What should be done for severe ascites due to heart failure?
Apr 03, 2023
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Severe ascites due to heart failure can generally be improved through oxygen therapy, medication, paracentesis (fluid drainage), and other methods. In patients with heart failure, reduced cardiac function prevents blood from being properly pumped out of the heart, leading to systemic congestion. In addition to the above treatments, cardiac surgery may also be considered. It is recommended to choose an appropriate treatment method based on individual conditions under the guidance of a specialist physician.
Severe ascites due to heart failure can generally be improved through oxygen therapy, medication, paracentesis (fluid drainage), and other methods.
1. Oxygen Therapy
Patients with heart failure experience reduced cardiac function, resulting in impaired blood pumping from the heart and systemic congestion. Administering oxygen helps improve tissue hypoxia and ischemia, thereby relieving patient discomfort.
2. Medication
For ascites caused by heart failure, treatment should be guided by a physician using medications that enhance cardiac function and promote diuresis. Commonly used drugs include hydrochlorothiazide tablets and digoxin tablets.
3. Paracentesis (Fluid Drainage)
If heart failure leads to significant fluid accumulation in the abdomen, paracentesis may be performed under medical supervision to remove excess ascitic fluid and alleviate symptoms. The procedure should involve small, repeated withdrawals to avoid removing too much fluid at once, which could negatively affect the patient.
In addition to the above approaches, surgical interventions such as cardiac surgery may also help improve the condition. Patients are advised to consult specialists and choose an appropriate treatment based on their individual circumstances.
