How to effectively treat ascites in liver cirrhosis?

Feb 25, 2023 Source: Cainiu Health
Dr. Zhou Chao
Introduction
For ascites due to liver cirrhosis, drug therapy, paracentesis, and surgical treatment can be effective depending on the disease condition. When cirrhosis is mild and ascites is minimal, medications that protect liver cells and diuretics may be used to improve symptoms. If ascites does not decrease with drug therapy, paracentesis is usually required. In severe cases where surgical indications are met, surgery is necessary.

Ascites due to liver cirrhosis can usually be effectively treated with medication, paracentesis, or surgical treatment depending on the specific condition.

1. Drug therapy

When the degree of cirrhosis is mild and ascites is minimal, medications that protect liver cells—such as reduced glutathione tablets, polyene phosphatidylcholine injection, and silymarin capsules—can typically be used under a doctor's guidance to improve liver cell function and alleviate the condition. Additionally, diuretics such as furosemide tablets, spironolactone tablets, and hydrochlorothiazide tablets may be used to promote the elimination of ascites and relieve symptoms.

2. Paracentesis

If ascites does not decrease with drug therapy, paracentesis is often required to remove accumulated fluid from the abdominal cavity, thereby reducing intra-abdominal pressure and organ damage, and promoting recovery.

3. Surgical treatment

For patients with severe conditions who meet surgical indications, relevant procedures such as gastrointestinal endoscopic surgery or transjugular intrahepatic portosystemic shunt (TIPS) may be necessary to reduce fluid leakage and improve the clinical outcome.