amounts of fluid may accumulate in the abdominal cavity. Once ascites is detected and diagnosis confirms tuberculous peritonitis, standardized anti-tuberculosis treatment should be initiated promptly.
Tuberculous peritonitis with ascites is indeed a highly harmful disease, yet it is often overlooked. As a result, unfortunately, the optimal treatment window is frequently missed. Therefore, it is recommended to undergo medical examination whenever bodily changes occur. We hope this response has been helpful to you. Wishing you good health and happiness in life.
