How to manage liver ascites with inability to pass urine

Apr 06, 2023 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
In cases of ascites due to liver disease with inability to urinate, it is usually advisable to reduce water intake to decrease urine production and fluid leakage from ascites, or have a urinary catheter inserted by a doctor to drain urine from the bladder. Diuretics may also be used under medical guidance. Under professional medical supervision, dialysis therapy can help remove excess fluid from the body, thereby reducing urine formation and promoting urine excretion.

Generally, when patients with liver ascites are unable to urinate, management may include general treatment, medication, dialysis therapy, and other approaches. It is recommended to follow medical guidance and avoid self-treatment without professional advice. Specific measures are as follows:

1. General Treatment

Reducing water intake can decrease urine production and fluid leakage from ascites, helping to reduce the burden on the bladder and kidneys and alleviate symptoms. A healthcare provider may also insert a urinary catheter to drain urine from the bladder and prevent urine retention.

2. Medication

Under medical supervision, diuretics such as furosemide tablets, hydrochlorothiazide tablets, and spironolactone tablets may be prescribed to promote urine metabolism and excretion, thereby improving the condition.

3. Dialysis Therapy

Under the care of trained medical professionals, dialysis methods such as peritoneal dialysis or hemodialysis can help remove excess fluid from the body. These treatments can also reduce urine formation and enhance urine elimination.

In addition, if the condition worsens, surgical intervention may be considered. Following a doctor's recommendations to choose an appropriate treatment method helps promote recovery.


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